Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019

Abstract Background Enteric infections are among the most common infectious diseases. The aim of this article was to track the global trends in morbidity and mortality from enteric infections in 204 countries or territories from 1990 to 2019. Methods Data were obtained from the Global Burden of Dise...

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Main Authors: Bo Wang, Dongwei Chen, Hua Chen, Wei Wu, Kaiyi Cheng, Yixiu Tao, Ling Zhang, Ce Liu, Ding Ou, Mingxiu Zhang, Xianmei Tang, Shouli Wang, Guangzhu Wang, Bin Luo
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21270-6
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author Bo Wang
Dongwei Chen
Hua Chen
Wei Wu
Kaiyi Cheng
Yixiu Tao
Ling Zhang
Ce Liu
Ding Ou
Mingxiu Zhang
Xianmei Tang
Shouli Wang
Guangzhu Wang
Bin Luo
author_facet Bo Wang
Dongwei Chen
Hua Chen
Wei Wu
Kaiyi Cheng
Yixiu Tao
Ling Zhang
Ce Liu
Ding Ou
Mingxiu Zhang
Xianmei Tang
Shouli Wang
Guangzhu Wang
Bin Luo
author_sort Bo Wang
collection DOAJ
description Abstract Background Enteric infections are among the most common infectious diseases. The aim of this article was to track the global trends in morbidity and mortality from enteric infections in 204 countries or territories from 1990 to 2019. Methods Data were obtained from the Global Burden of Disease 2019 study. Average annual percentage changes (AAPCs) in age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) were calculated to quantify trends in enteric infections. Age-period-cohort models were used to estimate the annual percentage changes from 0 to 4 to 80 − 84 years (local drifts), period and cohort effects between 1990 and 2019 in different socio-demographic index (SDI) regions. Results In 2019, there were 6.59 billion incident cases of enteric infections, and caused 1,748,251 deaths worldwide. From 1990 to 2019, the trend in the global ASIR of enteric infections was relatively stable, but that of ASMR declined (AAPC=-3.30, 95% confidence interval [CI]: -3.54 to -3.07), and global mortality decreased in all age groups. Meanwhile, decreasing trends in ASMR were observed in 173 countries/territories (P < 0.05), particularly in North Macedonia and Kazakhstan. The low and low-middle SDI areas showed decreasing trends in ASIR and ASMR for enteric infections. However, an increasing trend was observed in high SDI regions, especially among older people aged over 60 years. Conclusions The global incidence of enteric infections did not change significantly between 1990 and 2019, but the mortality showed a significantly downward trend. The global burden of enteric infections remains serious in children under 5 years and in low and low-middle SDI regions.
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spelling doaj-art-ff2c5ad2da4a4b238dadea07276705762025-01-12T12:42:43ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-024-21270-6Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019Bo Wang0Dongwei Chen1Hua Chen2Wei Wu3Kaiyi Cheng4Yixiu Tao5Ling Zhang6Ce Liu7Ding Ou8Mingxiu Zhang9Xianmei Tang10Shouli Wang11Guangzhu Wang12Bin Luo13Department of Hospital Infection Control, Hanzhong Central HospitalDepartment of Hospital Infection Control, Hanzhong Central HospitalDepartment of Hospital Infection Control, Hanzhong Central HospitalAdministrative Office, Hanzhong Central HospitalDepartment of Hospital Infection Control, Hanzhong Central HospitalDepartment of Hospital Infection Control, Hanzhong Central HospitalInstitute of Occupational Health and Environmental Health, School of Public Health, Lanzhou UniversityInstitute of Occupational Health and Environmental Health, School of Public Health, Lanzhou UniversityDepartment of Hospital Infection Control, Hanzhong Central HospitalDepartment of Hospital Infection Control, Hanzhong Central HospitalDepartment of Infectious Diseases, Hanzhong Central HospitalDepartment of Gastrointestinal Surgery, Hanzhong Central HospitalDepartment of General Medicine, Hanzhong Central HospitalInstitute of Occupational Health and Environmental Health, School of Public Health, Lanzhou UniversityAbstract Background Enteric infections are among the most common infectious diseases. The aim of this article was to track the global trends in morbidity and mortality from enteric infections in 204 countries or territories from 1990 to 2019. Methods Data were obtained from the Global Burden of Disease 2019 study. Average annual percentage changes (AAPCs) in age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) were calculated to quantify trends in enteric infections. Age-period-cohort models were used to estimate the annual percentage changes from 0 to 4 to 80 − 84 years (local drifts), period and cohort effects between 1990 and 2019 in different socio-demographic index (SDI) regions. Results In 2019, there were 6.59 billion incident cases of enteric infections, and caused 1,748,251 deaths worldwide. From 1990 to 2019, the trend in the global ASIR of enteric infections was relatively stable, but that of ASMR declined (AAPC=-3.30, 95% confidence interval [CI]: -3.54 to -3.07), and global mortality decreased in all age groups. Meanwhile, decreasing trends in ASMR were observed in 173 countries/territories (P < 0.05), particularly in North Macedonia and Kazakhstan. The low and low-middle SDI areas showed decreasing trends in ASIR and ASMR for enteric infections. However, an increasing trend was observed in high SDI regions, especially among older people aged over 60 years. Conclusions The global incidence of enteric infections did not change significantly between 1990 and 2019, but the mortality showed a significantly downward trend. The global burden of enteric infections remains serious in children under 5 years and in low and low-middle SDI regions.https://doi.org/10.1186/s12889-024-21270-6Enteric infectionsGlobal burden of diseaseEpidemiological trendAge-period-cohort modelsSocio-demographic indexes
spellingShingle Bo Wang
Dongwei Chen
Hua Chen
Wei Wu
Kaiyi Cheng
Yixiu Tao
Ling Zhang
Ce Liu
Ding Ou
Mingxiu Zhang
Xianmei Tang
Shouli Wang
Guangzhu Wang
Bin Luo
Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
BMC Public Health
Enteric infections
Global burden of disease
Epidemiological trend
Age-period-cohort models
Socio-demographic indexes
title Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
title_full Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
title_fullStr Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
title_full_unstemmed Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
title_short Global, regional, and national incidence and mortality for enteric infections from 1990 to 2019
title_sort global regional and national incidence and mortality for enteric infections from 1990 to 2019
topic Enteric infections
Global burden of disease
Epidemiological trend
Age-period-cohort models
Socio-demographic indexes
url https://doi.org/10.1186/s12889-024-21270-6
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