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in Albania - Instituti i Shendetit Publik

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ALBANIAN MEDICAL JOURNAL SUPPLEMENTThe burden of disease from non-communicablediseases <strong>in</strong> the Republic of Macedonia <strong>in</strong> 2011Azis Pollozhani 1 , Shaban Memeti 1 , Vladimir Rechica 11Institute of Public Health of the Republic of Macedonia.Aim: With the majority of the population liv<strong>in</strong>g <strong>in</strong>toold age and so <strong>in</strong>creas<strong>in</strong>gly at risk of chronic diseaseand disability, the need for <strong>in</strong>formation on qualityas well as quantity of life <strong>in</strong> the Republic ofMacedonia has become more press<strong>in</strong>g. We analyzedcardiovascular diseases, malignant neoplasms,diabetes mellitus, respiratory and ur<strong>in</strong>ary diseases thatwere responsible for approximately >80% of maleand female mortality <strong>in</strong> 2000 and 2011.Methods: The Macedonia burden of disease study(BoD) is largely based on the methods developedfor the Global BoD Study. The method allows thequantification of all states of ill-health <strong>in</strong>to acommon <strong>in</strong>dicator that is disability-adjusted life years(DALY). The reference year for the analysis was2011 compared with 2000.Results: The <strong>in</strong>crease of DALYs (per 1000population) <strong>in</strong> 2011 compared with 2000 was 10.4%for all cause mortality. In particular, we noticed an<strong>in</strong>crease of 10.8% for circulatorymortality, 4.3% formalignant neoplasm and diabetes, and 2.3% forur<strong>in</strong>ary <strong>in</strong>fections. Accord<strong>in</strong>g to our estimations, atotal of 18641 DALYs <strong>in</strong> the country will be savedunder the assumption that the selected risk factorswould decrease by 5% <strong>in</strong> a given time frame.Conclusion: The results com<strong>in</strong>g from the BoDanalysis <strong>in</strong> the Republic of Macedonia are not onlyof relevance for the decision-makers <strong>in</strong> thegovernment, but also for all key <strong>in</strong>stitutions relatedto health. The DALYs measure is a promis<strong>in</strong>g toolto improve the capacity of public health professionalsto assess population health and establishevidence-based decision-mak<strong>in</strong>g <strong>in</strong> public health.Keywords: burden of disease, disability-adjusted lifeyears, mortality, Republicof Macedonia.12 ALBANIAN MEDICAL JOURNAL SUPPLEMENT

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