The Disease Burden Due to Epilepsy in Rural China

Ding, D.; Wang, W. Z.; Hong, Z.

doi:10.1007/978-0-387-78665-0_92

D. Ding³,
W. Z. Wang³ &
Z. Hong³

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Abstract:

The World Health Organization (WHO), in cooperation with the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE) launched the Global Campaign Against Epilepsy (GCAE) in an attempt to bring epilepsy “out of the shadows” and to improve the acceptability, treatment, services and prevention of epilepsy world-wide. As part of this campaign and under the auspices of the WHO and the Ministry of Health of China, a demonstration project was implemented in rural areas in six non-contiguous provinces of the People’s Republic of China (PRC). In the sample areas, the lifetime prevalence and prevalence of active epilepsy in rural China were 6.0–7.0/1,000 and 3.8–4.6/1,000 respectively. Sixty-three percent of people with active epilepsy had not received antiepileptic medication in the week before the survey (i.e., the treatment gap was 63%). The disease burden of epilepsy was measured as 2.08 Disability Adjusted Life Years (DALYs) lost per 1,000 population. The standardized mortality ratio (SMR) of people with epilepsy was 3.9 indicating that people with epilepsy are three to four times more likely to die prematurely than those in the general Chinese population. The risk in young people with epilepsy aged 15–29 years in China is particularly high.

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Abbreviations

AED:: anti-epileptic drug
CFR:: case fatality rate
DALY:: disability adjusted life year
EMPHL:: epilepsy management at primary health level
GBD:: global burden of disease
GCAE:: global campaign against epilepsy
IBE:: International Bureau for Epilepsy
ICBERG:: International community-based epilepsy research group
ILAE:: International League Against Epilepsy
PMR:: proportional mortality rate
PRC:: People’s Republic of China
SMR:: standardized mortality ratio
WHO:: World Health Organization
YLD:: years lived with disability
YLL:: years of life lost

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Authors and Affiliations

Department of Biostatistics and Epidemiology, Institute of Neurology, Fudan University, WHO Collaborating Center for Research and Training in Neurosciences, Shanghai, China>
D. Ding, W. Z. Wang & Z. Hong

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D. Ding
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W. Z. Wang
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Z. Hong
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Editors and Affiliations

Dept. Nutrition and Dietetics Nutritional Sciences Research Division School of Biomedical & Health Sciences, King's College London, Franklin‐Wilkins Building 150 Stamford Street, SE1 9NH, London, UK
Victor R. Preedy (Prof.) (Prof.)
Mel and Enid Zuckerman College of Public Health, University of Arizona, Health Science Center 1295 N. Martin, P.O. Box 245155, 85724-5155, Tucson, AZ
Ronald R. Watson (Prof.) (Prof.)

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Ding, D., Wang, W.Z., Hong, Z. (2010). The Disease Burden Due to Epilepsy in Rural China. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_92

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DOI: https://doi.org/10.1007/978-0-387-78665-0_92
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-78664-3
Online ISBN: 978-0-387-78665-0
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