Table 3.

The number and ASR of incident and DALYs for neonatal disorders in 2019, and changing trends from 1990 to 2019

2019
1990–20192019
1990–2019
Incident cases no.ASIR per 100 000 no. (95% UI)EAPC no. (95% CI)DALYs cases no.ASR-DALYs per 100 000 no. (95% UI)EAPC no. (95%CI)
Overall23 532 231.9 (21 672 528.3–25 701 964.3)363.3 (334.6–396.8)0 (−0.06 to 0.06)185 886 390.1 (160 501 578.5–218 526 197.2)2828.3 (2441.6–3329.6)−1.3 (−1.42 to 1.18)
Sex
 Female10 878 088.4 (9 970 690.3–11 891 471.3)347.9 (318.8–380.3)0.05 (0 to 0.1)80 903 864.6 (70 493 249.1–93 894 238.7)2538.6 (2212.3–2954.3)−1.38 (−1.48 to 1.27)
 Male12 654 143.5 (11 671 263.4–13 791 272.5)377.8 (348.5–411.8)−0.05 (−0.12 to 0.02)104 982 525.5 (89 992 179.3–124 058 674.9)3098.4 (2651.3–3663.6)−1.24 (−1.38 to 1.1)
Age
 <0–6 days4 272 672.2 (2 989 705.5–6 179 729.5)166 116.7 (116 236.4–240 261)0.49 (0.46 to 0.52)136 889 316.2 (116 450 062.3–162 669 807.7)5 322 103.3 (4 527 448–6 324 419.9)−1.26 (−1.43 to 1.09)
 7–27 days1 652 243.5 (815 834.4–2 853 664.3)21 608.5 (10 669.7–37 321)0.58 (0.5 to 0.65)22 579 369.3 (19 087 688.7–26 853 350.5)295 299.5 (249 634.3–351 195.8)−2.37 (−2.48 to 2.27)
 28–364 days007 857 828.2 (6 263 541.1–9 739 467.7)6453.2 (5143.9–7998.4)−2.47 (−2.53 to 2.41)
 1–4 years002 942 759.6 (2 413 382.4–3 524 298.1)554.3 (454.6–663.9)0.63 (0.49 to 0.77)
 5–9 years001 953 414.4 (1 532 122.1–2 415 866.6)298.4 (234–369)2.52 (2.33 to 2.71)
 10–19 years003 588 557.3 (2 834 483.7–4 397 908)284.4 (224.7–348.6)2.76 (2.56 to 2.95)
 20–54 years008 573 707 (6 801 690.7–10 521 594.4)228.5 (181.3–280.4)2.7 (2.5 to 2.89)
 55+ years001 501 438 (1 177 534.6–1 888 579)54.8 (43–68.9)2.93 (2.6 to 3.26)
Socio-demographic index
 High1 089 953.2 (1 054 989.2–1 127 074.9)219.5 (212.5–227)0.21 (0.11 to 0.31)3 455 360.4 (3 065 324.4–3 877 433.8)553.1 (498.2–613.1)−1.78 (−1.85 to 1.71)
 High-middle804 064.4 (555 269–1 087 955.6)297.9 (264.8–335.5)0.15 (0.13 to 0.18)8 524 076.6 (7 479 005.4–9 701 687.2)953.2 (835.9–1093.7)−3.18 (−3.31 to 3.05)
 Middle1 875 710.2 (1 290 221.3–2 558 776.4)328.5 (293.7–369.2)0 (−0.03 to 0.04)30 903 196.3 (26 745 267.2–35 818 934.6)1707.9 (1475.1–1987.3)−2.25 (−2.42 to 2.07)
 Low-middle1 591 860.7 (1 132 016.7–2 146 643.7)390.8 (361.4–424.6)−0.31 (−0.37 to 0.25)64 958 149.6 (55 797 763.5–75 326 412.4)3804 (3265–4414.2)−1.4 (−1.52 to 1.27)
 Low1 510 719.9 (1 066 565.8–2 075 843.3)437.5 (409.1–471.4)−0.17 (−0.22 to 0.12)77 939 747.9 (65 053 240.5–94 676 453.2)4386.5 (3671.1–5309.4)−0.97 (−1.03 to 0.92)
GBD region
 High-income Asia Pacific104 934.3 (101 365.4–108 619.4)158.4 (153.1–164)0.37 (0.29 to 0.44)320 692.9 (269 911–371 914.4)284.6 (248.8–322)−2.28 (−2.43 to 2.14)
 Central Asia223 779.7 (207 893.9–240 250.1)247.2 (229.7–265.3)−0.36 (−0.41 to 0.31)1 522 378 (1 308 498.9–1 811 432.9)1665.1 (1430.7–1980.6)−1.55 (−1.94 to 1.15)
 East Asia2 136 197.7 (1 771 248.4–2 569 015)287.9 (238.8–345.9)0.38 (0.29 to 0.48)7 271 957.5 (6 376 403.8–8 313 229.2)786.8 (693.8–892.1)−4.07 (−4.41 to 3.73)
 South Asia66 292 44.7 (6 153 256.4–7 174 365.7)413.5 (383.7–447.4)−0.27 (−0.32 to 0.22)71 241 073.2 (61 042 999–83 585 114.3)4395.1 (3765.2–5157.6)−1.12 (−1.24–1)
 Southeast Asia1 757 890.2 (1 535 711.2–2 004 844.2)336 (293.5–383.2)−0.57 (−0.6 to 0.54)10 053 228.3 (8 349 665.4–12 031 297.8)1858.9 (1542.8–2234.4)−2.2 (−2.28 to 2.12)
 Australasia30 459.4 (28 790.5–32 063.1)172.4 (163–181.5)0.18 (0.09 to 0.26)94 676.6 (81 362.6–108 214.8)455.4 (391.4–519.4)−1.66 (−1.78 to 1.54)
 Caribbean180 206.4 (169 848–190 650.5)461.4 (434.9–488.2)0.17 (0.12 to 0.22)1 095 456.1 (852 014.7–1 377 661.7)2754.1 (2132.6–3472.7)−0.29 (−0.36 to 0.22)
 Central Europe115 806.4 (108 220.5–124 704.8)224.3 (209.7–241.5)−0.28 (−0.42 to 0.13)370 369.5 (314 160.5–432 383.1)549.3 (457.9–649.8)−4.06 (−4.21 to 3.91)
 Eastern Europe336 351 (291 026.9–391 204.6)310.1 (268.4–360.7)−0.34 (−0.38 to 0.3)836 030.3 (716 986.9–958 746.2)630.7 (539.7–726.8)−3.67 (−3.88 to 3.45)
 Western Europe365 373.7 (355 654.1–375 560.1)176.5 (171.8–181.4)−0.02 (−0.04–0)1 145 158.4 (992 872.6–1 311 287.5)426.4 (371.6–483.7)−1.83 (−1.96 to 1.7)
 Andean Latin America238 243.1 (215 056.2–259 154.6)378.8 (341.9–412)−0.48 (−0.58 to 0.38)1 091 231.9 (860 579.1–1 361 890.9)1724.2 (1358.4–2154.9)−2.51 (−2.61 to 2.41)
 Central Latin America785 713.5 (699 016.6–879 676.1)372.3 (331.3–416.7)0.42 (0.33 to 0.5)2 926 331.9 (2 360 704.4–3 546 600.3)1340.3 (1073.9–1634.2)−2.75 (−2.81 to 2.69)
 Southern Latin America78 603.6 (74 432.4–83 455.8)169.5 (160.4–179.9)0 (−0.04 to 0.03)462 939.5 (378 389.2–566 820.7)934.3 (758–1151.5)−2.95 (−3.03 to 2.87)
 Tropical Latin America579 792.4 (523 428.1–652 126.9)375.1 (338.7–421.8)0.18 (0.14 to 0.23)3 292 307.5 (2 722 392–3 928 836.7)2013 (1649.4–2431.3)−2.58 (−2.7 to 2.46)
 North Africa and Middle East2 102 529.7 (2 016 483.5–2 198 106.4)361.3 (346.5–377.7)0.16 (0.13 to 0.18)11 489 912.5 (9 809 947–13 589 112.4)1950.8 (1664.1–2310)−3.02 (−3.08 to 2.96)
 High-income North America536 707.3 (520 574.5–555 108)266 (258.1–275.1)0.22 (0.06 to 0.37)1 725 713.1 (1 552 834.7–1 910 605)731.8 (663.9–803.4)−0.89 (−0.99 to 0.78)
 Oceania51 008.5 (47 734.4–54 574.9)259.1 (242.4–277.2)−0.19 (−0.25 to 0.14)468 500.8 (346 400.8–621 679.8)2414.7 (1792.7–3194.9)−0.27 (−0.36 to 0.18)
 Central Sub-Saharan Africa726 892.4 (672 375.2–791 568)341.5 (315.8–371.8)0.02 (−0.04 to 0.08)6 488 410.7 (5 461 238.2–7 787 853)3098.5 (2612.9–3713.8)−1.17 (−1.27 to 1.06)
 Eastern Sub-Saharan Africa2 846 008.8 (2 601 338.8–3 150 784.9)422.1 (385.7–467.2)−0.3 (−0.39 to 0.22)25 303 562.7 (20 467 578.7–31 448 404.6)3826 (3118.4–4737.9)−1.04 (−1.12 to 0.96)
 Southern Sub-Saharan Africa318 918.8 (296 475.4–348 024.6)400.7 (372.5–437.2)0.02 (−0.01 to 0.05)2 828 758.7 (2 280 606.2–3 564 928.6)3539.9 (2849.5–4464.4)−0.19 (−0.46 to 0.08)
 Western Sub-Saharan Africa3 387 570.3 (3 156 763–3 678 125.4)432.4 (402.9–469.5)−0.23 (−0.25 to 0.21)35 857 700.2 (30 100 630.3–43 307 004.3)4640.7 (3904.2–5599.4)−0.71 (−0.75 to 0.66)
Categories of causes
 Neonatal preterm birth15 217 461.3 (15 111 175.9–15 319 933.8)235 (233.3–236.5)−0.19 (−0.26 to 0.11)68 616 784.2 (58 968 980.1–80 042 972.6)1037.7 (891.7–1212.3)−1.82 (−1.9 to 1.74)
 Neonatal encephalopathy due to birth asphyxia and trauma13 786 98.9 (963 701.4–2 024 055.5)21.3 (14.9–31.3)0.07 (−0.01 to 0.15)53 356 613.1 (45 101 595.8–62 832 901.8)817 (691.1–964.4)−1.03 (−1.23 to 0.83)
 Neonatal sepsis and other neonatal infections6310 067 (4506 664.5–8 497 411.2)97.4 (69.6–131.2)0.46 (0.43 to 0.48)24 558 388.9 (20 811 235–29 489 763)368.3 (311.7–443.1)−0.04 (−0.17 to 0.08)
 Haemolytic disease and other neonatal jaundice626 004.7 (468 641.9–826 281.3)9.7 (7.2–12.8)0.13 (0.03 to 0.23)5 423 416.3 (4 620 169.1–6 392 084.5)82.1 (69.9–96.9)−2.53 (−2.71 to 2.34)
 Other neonatal disorders33 931 187.7 (28 467 048.5–40 943 840.9)523.3 (439–631.5)−1.06 (−1.24 to 0.88)
2019
1990–20192019
1990–2019
Incident cases no.ASIR per 100 000 no. (95% UI)EAPC no. (95% CI)DALYs cases no.ASR-DALYs per 100 000 no. (95% UI)EAPC no. (95%CI)
Overall23 532 231.9 (21 672 528.3–25 701 964.3)363.3 (334.6–396.8)0 (−0.06 to 0.06)185 886 390.1 (160 501 578.5–218 526 197.2)2828.3 (2441.6–3329.6)−1.3 (−1.42 to 1.18)
Sex
 Female10 878 088.4 (9 970 690.3–11 891 471.3)347.9 (318.8–380.3)0.05 (0 to 0.1)80 903 864.6 (70 493 249.1–93 894 238.7)2538.6 (2212.3–2954.3)−1.38 (−1.48 to 1.27)
 Male12 654 143.5 (11 671 263.4–13 791 272.5)377.8 (348.5–411.8)−0.05 (−0.12 to 0.02)104 982 525.5 (89 992 179.3–124 058 674.9)3098.4 (2651.3–3663.6)−1.24 (−1.38 to 1.1)
Age
 <0–6 days4 272 672.2 (2 989 705.5–6 179 729.5)166 116.7 (116 236.4–240 261)0.49 (0.46 to 0.52)136 889 316.2 (116 450 062.3–162 669 807.7)5 322 103.3 (4 527 448–6 324 419.9)−1.26 (−1.43 to 1.09)
 7–27 days1 652 243.5 (815 834.4–2 853 664.3)21 608.5 (10 669.7–37 321)0.58 (0.5 to 0.65)22 579 369.3 (19 087 688.7–26 853 350.5)295 299.5 (249 634.3–351 195.8)−2.37 (−2.48 to 2.27)
 28–364 days007 857 828.2 (6 263 541.1–9 739 467.7)6453.2 (5143.9–7998.4)−2.47 (−2.53 to 2.41)
 1–4 years002 942 759.6 (2 413 382.4–3 524 298.1)554.3 (454.6–663.9)0.63 (0.49 to 0.77)
 5–9 years001 953 414.4 (1 532 122.1–2 415 866.6)298.4 (234–369)2.52 (2.33 to 2.71)
 10–19 years003 588 557.3 (2 834 483.7–4 397 908)284.4 (224.7–348.6)2.76 (2.56 to 2.95)
 20–54 years008 573 707 (6 801 690.7–10 521 594.4)228.5 (181.3–280.4)2.7 (2.5 to 2.89)
 55+ years001 501 438 (1 177 534.6–1 888 579)54.8 (43–68.9)2.93 (2.6 to 3.26)
Socio-demographic index
 High1 089 953.2 (1 054 989.2–1 127 074.9)219.5 (212.5–227)0.21 (0.11 to 0.31)3 455 360.4 (3 065 324.4–3 877 433.8)553.1 (498.2–613.1)−1.78 (−1.85 to 1.71)
 High-middle804 064.4 (555 269–1 087 955.6)297.9 (264.8–335.5)0.15 (0.13 to 0.18)8 524 076.6 (7 479 005.4–9 701 687.2)953.2 (835.9–1093.7)−3.18 (−3.31 to 3.05)
 Middle1 875 710.2 (1 290 221.3–2 558 776.4)328.5 (293.7–369.2)0 (−0.03 to 0.04)30 903 196.3 (26 745 267.2–35 818 934.6)1707.9 (1475.1–1987.3)−2.25 (−2.42 to 2.07)
 Low-middle1 591 860.7 (1 132 016.7–2 146 643.7)390.8 (361.4–424.6)−0.31 (−0.37 to 0.25)64 958 149.6 (55 797 763.5–75 326 412.4)3804 (3265–4414.2)−1.4 (−1.52 to 1.27)
 Low1 510 719.9 (1 066 565.8–2 075 843.3)437.5 (409.1–471.4)−0.17 (−0.22 to 0.12)77 939 747.9 (65 053 240.5–94 676 453.2)4386.5 (3671.1–5309.4)−0.97 (−1.03 to 0.92)
GBD region
 High-income Asia Pacific104 934.3 (101 365.4–108 619.4)158.4 (153.1–164)0.37 (0.29 to 0.44)320 692.9 (269 911–371 914.4)284.6 (248.8–322)−2.28 (−2.43 to 2.14)
 Central Asia223 779.7 (207 893.9–240 250.1)247.2 (229.7–265.3)−0.36 (−0.41 to 0.31)1 522 378 (1 308 498.9–1 811 432.9)1665.1 (1430.7–1980.6)−1.55 (−1.94 to 1.15)
 East Asia2 136 197.7 (1 771 248.4–2 569 015)287.9 (238.8–345.9)0.38 (0.29 to 0.48)7 271 957.5 (6 376 403.8–8 313 229.2)786.8 (693.8–892.1)−4.07 (−4.41 to 3.73)
 South Asia66 292 44.7 (6 153 256.4–7 174 365.7)413.5 (383.7–447.4)−0.27 (−0.32 to 0.22)71 241 073.2 (61 042 999–83 585 114.3)4395.1 (3765.2–5157.6)−1.12 (−1.24–1)
 Southeast Asia1 757 890.2 (1 535 711.2–2 004 844.2)336 (293.5–383.2)−0.57 (−0.6 to 0.54)10 053 228.3 (8 349 665.4–12 031 297.8)1858.9 (1542.8–2234.4)−2.2 (−2.28 to 2.12)
 Australasia30 459.4 (28 790.5–32 063.1)172.4 (163–181.5)0.18 (0.09 to 0.26)94 676.6 (81 362.6–108 214.8)455.4 (391.4–519.4)−1.66 (−1.78 to 1.54)
 Caribbean180 206.4 (169 848–190 650.5)461.4 (434.9–488.2)0.17 (0.12 to 0.22)1 095 456.1 (852 014.7–1 377 661.7)2754.1 (2132.6–3472.7)−0.29 (−0.36 to 0.22)
 Central Europe115 806.4 (108 220.5–124 704.8)224.3 (209.7–241.5)−0.28 (−0.42 to 0.13)370 369.5 (314 160.5–432 383.1)549.3 (457.9–649.8)−4.06 (−4.21 to 3.91)
 Eastern Europe336 351 (291 026.9–391 204.6)310.1 (268.4–360.7)−0.34 (−0.38 to 0.3)836 030.3 (716 986.9–958 746.2)630.7 (539.7–726.8)−3.67 (−3.88 to 3.45)
 Western Europe365 373.7 (355 654.1–375 560.1)176.5 (171.8–181.4)−0.02 (−0.04–0)1 145 158.4 (992 872.6–1 311 287.5)426.4 (371.6–483.7)−1.83 (−1.96 to 1.7)
 Andean Latin America238 243.1 (215 056.2–259 154.6)378.8 (341.9–412)−0.48 (−0.58 to 0.38)1 091 231.9 (860 579.1–1 361 890.9)1724.2 (1358.4–2154.9)−2.51 (−2.61 to 2.41)
 Central Latin America785 713.5 (699 016.6–879 676.1)372.3 (331.3–416.7)0.42 (0.33 to 0.5)2 926 331.9 (2 360 704.4–3 546 600.3)1340.3 (1073.9–1634.2)−2.75 (−2.81 to 2.69)
 Southern Latin America78 603.6 (74 432.4–83 455.8)169.5 (160.4–179.9)0 (−0.04 to 0.03)462 939.5 (378 389.2–566 820.7)934.3 (758–1151.5)−2.95 (−3.03 to 2.87)
 Tropical Latin America579 792.4 (523 428.1–652 126.9)375.1 (338.7–421.8)0.18 (0.14 to 0.23)3 292 307.5 (2 722 392–3 928 836.7)2013 (1649.4–2431.3)−2.58 (−2.7 to 2.46)
 North Africa and Middle East2 102 529.7 (2 016 483.5–2 198 106.4)361.3 (346.5–377.7)0.16 (0.13 to 0.18)11 489 912.5 (9 809 947–13 589 112.4)1950.8 (1664.1–2310)−3.02 (−3.08 to 2.96)
 High-income North America536 707.3 (520 574.5–555 108)266 (258.1–275.1)0.22 (0.06 to 0.37)1 725 713.1 (1 552 834.7–1 910 605)731.8 (663.9–803.4)−0.89 (−0.99 to 0.78)
 Oceania51 008.5 (47 734.4–54 574.9)259.1 (242.4–277.2)−0.19 (−0.25 to 0.14)468 500.8 (346 400.8–621 679.8)2414.7 (1792.7–3194.9)−0.27 (−0.36 to 0.18)
 Central Sub-Saharan Africa726 892.4 (672 375.2–791 568)341.5 (315.8–371.8)0.02 (−0.04 to 0.08)6 488 410.7 (5 461 238.2–7 787 853)3098.5 (2612.9–3713.8)−1.17 (−1.27 to 1.06)
 Eastern Sub-Saharan Africa2 846 008.8 (2 601 338.8–3 150 784.9)422.1 (385.7–467.2)−0.3 (−0.39 to 0.22)25 303 562.7 (20 467 578.7–31 448 404.6)3826 (3118.4–4737.9)−1.04 (−1.12 to 0.96)
 Southern Sub-Saharan Africa318 918.8 (296 475.4–348 024.6)400.7 (372.5–437.2)0.02 (−0.01 to 0.05)2 828 758.7 (2 280 606.2–3 564 928.6)3539.9 (2849.5–4464.4)−0.19 (−0.46 to 0.08)
 Western Sub-Saharan Africa3 387 570.3 (3 156 763–3 678 125.4)432.4 (402.9–469.5)−0.23 (−0.25 to 0.21)35 857 700.2 (30 100 630.3–43 307 004.3)4640.7 (3904.2–5599.4)−0.71 (−0.75 to 0.66)
Categories of causes
 Neonatal preterm birth15 217 461.3 (15 111 175.9–15 319 933.8)235 (233.3–236.5)−0.19 (−0.26 to 0.11)68 616 784.2 (58 968 980.1–80 042 972.6)1037.7 (891.7–1212.3)−1.82 (−1.9 to 1.74)
 Neonatal encephalopathy due to birth asphyxia and trauma13 786 98.9 (963 701.4–2 024 055.5)21.3 (14.9–31.3)0.07 (−0.01 to 0.15)53 356 613.1 (45 101 595.8–62 832 901.8)817 (691.1–964.4)−1.03 (−1.23 to 0.83)
 Neonatal sepsis and other neonatal infections6310 067 (4506 664.5–8 497 411.2)97.4 (69.6–131.2)0.46 (0.43 to 0.48)24 558 388.9 (20 811 235–29 489 763)368.3 (311.7–443.1)−0.04 (−0.17 to 0.08)
 Haemolytic disease and other neonatal jaundice626 004.7 (468 641.9–826 281.3)9.7 (7.2–12.8)0.13 (0.03 to 0.23)5 423 416.3 (4 620 169.1–6 392 084.5)82.1 (69.9–96.9)−2.53 (−2.71 to 2.34)
 Other neonatal disorders33 931 187.7 (28 467 048.5–40 943 840.9)523.3 (439–631.5)−1.06 (−1.24 to 0.88)

ASIR, age-standardized incidence rate; DALYs, disability-adjusted life-years; ASR, age-standardized rate; EAPC, estimated annual percentage change; UI, uncertainty interval; CI, confidence interval.

Table 3.

The number and ASR of incident and DALYs for neonatal disorders in 2019, and changing trends from 1990 to 2019

2019
1990–20192019
1990–2019
Incident cases no.ASIR per 100 000 no. (95% UI)EAPC no. (95% CI)DALYs cases no.ASR-DALYs per 100 000 no. (95% UI)EAPC no. (95%CI)
Overall23 532 231.9 (21 672 528.3–25 701 964.3)363.3 (334.6–396.8)0 (−0.06 to 0.06)185 886 390.1 (160 501 578.5–218 526 197.2)2828.3 (2441.6–3329.6)−1.3 (−1.42 to 1.18)
Sex
 Female10 878 088.4 (9 970 690.3–11 891 471.3)347.9 (318.8–380.3)0.05 (0 to 0.1)80 903 864.6 (70 493 249.1–93 894 238.7)2538.6 (2212.3–2954.3)−1.38 (−1.48 to 1.27)
 Male12 654 143.5 (11 671 263.4–13 791 272.5)377.8 (348.5–411.8)−0.05 (−0.12 to 0.02)104 982 525.5 (89 992 179.3–124 058 674.9)3098.4 (2651.3–3663.6)−1.24 (−1.38 to 1.1)
Age
 <0–6 days4 272 672.2 (2 989 705.5–6 179 729.5)166 116.7 (116 236.4–240 261)0.49 (0.46 to 0.52)136 889 316.2 (116 450 062.3–162 669 807.7)5 322 103.3 (4 527 448–6 324 419.9)−1.26 (−1.43 to 1.09)
 7–27 days1 652 243.5 (815 834.4–2 853 664.3)21 608.5 (10 669.7–37 321)0.58 (0.5 to 0.65)22 579 369.3 (19 087 688.7–26 853 350.5)295 299.5 (249 634.3–351 195.8)−2.37 (−2.48 to 2.27)
 28–364 days007 857 828.2 (6 263 541.1–9 739 467.7)6453.2 (5143.9–7998.4)−2.47 (−2.53 to 2.41)
 1–4 years002 942 759.6 (2 413 382.4–3 524 298.1)554.3 (454.6–663.9)0.63 (0.49 to 0.77)
 5–9 years001 953 414.4 (1 532 122.1–2 415 866.6)298.4 (234–369)2.52 (2.33 to 2.71)
 10–19 years003 588 557.3 (2 834 483.7–4 397 908)284.4 (224.7–348.6)2.76 (2.56 to 2.95)
 20–54 years008 573 707 (6 801 690.7–10 521 594.4)228.5 (181.3–280.4)2.7 (2.5 to 2.89)
 55+ years001 501 438 (1 177 534.6–1 888 579)54.8 (43–68.9)2.93 (2.6 to 3.26)
Socio-demographic index
 High1 089 953.2 (1 054 989.2–1 127 074.9)219.5 (212.5–227)0.21 (0.11 to 0.31)3 455 360.4 (3 065 324.4–3 877 433.8)553.1 (498.2–613.1)−1.78 (−1.85 to 1.71)
 High-middle804 064.4 (555 269–1 087 955.6)297.9 (264.8–335.5)0.15 (0.13 to 0.18)8 524 076.6 (7 479 005.4–9 701 687.2)953.2 (835.9–1093.7)−3.18 (−3.31 to 3.05)
 Middle1 875 710.2 (1 290 221.3–2 558 776.4)328.5 (293.7–369.2)0 (−0.03 to 0.04)30 903 196.3 (26 745 267.2–35 818 934.6)1707.9 (1475.1–1987.3)−2.25 (−2.42 to 2.07)
 Low-middle1 591 860.7 (1 132 016.7–2 146 643.7)390.8 (361.4–424.6)−0.31 (−0.37 to 0.25)64 958 149.6 (55 797 763.5–75 326 412.4)3804 (3265–4414.2)−1.4 (−1.52 to 1.27)
 Low1 510 719.9 (1 066 565.8–2 075 843.3)437.5 (409.1–471.4)−0.17 (−0.22 to 0.12)77 939 747.9 (65 053 240.5–94 676 453.2)4386.5 (3671.1–5309.4)−0.97 (−1.03 to 0.92)
GBD region
 High-income Asia Pacific104 934.3 (101 365.4–108 619.4)158.4 (153.1–164)0.37 (0.29 to 0.44)320 692.9 (269 911–371 914.4)284.6 (248.8–322)−2.28 (−2.43 to 2.14)
 Central Asia223 779.7 (207 893.9–240 250.1)247.2 (229.7–265.3)−0.36 (−0.41 to 0.31)1 522 378 (1 308 498.9–1 811 432.9)1665.1 (1430.7–1980.6)−1.55 (−1.94 to 1.15)
 East Asia2 136 197.7 (1 771 248.4–2 569 015)287.9 (238.8–345.9)0.38 (0.29 to 0.48)7 271 957.5 (6 376 403.8–8 313 229.2)786.8 (693.8–892.1)−4.07 (−4.41 to 3.73)
 South Asia66 292 44.7 (6 153 256.4–7 174 365.7)413.5 (383.7–447.4)−0.27 (−0.32 to 0.22)71 241 073.2 (61 042 999–83 585 114.3)4395.1 (3765.2–5157.6)−1.12 (−1.24–1)
 Southeast Asia1 757 890.2 (1 535 711.2–2 004 844.2)336 (293.5–383.2)−0.57 (−0.6 to 0.54)10 053 228.3 (8 349 665.4–12 031 297.8)1858.9 (1542.8–2234.4)−2.2 (−2.28 to 2.12)
 Australasia30 459.4 (28 790.5–32 063.1)172.4 (163–181.5)0.18 (0.09 to 0.26)94 676.6 (81 362.6–108 214.8)455.4 (391.4–519.4)−1.66 (−1.78 to 1.54)
 Caribbean180 206.4 (169 848–190 650.5)461.4 (434.9–488.2)0.17 (0.12 to 0.22)1 095 456.1 (852 014.7–1 377 661.7)2754.1 (2132.6–3472.7)−0.29 (−0.36 to 0.22)
 Central Europe115 806.4 (108 220.5–124 704.8)224.3 (209.7–241.5)−0.28 (−0.42 to 0.13)370 369.5 (314 160.5–432 383.1)549.3 (457.9–649.8)−4.06 (−4.21 to 3.91)
 Eastern Europe336 351 (291 026.9–391 204.6)310.1 (268.4–360.7)−0.34 (−0.38 to 0.3)836 030.3 (716 986.9–958 746.2)630.7 (539.7–726.8)−3.67 (−3.88 to 3.45)
 Western Europe365 373.7 (355 654.1–375 560.1)176.5 (171.8–181.4)−0.02 (−0.04–0)1 145 158.4 (992 872.6–1 311 287.5)426.4 (371.6–483.7)−1.83 (−1.96 to 1.7)
 Andean Latin America238 243.1 (215 056.2–259 154.6)378.8 (341.9–412)−0.48 (−0.58 to 0.38)1 091 231.9 (860 579.1–1 361 890.9)1724.2 (1358.4–2154.9)−2.51 (−2.61 to 2.41)
 Central Latin America785 713.5 (699 016.6–879 676.1)372.3 (331.3–416.7)0.42 (0.33 to 0.5)2 926 331.9 (2 360 704.4–3 546 600.3)1340.3 (1073.9–1634.2)−2.75 (−2.81 to 2.69)
 Southern Latin America78 603.6 (74 432.4–83 455.8)169.5 (160.4–179.9)0 (−0.04 to 0.03)462 939.5 (378 389.2–566 820.7)934.3 (758–1151.5)−2.95 (−3.03 to 2.87)
 Tropical Latin America579 792.4 (523 428.1–652 126.9)375.1 (338.7–421.8)0.18 (0.14 to 0.23)3 292 307.5 (2 722 392–3 928 836.7)2013 (1649.4–2431.3)−2.58 (−2.7 to 2.46)
 North Africa and Middle East2 102 529.7 (2 016 483.5–2 198 106.4)361.3 (346.5–377.7)0.16 (0.13 to 0.18)11 489 912.5 (9 809 947–13 589 112.4)1950.8 (1664.1–2310)−3.02 (−3.08 to 2.96)
 High-income North America536 707.3 (520 574.5–555 108)266 (258.1–275.1)0.22 (0.06 to 0.37)1 725 713.1 (1 552 834.7–1 910 605)731.8 (663.9–803.4)−0.89 (−0.99 to 0.78)
 Oceania51 008.5 (47 734.4–54 574.9)259.1 (242.4–277.2)−0.19 (−0.25 to 0.14)468 500.8 (346 400.8–621 679.8)2414.7 (1792.7–3194.9)−0.27 (−0.36 to 0.18)
 Central Sub-Saharan Africa726 892.4 (672 375.2–791 568)341.5 (315.8–371.8)0.02 (−0.04 to 0.08)6 488 410.7 (5 461 238.2–7 787 853)3098.5 (2612.9–3713.8)−1.17 (−1.27 to 1.06)
 Eastern Sub-Saharan Africa2 846 008.8 (2 601 338.8–3 150 784.9)422.1 (385.7–467.2)−0.3 (−0.39 to 0.22)25 303 562.7 (20 467 578.7–31 448 404.6)3826 (3118.4–4737.9)−1.04 (−1.12 to 0.96)
 Southern Sub-Saharan Africa318 918.8 (296 475.4–348 024.6)400.7 (372.5–437.2)0.02 (−0.01 to 0.05)2 828 758.7 (2 280 606.2–3 564 928.6)3539.9 (2849.5–4464.4)−0.19 (−0.46 to 0.08)
 Western Sub-Saharan Africa3 387 570.3 (3 156 763–3 678 125.4)432.4 (402.9–469.5)−0.23 (−0.25 to 0.21)35 857 700.2 (30 100 630.3–43 307 004.3)4640.7 (3904.2–5599.4)−0.71 (−0.75 to 0.66)
Categories of causes
 Neonatal preterm birth15 217 461.3 (15 111 175.9–15 319 933.8)235 (233.3–236.5)−0.19 (−0.26 to 0.11)68 616 784.2 (58 968 980.1–80 042 972.6)1037.7 (891.7–1212.3)−1.82 (−1.9 to 1.74)
 Neonatal encephalopathy due to birth asphyxia and trauma13 786 98.9 (963 701.4–2 024 055.5)21.3 (14.9–31.3)0.07 (−0.01 to 0.15)53 356 613.1 (45 101 595.8–62 832 901.8)817 (691.1–964.4)−1.03 (−1.23 to 0.83)
 Neonatal sepsis and other neonatal infections6310 067 (4506 664.5–8 497 411.2)97.4 (69.6–131.2)0.46 (0.43 to 0.48)24 558 388.9 (20 811 235–29 489 763)368.3 (311.7–443.1)−0.04 (−0.17 to 0.08)
 Haemolytic disease and other neonatal jaundice626 004.7 (468 641.9–826 281.3)9.7 (7.2–12.8)0.13 (0.03 to 0.23)5 423 416.3 (4 620 169.1–6 392 084.5)82.1 (69.9–96.9)−2.53 (−2.71 to 2.34)
 Other neonatal disorders33 931 187.7 (28 467 048.5–40 943 840.9)523.3 (439–631.5)−1.06 (−1.24 to 0.88)
2019
1990–20192019
1990–2019
Incident cases no.ASIR per 100 000 no. (95% UI)EAPC no. (95% CI)DALYs cases no.ASR-DALYs per 100 000 no. (95% UI)EAPC no. (95%CI)
Overall23 532 231.9 (21 672 528.3–25 701 964.3)363.3 (334.6–396.8)0 (−0.06 to 0.06)185 886 390.1 (160 501 578.5–218 526 197.2)2828.3 (2441.6–3329.6)−1.3 (−1.42 to 1.18)
Sex
 Female10 878 088.4 (9 970 690.3–11 891 471.3)347.9 (318.8–380.3)0.05 (0 to 0.1)80 903 864.6 (70 493 249.1–93 894 238.7)2538.6 (2212.3–2954.3)−1.38 (−1.48 to 1.27)
 Male12 654 143.5 (11 671 263.4–13 791 272.5)377.8 (348.5–411.8)−0.05 (−0.12 to 0.02)104 982 525.5 (89 992 179.3–124 058 674.9)3098.4 (2651.3–3663.6)−1.24 (−1.38 to 1.1)
Age
 <0–6 days4 272 672.2 (2 989 705.5–6 179 729.5)166 116.7 (116 236.4–240 261)0.49 (0.46 to 0.52)136 889 316.2 (116 450 062.3–162 669 807.7)5 322 103.3 (4 527 448–6 324 419.9)−1.26 (−1.43 to 1.09)
 7–27 days1 652 243.5 (815 834.4–2 853 664.3)21 608.5 (10 669.7–37 321)0.58 (0.5 to 0.65)22 579 369.3 (19 087 688.7–26 853 350.5)295 299.5 (249 634.3–351 195.8)−2.37 (−2.48 to 2.27)
 28–364 days007 857 828.2 (6 263 541.1–9 739 467.7)6453.2 (5143.9–7998.4)−2.47 (−2.53 to 2.41)
 1–4 years002 942 759.6 (2 413 382.4–3 524 298.1)554.3 (454.6–663.9)0.63 (0.49 to 0.77)
 5–9 years001 953 414.4 (1 532 122.1–2 415 866.6)298.4 (234–369)2.52 (2.33 to 2.71)
 10–19 years003 588 557.3 (2 834 483.7–4 397 908)284.4 (224.7–348.6)2.76 (2.56 to 2.95)
 20–54 years008 573 707 (6 801 690.7–10 521 594.4)228.5 (181.3–280.4)2.7 (2.5 to 2.89)
 55+ years001 501 438 (1 177 534.6–1 888 579)54.8 (43–68.9)2.93 (2.6 to 3.26)
Socio-demographic index
 High1 089 953.2 (1 054 989.2–1 127 074.9)219.5 (212.5–227)0.21 (0.11 to 0.31)3 455 360.4 (3 065 324.4–3 877 433.8)553.1 (498.2–613.1)−1.78 (−1.85 to 1.71)
 High-middle804 064.4 (555 269–1 087 955.6)297.9 (264.8–335.5)0.15 (0.13 to 0.18)8 524 076.6 (7 479 005.4–9 701 687.2)953.2 (835.9–1093.7)−3.18 (−3.31 to 3.05)
 Middle1 875 710.2 (1 290 221.3–2 558 776.4)328.5 (293.7–369.2)0 (−0.03 to 0.04)30 903 196.3 (26 745 267.2–35 818 934.6)1707.9 (1475.1–1987.3)−2.25 (−2.42 to 2.07)
 Low-middle1 591 860.7 (1 132 016.7–2 146 643.7)390.8 (361.4–424.6)−0.31 (−0.37 to 0.25)64 958 149.6 (55 797 763.5–75 326 412.4)3804 (3265–4414.2)−1.4 (−1.52 to 1.27)
 Low1 510 719.9 (1 066 565.8–2 075 843.3)437.5 (409.1–471.4)−0.17 (−0.22 to 0.12)77 939 747.9 (65 053 240.5–94 676 453.2)4386.5 (3671.1–5309.4)−0.97 (−1.03 to 0.92)
GBD region
 High-income Asia Pacific104 934.3 (101 365.4–108 619.4)158.4 (153.1–164)0.37 (0.29 to 0.44)320 692.9 (269 911–371 914.4)284.6 (248.8–322)−2.28 (−2.43 to 2.14)
 Central Asia223 779.7 (207 893.9–240 250.1)247.2 (229.7–265.3)−0.36 (−0.41 to 0.31)1 522 378 (1 308 498.9–1 811 432.9)1665.1 (1430.7–1980.6)−1.55 (−1.94 to 1.15)
 East Asia2 136 197.7 (1 771 248.4–2 569 015)287.9 (238.8–345.9)0.38 (0.29 to 0.48)7 271 957.5 (6 376 403.8–8 313 229.2)786.8 (693.8–892.1)−4.07 (−4.41 to 3.73)
 South Asia66 292 44.7 (6 153 256.4–7 174 365.7)413.5 (383.7–447.4)−0.27 (−0.32 to 0.22)71 241 073.2 (61 042 999–83 585 114.3)4395.1 (3765.2–5157.6)−1.12 (−1.24–1)
 Southeast Asia1 757 890.2 (1 535 711.2–2 004 844.2)336 (293.5–383.2)−0.57 (−0.6 to 0.54)10 053 228.3 (8 349 665.4–12 031 297.8)1858.9 (1542.8–2234.4)−2.2 (−2.28 to 2.12)
 Australasia30 459.4 (28 790.5–32 063.1)172.4 (163–181.5)0.18 (0.09 to 0.26)94 676.6 (81 362.6–108 214.8)455.4 (391.4–519.4)−1.66 (−1.78 to 1.54)
 Caribbean180 206.4 (169 848–190 650.5)461.4 (434.9–488.2)0.17 (0.12 to 0.22)1 095 456.1 (852 014.7–1 377 661.7)2754.1 (2132.6–3472.7)−0.29 (−0.36 to 0.22)
 Central Europe115 806.4 (108 220.5–124 704.8)224.3 (209.7–241.5)−0.28 (−0.42 to 0.13)370 369.5 (314 160.5–432 383.1)549.3 (457.9–649.8)−4.06 (−4.21 to 3.91)
 Eastern Europe336 351 (291 026.9–391 204.6)310.1 (268.4–360.7)−0.34 (−0.38 to 0.3)836 030.3 (716 986.9–958 746.2)630.7 (539.7–726.8)−3.67 (−3.88 to 3.45)
 Western Europe365 373.7 (355 654.1–375 560.1)176.5 (171.8–181.4)−0.02 (−0.04–0)1 145 158.4 (992 872.6–1 311 287.5)426.4 (371.6–483.7)−1.83 (−1.96 to 1.7)
 Andean Latin America238 243.1 (215 056.2–259 154.6)378.8 (341.9–412)−0.48 (−0.58 to 0.38)1 091 231.9 (860 579.1–1 361 890.9)1724.2 (1358.4–2154.9)−2.51 (−2.61 to 2.41)
 Central Latin America785 713.5 (699 016.6–879 676.1)372.3 (331.3–416.7)0.42 (0.33 to 0.5)2 926 331.9 (2 360 704.4–3 546 600.3)1340.3 (1073.9–1634.2)−2.75 (−2.81 to 2.69)
 Southern Latin America78 603.6 (74 432.4–83 455.8)169.5 (160.4–179.9)0 (−0.04 to 0.03)462 939.5 (378 389.2–566 820.7)934.3 (758–1151.5)−2.95 (−3.03 to 2.87)
 Tropical Latin America579 792.4 (523 428.1–652 126.9)375.1 (338.7–421.8)0.18 (0.14 to 0.23)3 292 307.5 (2 722 392–3 928 836.7)2013 (1649.4–2431.3)−2.58 (−2.7 to 2.46)
 North Africa and Middle East2 102 529.7 (2 016 483.5–2 198 106.4)361.3 (346.5–377.7)0.16 (0.13 to 0.18)11 489 912.5 (9 809 947–13 589 112.4)1950.8 (1664.1–2310)−3.02 (−3.08 to 2.96)
 High-income North America536 707.3 (520 574.5–555 108)266 (258.1–275.1)0.22 (0.06 to 0.37)1 725 713.1 (1 552 834.7–1 910 605)731.8 (663.9–803.4)−0.89 (−0.99 to 0.78)
 Oceania51 008.5 (47 734.4–54 574.9)259.1 (242.4–277.2)−0.19 (−0.25 to 0.14)468 500.8 (346 400.8–621 679.8)2414.7 (1792.7–3194.9)−0.27 (−0.36 to 0.18)
 Central Sub-Saharan Africa726 892.4 (672 375.2–791 568)341.5 (315.8–371.8)0.02 (−0.04 to 0.08)6 488 410.7 (5 461 238.2–7 787 853)3098.5 (2612.9–3713.8)−1.17 (−1.27 to 1.06)
 Eastern Sub-Saharan Africa2 846 008.8 (2 601 338.8–3 150 784.9)422.1 (385.7–467.2)−0.3 (−0.39 to 0.22)25 303 562.7 (20 467 578.7–31 448 404.6)3826 (3118.4–4737.9)−1.04 (−1.12 to 0.96)
 Southern Sub-Saharan Africa318 918.8 (296 475.4–348 024.6)400.7 (372.5–437.2)0.02 (−0.01 to 0.05)2 828 758.7 (2 280 606.2–3 564 928.6)3539.9 (2849.5–4464.4)−0.19 (−0.46 to 0.08)
 Western Sub-Saharan Africa3 387 570.3 (3 156 763–3 678 125.4)432.4 (402.9–469.5)−0.23 (−0.25 to 0.21)35 857 700.2 (30 100 630.3–43 307 004.3)4640.7 (3904.2–5599.4)−0.71 (−0.75 to 0.66)
Categories of causes
 Neonatal preterm birth15 217 461.3 (15 111 175.9–15 319 933.8)235 (233.3–236.5)−0.19 (−0.26 to 0.11)68 616 784.2 (58 968 980.1–80 042 972.6)1037.7 (891.7–1212.3)−1.82 (−1.9 to 1.74)
 Neonatal encephalopathy due to birth asphyxia and trauma13 786 98.9 (963 701.4–2 024 055.5)21.3 (14.9–31.3)0.07 (−0.01 to 0.15)53 356 613.1 (45 101 595.8–62 832 901.8)817 (691.1–964.4)−1.03 (−1.23 to 0.83)
 Neonatal sepsis and other neonatal infections6310 067 (4506 664.5–8 497 411.2)97.4 (69.6–131.2)0.46 (0.43 to 0.48)24 558 388.9 (20 811 235–29 489 763)368.3 (311.7–443.1)−0.04 (−0.17 to 0.08)
 Haemolytic disease and other neonatal jaundice626 004.7 (468 641.9–826 281.3)9.7 (7.2–12.8)0.13 (0.03 to 0.23)5 423 416.3 (4 620 169.1–6 392 084.5)82.1 (69.9–96.9)−2.53 (−2.71 to 2.34)
 Other neonatal disorders33 931 187.7 (28 467 048.5–40 943 840.9)523.3 (439–631.5)−1.06 (−1.24 to 0.88)

ASIR, age-standardized incidence rate; DALYs, disability-adjusted life-years; ASR, age-standardized rate; EAPC, estimated annual percentage change; UI, uncertainty interval; CI, confidence interval.

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