Diseases and Risks



Disease and Injury


The original Global Burden of Disease Study (1) classified disease and injury causes using a tree structure. The first level of disaggregation comprised three broad cause groups:
  • Group I: Communicable, maternal, perinatal and nutritional deficiency conditions
  • Group II: Noncommunicable diseases; and
  • Group III: Injuries
Each Group is divided into major subcategories. For example, cardiovascular diseases and malignant neoplasms (cancers) are two major cause subcategories of Group II. Beyond this level, there are two further disaggregation levels. The major cause subcategories are closely based on the Chapters of the International Classification of Diseases (ICD).


The National Drug and Alcohol Research Centre and the Queensland Centre for Mental Health Research are responsbile for:

CategoryICD-10 Code
E. Mental and behavioural disordersE04-F99
1. Unipolar depressive disordersF32-F33, F34.1
2. Bipolar affective disorder F30-F31
3. Schizophrenia F20-F29
4. N/AF10
5. Drug use disorders F11-F16, F18-F19
a. HeroinF11
b. CocaineF14
c. StimulantsF15
d. CannabisF12
Other drug use disordersF13, F16, F18-F19
6. Anxiety disordersF40-F44
7. Eating disordersF50
8. Pervasive developmental disordersF84.0-F84.1, F84.5
9. Childhood disordersF90-F91



Complete list of diseases and injury cause list for GBD


Where indicated, click on group name to display sub group/GBD Cause Name

Group 1: Communicable, maternal, perinatal and nutritional conditions

A. Tuberculosis - A15-A19, B90, P37.0
B. HIV/AIDS - B20-B24
C. STDs excluding HIV (display sub group)
Subgroup/GBD Cause NameICD-10 Code
1. Syphilis A50-A53
2. Chlamydia A55-A56
3. Gonorrhoea A54
4. Anogenital herpesviral infection (h. simplex) A60, P35.2
Other STDs A57-A64, N70-N73

D. Intestinal Infectious Diseases - A00-A09 (display sub group)
Subgroup/GBD Cause NameICD-10 Code
1. Diarrhoeal diseasesA00, A02-A04, A06-A09, P35-39 (part)
a. CholeraA00
b. Salmonella infectionsA02
c. ShigellosisA03
d. Enteropathogenic Escherichia coli infectionA04.0
e. Enterotoxigenic Escherichia coli infectionA04.1
f. Capylobacter enteritisA04.5
g. AmoebiasisA06
h. CryptosporidiosisA07.2
i. Rotaviral infectionA08.0
Other diarrhoeal diseasebalance
2. Typhoid and paratyphoid feversA01
Other intestinal infectious dieseaseA05

E. Childhood immunisable diseases (display sub group)
Subgroup/GBD Cause NameICD-10 Code
1. DiphtheriaA36
2. Whooping coughA37
3. TetanusA33-A35
4. PoliomyelitisA80, B91
5. Varicella (chickenpox)B01, P35.8
6. MeaslesB05
7. RubellaB06, P35.0
8. MumpsB26

F. Meningitis and encephalitis (display sub group)
Subgroup/GBD Cause NameICD-10 Code
1. MeningitisA39, G00, G03, P35-39 (part)
a. Streptococcus pneumoniae meningitis
b. Haemophilus influenzae type B (Hib) meningitis
c. Neisseria meningitidis meningitis or meningococcaemia
Other meningitis
2. EncephalitisA83-A87, G04

G. Hepatitis (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Hepatitis AB15
2. Hepatitis B B16, B17.0, B18.0, B18.1, part (B17.2-9, B18.8-9, B19, P35.3)
3. Hepatitis CB17.1, B18.2, part (B17.2-9, B18.8-9, B19, P35.3)

H. Malaria - B50-B54, P37.3-4
I. Parasitic and vector diseases (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1.. LeishmaniasisB55
2. African TrypanosomiasisB56
3. Chagas diseaseB57
4. SchistosomiasisB65
5. CysticercosisB69
6. EchinococcosisB67
7. DracunculiasisB72
8. Lymphatic filariasisB74.0-B74.2
9. OnchocerciasisB73
10. Trachoma A71, B94.0
11. Dengue A90-A91
12. Yellow feverA95
13. RabiesA82
14. Intestinal nematode infections B76-B81
a. AscariasisB77
b. TrichuriasisB79
c. Hookworm disease (Ancylostomiasis and necatoriasis)B76
Other intestinal infections B78, B80,B81

J. Other infectious diseases (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. LeprosyA30, B92
2. LeptospirosisA27
2. SepticaemiaA40-A41, P35-39 (part)
3. Urinary tract infectionsN30, N34, N39.0
Other infectious diseases balance of A and B, P35.1, P35.9, P37.1-2, P37.5-9

K. Respiratory indections (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Lower respiratory infections J10-J18, J20-J22, P23
a. Influenza
b. Pneumococcal pneumonia
c. Haemophilus influenzae type B (Hib) pneumonia
d. Respiratory syncytial virus (RSV) pneumonia
Other lower respiratory infectionsInclude B59?
2. Upper respiratory infectionsJ00-J06
3. Otitis media H65-H66

L. Maternal conditions (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Maternal haemorrhage O44-O46, O67, O72
2. Maternal sepsis O85-O86
3. Hypertensive disorders of pregnancy O10-O16
4. Obstructed labour O64-O66
5. Induced abortion O00-O07
Other maternal conditionsbalance

M. Perinatal and infant causes (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Prematurity and low birth weightP05-P07, P22, P25-28, P52, P61.2, P77
2. Birth asphyxia and birth trauma P03, P10-P15, P20-21, P24
3. SIDSR95
Other non-infectious conditions arising in the perinatal periodP00-P02, P04, P08, P29, P50-P96

N. Nutritional deficiencies (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Protein-energy malnutrition E40-E46
2. Iodine deficiency E00-E02
3. Vitamin A deficiency E50
4. Iron-deficiency anaemia D50, D64.9
Other nutritional disorders D51-D53, E51-E64



Group 2: Non-communicable diseases

A. Malignant neoplasms - C00-C97 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Mouth cancerC00-C08
2. Nasopharynx cancerC11
3. Other pharynx cancerC9-C10, C12-C14
4. Oesophagus cancer C15
5. Stomach cancer C16
6. Colon and rectum cancers C18-C21
7. Liver cancer C22
8. Gallbladder cancerC23
9. Pancreas cancer C25
10. Larynx cancerC32
11. Trachea, bronchus and lung cancers C33-C34
12. Melanoma of skinC43
13. Non-melanoma skin cancerC44
14. Breast cancer C50
15. Cervix uteri cancer C53
16. Corpus uteri cancer C54-C55
17. Ovary cancer C56, C57.0-4
18. Prostate cancer C61
19. Testis cancerC62
20. Kidney and other urinary organ cancersC64-C66, C68
21. Bladder cancer C67
22. Brain and nervous system cancersC70-C72
23. Thyroid cancerC73
24. Hodgkin lymphomaC81
25. Non-Hodgkin lymphomaC82-C85, C96
26. Multiple myelomaC88, C90
27. Leukaemia C91-C95
28. Other malignant neoplasms C17,C23,C24,C26-C31, C37-C41,C45-C49, C51,C52,C57-C60,C63,C69,C73-C80,C88,C97

B. Other neoplasms - D00-D48
C. Diabetes mellitus - E10-E14 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Insulin-dependent diabetesE10, E12-14 (part)
2. Non-insulin-dependent diabetesE11, E12-14 (part)

D. Endocrine, blood and immune disorders - D55-D64 (minus D64.9),D65-D89, E03-E07, E15-E16, E20-E34, E65-E88
(display sub group)

Subgroup/GBD Cause NameICD-10 Code
1. Haemolytic anaemiasD55-D59
2 Aplastic and other non-nutritional anaemiasD60-D64 (minus D64.9)
Other endocrine, blood and immune disordersD55-D64 (minus D64.9)

E. Mental and behavioural disorders (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Unipolar depressive disorders F32-F33, F34.1
2. Bipolar affective disorder F30-F31
3. Schizophrenia F20-F29
4. Alcohol use disorders F10
5. Drug use disorders F11-F16, F18-F19
a. HeroinF11
b. CocaineF14
c. StimulantsF15
d. CannabisF12
Other drug use disordersF13, F16, F18-F19
6. Anxiety disordersF40-F44
7. Eating disordersF50
8. Pervasive developmental disordersF84.0-F84.1, F84.5
9. Childhood disordersF90-F91

F. Neurological conditions - F01, F03, G06-G98 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Alzheimer's disease and other dementias F01, F03, G30-G31
2. Parkinson's disease G20-G21
3. Epilepsy G40-G41
4. Multiple sclerosis G35
5. Migraine G43
6. Non-migraine headacheG44
Other neurological conditions

G. Sense organ diseases - H00-H61, H68-H93 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Glaucoma H40
2. Cataracts H25-H26
3. Macular degenerationH35.3
4. Refraction and accommodation disordersH49-H52
5. Hearing loss not due to other diseases or injuriesH90-H91
Other vision losspart of H30-36, H53-54
Other sense organ disorders Balance

H. Cardiovascular and circulatory diseases - I00-I99 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Rheumatic heart disease I01-I09
2. Hypertensive heart disease I11-I13
3. Ischaemic heart disease I20-I25
4. Cerebrovascular disease I60-I69
a. Ischaemic strokeG45, I63, part I64-69
b. Haemorrhagic and other non-ischaemic strokeI60-62, part I64-69
5. Pericarditis, endocarditis and myocarditisI30-I33, I38, I40
6. CardiomyopathyI42
7. Conduction disorders and other dysrhythmiasI44-I45, I47-I49
8. Aortic aneurysmI71
9. Peripheral vascular diseaseI73
Other circulatory diseases Balance

I. Respiratory diseases - J30-J98 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Chronic obstructive pulmonary disease J40-J44
2. Asthma J45-J46
Other respiratory diseases J30-J39,J47-J98

J. Digestive diseases - K20-K92 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Peptic ulcer disease K25-K27
2. Appendicitis K35-K37
3. Intestinal obstruction and strangulated herniasK40-K46, K56
4. Inflammatory bowel diseaseK50-K52
5. Vascular insufficiency of intestineK55
6. Cirrhosis of the liver K70, K74
7. Gall bladder and bile duct diseaseK80-K83
8. PancreatitisK85-K86
Other digestive diseases Balance

K. Genito-urinary diseases - N00-N29, N31-N33, N35-N64 (excl. N39.0), N75-N98 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Nephritis and nephrosis N00-N19
2. UrolithiasisN20-N23
3. Benign prostatic hypertrophy N40
4. Primary infertilityN46, N97
Other genitourinary system diseases Balance

L. Skin diseases - L00-L98 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. EczemaL20-L30
Other skin diseasesBalance

M. Musculoskeletal diseases - M00-M99 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Rheumatoid arthritis M05-M06
2. Osteoarthritis M15-M19
3. Back pain M46.9, M47, M48.0-2, M48.8-9, M50-54
Other musculoskeletal disorders Balance

N. Congenital anomalies - Q00-Q99 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Neural tube defectsQ00, Q03, Q05
2. Congenital heart anomalies Q20-Q28
3. Cleft lip and cleft palateQ35-Q37
4. Digestive system malformationsQ38-Q45
5. Urogenital malformationsQ50-56, Q60-64
6. Fetal alcohol syndromeQ86.0
7. Down's syndrome Q90
8. Other chromosomal abnormalitiesQ91-Q99
Other Congenital anomalies Balance

O. Oral conditions - K00-K14 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Dental caries K02
2. Periodontal disease K05
3. Edentulism -
Other oral diseases Balance



Group 3: Injuries - V01-Y89

A. Unintentional injuries - V01-X59, Y40-Y86, Y88, Y89 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Road traffic injuriesV01-V04, V06, V09-V80, V87, V89, V99 (a)
2. Poisonings X40-X49
3. Falls W00-W19
4. Fires, heat and hot substancesX00-X19
5. DrowningW65-W74
6. Machinery accidentsW28-31
7. Natural disastersX34-X39
8. Adverse effects of medical treatmentY40-Y84, Y88, Y95
9. Other unintentional injuries Balance

B. Intentional injuries - X60-Y09, Y35-Y36, Y870, Y871 (display sub group)


Subgroup/GBD Cause NameICD-10 Code
1. Self-inflicted injuries X60-X84, Y870
2. Violence X85-Y09, Y871
3. War and civil conflictY36
4. Legally sanctioned deathsY35



Risks


Unlike diseases and injuries for which there is a relatively coherent classification system, there are an infinitely large number of risk factors, traditionally defined in the different scientific disciplines. We have used the following principles, in consultation with disease, injury, and risk factor experts, to form the initial list of risk factors for the CRA component of the GBD Study:
  • Risk factors should be potentially modifiable;
  • Risks should be assessed irrespective of place in a causal chain or scientific Discipline that has traditionally analyzed the risk factor, as long as evidence of causal effect can be established;
  • Risks are defined to be not too broad (e.g. diet or environment as a whole) or too narrow (e.g. every single fruit and vegetable or every toxicant in tobacco smoke) with a relatively specific definition of risk factor exposure;
  • Protective as well as hazardous factors are considered. However, the absence of a specific intervention should not be assessed as a risk factor, but rather in measurement of intervention coverage and effectiveness; and
  • There exists sufficient data on risk factor exposure and risk-factor disease relationships.


NDARC will be investigating illicit drug use as a risk factor and the University of Queensland will be investigating mental disorders as a risk factor.

Table 1 lists the risk factors of interest in the GBD study.

Table 1: GBD Study Risk Factor List

Risk factor categoryRisk factor
Addictive substances
Alcohol use
Illicit drug use
Tobacco use
Diseases as risk factors
Unipolar depressive disordersSuicide
Anxiety disorders
Schizophrenia
Bipolar affective disorder
Illicit drug use disorders
Alcohol use disorders
Environmental risk factors
Urban ambient air pollution
Indoor air pollution from household solid fuel use
Passive smoking / Environmental tobacco smoke (a)
Food contamination (biological and chemical)
Unsafe water, sanitation, hygiene (biological and chemical)
Lead exposure
Road and vehicle safety (TBC)
Occupational risk factors
Occupational airborne particulates
Occupational carcinogens
Occupational ergonomic stressors
Occupational noise
Occupational risks for injuries
Other occupational risks TBD
Infectious agents
Helicobacter Pylori (b)
HPV (b)
Interpersonal violence
Childhood sexual abuse
Intimate partner violence
War and military conflict (TBC)
Handgun and automatic weapon ownership (TBC)
Metabolic, nutritional, and lifestyle risks for chronic diseases
High blood glucose
High blood pressure
High cholesterol
High body mass index (BMI)
Low fruit and vegetable intake
Salt intake
Fat intakes (protective and hazardous effects of subtypes)
Other nutritional risks TBD
Physical inactivity
Undernutrition (primarily child and maternal) (c)
Folic acid deficiency
Anemia and/or iron deficiency
Small-for-gestational-age
Growth retardation (stunting and wasting)
Suboptimal breastfeeding
Vitamin A deficiency
Zinc deficiency
Reproductive and sexual risk factors
Unwanted pregnancies
Unsafe sex
Risks related to medical practice
TBD
Genetic risk factors
TBD
Systemic risk factors
Global climate change
Socioeconomic factors (specific factors TBD)
Other risk factors
Osteoporosis (b)
(a) to be analyzed in closer coordination with work on tobacco use. (b) included as risk factors, and not as “disease as risk” because direct burden not estimated among diseases. (c) Note that a risk factor, once defined, cannot be restricted to a particular age group and must be assessed across ages when evidence for hazardous or protective effects exists.

Case definitions - illicit drug dependence



Substance dependence

A condition that develops after repeated use of a substance, characterised by the presence of at least three of the following criteria at some time during the previous year:
  • Tolerance
  • Withdrawal
  • Discontinuation of important social activities and other pleasurable events and/or failure to meet occupational obligations
  • Increased dosage and/or duration of use
  • Significant amount of time spent obtaining, using or recovering from the substance
  • Persistent use despite significant associated problems
  • Compulsion to take the substance*
  • Desire to cut down use, or unsuccessful attempts to cut down**

*DSM-IV only
**ICD-10 only

The above criteria based are on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) and the International Classification of Diseases, tenth revision (ICD-10).

General Case definition

A person finds it difficult to control his or her substance use and will need increasing amounts of the drug over a period of weeks or months to achieve the same high. Unpleasant withdrawal symptoms may be experienced when the effect of the substance wears off. A dependent person will typically spend a large amount time obtaining, taking and recovering from using the substance. Obligations of daily life will be neglected; relationships with family and friends may break down and work performance may suffer; he or she may get in trouble with the law and physical and emotional well being may also deteriorate. There is a persistent desire to use the substance despite these adverse effects even when the person may wish to reduce his or her substance use. The person may be able to stop using for periods of time but a return to substance use is common.

Dependence is experienced with slight differences across drug types:

Click here for more detailed inforamtion about specific types of substance dependence.
Specific lay definitions to be used in the GBD study will be included here soon.

Global Burden of Disease - UNSW - Faculty of Medicine NSW 2052 Australia | Tel: +61 (2) 9385 0333 Fax: +61 (2) 9385 0222
© Copyright 2005 UNSW Faculty of Medicine | CRICOS Provider Code: 00098G | Authorised by Director, NDARC
Page Last Updated: 12:26:40 PM, Monday 15 June 2009
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