Disability-adjusted life years are the sum of the years of life lost due to premature mortality and years of life lived with disability. The disability-adjusted life-year measures health loss due to fatal and non-fatal diseases. The Global Burden of Disease study is a comprehensive regional and global research study of disease burden that assesses mortality and disability due to major diseases, injuries and risk factors using disability-adjusted life years the data was analysed using the Global Burden of Disease 2017 data set.
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In the global burden of disease study 2017, skin diseases ranked 10 th whereas cardiovascular diseases ranked 12 th according to age-standardised years lived with disability. In 2017, age-standardised years lived with disability for cardiovascular diseases in India were 332.96 as compared to 455.06 per 100,000 for skin and subcutaneous diseases. 1 Although mortality due to skin diseases is low, they contribute to significant disability, and the non-fatal burden of skin and subcutaneous diseases is more than that of cardiovascular diseases in India. Skin and subcutaneous diseases are responsible for significant morbidity worldwide, but they do not get due importance in national health planning and policies in several countries. The high burden and socioeconomic impact of skin and subcutaneous diseases demand that they should be given due importance in national programmes and heath policy of India.
Psoriasis) has increased over the last 3 decades however, there is a substantial improvement in the age standardized YLDs (-39.8%) for Leprosy which can be attributed to the intensive efforts of Government of India and successful national programme strategies. scabies, fungal skin disease, bacterial skin disease) and non infectious diseases( e.g. The burden due to both infectious skin diseases (e.g. (fungal skin diseases- 12.6%, viral skin diseases-10.0% and scabies- 10.3%). However, infections and infestations also contribute to nearly 30% of the total YLDs due to skin and subcutaneous diseases. The data for the study was obtained from a Global Burden of Disease online interactive tool.YLDs due to skin and subcutaneous diseases accounted for 4.02% of the total YLDs in India in 2017 dermatitis, urticaria and acne contributed significantly to the burden of skin diseases in India. This study aims to measure the burden of skin and subcutaneous diseases in terms of years lived with disability(YLDs) in individuals with skin diseases. The prevalence of skin diseases has increased over the last few decades and they contribute to a significant burden on the healthcare systems all across the world. The high burden of skin and subcutaneous diseases demand that they be given due importance in the national programmes and health policy of India. The burden due to infectious skin diseases (e.g., scabies, fungal skin disease and bacterial skin disease) and non-infectious diseases (e.g., dermatitis, urticaria and psoriasis) has increased over the past three decades, however the age-standardised years lived with disability for leprosy, scabies, fungal infections, sexually transmitted infections and non-melanoma skin cancer (basal cell carcinoma) has decreased. Among skin and subcutaneous diseases, dermatitis contributed maximum years lived with disability (1.40 million 95% uncertainty interval, 0.82–2.21) in 2017, followed by urticaria (1.02 million 95% uncertainty interval, 0.06–1.44) with percentage increases of 48.9% and 45.7% respectively.
There was an increase of 53.7% in all age standardised years lived with disability for all the skin and subcutaneous diseases from 1990 to 2017. Years lived with disability due to skin and subcutaneous diseases accounted for 4.02% of the total years lived with disability in India in 2017. Updated estimates of the world’s health for 359 diseases and injuries and 84 risk factors from 1990 to 2017 are available in this interactive tool. Methodsĭata were obtained from the Global Burden of Disease online interactive tool. This report looks at the burden of skin and subcutaneous diseases in terms of years lived with disability and agestandardised years lived with disability in India using the Global Burden of Disease Study results from 2017. The prevalence of skin diseases has increased over the last few decades, and they contribute to a significant burden on health-care systems across the world.
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