Global, regional, and national burden of epilepsy, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Feigin V.L. Vos T. Nair B.S. Hay S.I. Abate Y.H. Abd Al Magied A.H.A. Abd ElHafeez S. Abdelkader A. Abdollahifar M.-A. Abdullahi A. Aboagye R.G. Abreu L.G. Rumeileh S.A. Abualruz H. Aburuz S. Abu-Zaid A. Addo I.Y. Adedoyin R.A. Adepoju A.V. Afzal M.S. Afzal S. Ahmad A. Ahmad S. Ahmad T. Ahmadi A. Ahmadzade A.M. Ahmed A. Ahmed H. Ahmed M.S. Ahmed M.B. Awaidy S.A. Omari O.A. Al-Ajlouni Y. Albashtawy M. Al-Fatly B. Algammal A.M. Ali A. Ali M.U. Ali S.S. Ali W. Alif S.M. Uy Almazan J. Alshahrani N.Z. Altaf A. Al-Wardat M. Al-Worafi Y.M. Aly H. Alzoubi K.H. Amiri S. Ancuceanu R. Angappan D. Ansari M.T. Anvari S. Anyasodor A.E. Arabloo J. Arafat M. Aravkin A.Y. Aregawi B.B. Aremu A. Atout M.M.W. Atreya A. Aujayeb A. Aychiluhm S.B. Aziz S. Azzam A.Y. Badiye A.D. Bai R. Baig A.A. Bakkannavar S.M. Bandyopadhyay S. Banerjee I. Bardhan M. Barker-Collo S.L. Barrow A. Basharat Z. Bashiri A. Basiru A. Bastan M.-M. Batchu S. Behnam B. Ramirez D.F.B. Bemanalizadeh M. Beyene K.A. Bhagat D.S. Bhagavathula A.S. Bhaskar S. Bhat A.N. Bhatti G.K. Bhatti J.S. Bhuiyan M.A. Bhuyan S.S. Bilgin C. Bisulli F. Boloor A. Boppana S.H. Bouaoud S. Bustanji Y. Çakmak Barsbay M. Carvalho F. Castaldelli-Maia J.M. Chandika R.M. Chattu V.K. Chaudhary A.A. Ching P.R. Chopra H. Chu D.-T. Chu H. Cortese S. Cortesi P.A. Cruz-Martins N. Dadras O. Dai X. DAmico E. Dandona L. Dandona R. Darcho S.D. Darwish A.H. Dhane A.S. Dhulipala V.R. Diaz M.J. Do T.C. Dohare S. Doshi O.P. Dsouza H.L. Dziedzic A.M. Ebrahimi A. Eissazade N. Ekholuenetale M. El Arab R.A. El Bayoumy I.F. El Meligy O.A. Elhabashy H.R. Elhadi M. Eltaha C. Fagbamigbe A.F. Fahim A. Fares J. Kouhanjani M.F. Fasanmi A.O. Fatehizadeh A. Fazeli P. Fazylov T. Fekadu G. Fereshtehnejad S.-M. Ferrara P. Ferreira N. Fetensa G. Fischer F. Foschi M. Gadanya M.A. Galali Y. Ganesan B. Gao X. Garg R.K. Gebregergis M.W. Ghadirian F. Ghamari S.-H. Gilani J.A. Girmay A.A. Giussani G. Gnedovskaya E.V. Golechha M. Gouravani M. Grada A. Guan S.-Y. Gupta S. 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López-Gil J.G. Lucchetti G. Majeed A. Malhotra K. Malik A.A. Mansouri V. Marateb H.R. Martorell M. Marzo R.R. Mathangasinghe Y. Mediratta R.P. Mehndiratta M.M. Meles H.N. Melese E.B. Mensah G.A. Meretoja A. Mestrovic T. Mettananda S. Minervini G. Mirfakhraie R. Mirza M. Misganaw A. Misra A.K. Mohamed A.Z. Mohamed N.S. Mohammadian-Hafshejani A. Mohammadzadeh I. Mohan S. Mokdad A.H. Monasta L. Moodi Ghalibaf A. Moradi M. Motappa R. Muccioli L. Mulita F. Munkhsaikhan Y. Murillo-Zamora E. Muthu S. Nabavi A. Naik G.R. Nargus S. Nashwan A.J. Natto Z.S. Nauman J. Naveed M. Nayak B.P. Nazri-Panjaki A. Nepal G. Netsere H.B. Nguyen H.T.H. Niazi R.K. Nikoobar A. Nozari M. Nri-Ezedi C.A. Nwatah V.E. Nzoputam O.J. Oancea B. Olagunju A.T. Olalusi O.V. Bali A.O. Ordak M. Orish V.N. Ortiz-Prado E. Otstavnov N. Ouyahia A. Owolabi M.O. Padron-Monedero A. Padubidri J.R. Panda S.K. Panda-Jonas S. Katare D.P. Pandey A. Panos L.D. Pantazopoulos I. Papadopoulou P. Parekh U. Parikh R.R. Parsons N. Passera R. 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Zyoud S.H. Zyoud S.H. Rautalin I. Newton C.R.J. Wiebe S. Murray C.J.L.
March 2025 Elsevier Ltd

The Lancet Public Health
2025 #10 Issue 3 e203 - e227 pp.

Background: Epilepsy is one of the most common serious neurological disorders and affects individuals of all ages across the globe. The aim of this study is to provide estimates of the epilepsy burden on the global, regional, and national levels for 1990–2021. Methods: Using well established Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) methodology, we quantified the prevalence of active idiopathic (epilepsy of genetic or unknown origin) and secondary epilepsy (epilepsy due to an underlying abnormality of the brain structure or chemistry), as well as incidence, death, and disability-adjusted life-years (DALYs) by age, sex, and location (globally, 21 GBD regions and seven super-regions, World Bank country income levels, Socio-demographic Index [SDI], and 204 countries) and their trends from 1990 to 2021. Vital registrations and verbal autopsies provided information about deaths, and data on the prevalence and severity of epilepsy, largely came from population representative surveys. All estimates were calculated with 95% uncertainty intervals (UIs). Findings: In 2021, there were 51·7 million (95% UI 44·9–58·9) people with epilepsy (idiopathic and secondary combined) globally, with an age-standardised prevalence of 658 per 100 000 (569–748). Idiopathic epilepsy had an age-standardised prevalence of 307 per 100 000 (235–389) globally, with 24·2 million (18·5–30·7) prevalent cases, and secondary epilepsy had a global age-standardised prevalence of 350 per 100 000 (322–380). In 2021, 0·7% of the population had active epilepsy (0·3% attributed to idiopathic epilepsy and 0·4% to secondary epilepsy), and the age-standardised global prevalence of epilepsy from idiopathic and secondary epilepsy combined increased from 1990 to 2021 by 10·8% (1·1–21·3), mainly due to corresponding changes in secondary epilepsy. However, age-standardised death and DALY rates of idiopathic epilepsy reduced from 1990 to 2021 (decline of 15·8% [8·8–22·8] and 14·5% [4·2–24·2], respectively). There were three-fold to four-fold geographical differences in the burden of active idiopathic epilepsy, with the bulk of the burden residing in low-income to middle-income countries: 82·1% (81·1–83·4) of incident, 80·4% prevalent (79·7–82·7), 84·7% (83·7–85·1) fatal epilepsy, and 87·9% (86·2–89·2) epilepsy DALYs. Interpretation: Although the global trends in idiopathic epilepsy deaths and DALY rates have improved in the preceding decades, in 2021 there were almost 52 million people with active epilepsy (24 million from idiopathic epilepsy and 28 million from secondary epilepsy), with the bulk of the burden (>80%) residing in low-income to middle-income countries. Better treatment and prevention of epilepsy are required, along with further research on risk factors of idiopathic epilepsy, good-quality long-term epilepsy surveillance studies, and exploration of the possible effect of stigma and cultural differences in seeking medical attention for epilepsy. Funding: Bill and Melinda Gates Foundation

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National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
National Institute of Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
Department of Applied Mathematics, University of Washington, Seattle, WA, United States
School of Health Systems and Public Health, University of Washington, Seattle, WA, United States
Department of Neurology, University of Washington, Seattle, WA, United States
Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA, United States
Third Department of Neurology, Aleta Wondo General Hospital, Aleta Wondo, Ethiopia
Research Center of Neurology, Moscow, Russian Federation
Department of Clinical Governance and Quality Improvement, Aleta Wondo General Hospital, Aleta Wondo, Ethiopia
College of Pharmacy, Ajman University, Ajman, United Arab Emirates
Department of Mathematics and Sciences, Ajman University, Ajman, United Arab Emirates
Department of Clinical Sciences, Ajman University, Ajman, United Arab Emirates
Center for Medical and BioAllied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
Department of Epidemiology, Alexandria University, Alexandria, Egypt
Pediatric Dentistry and Dental Public Health Department, Alexandria University, Alexandria, Egypt
Department of Small Animal Clinical Sciences, University of Saskatchewan, Saskatoon, SK, Canada
Department of Physiotherapy, Bayero University Kano, Kano, Nigeria
Department of Community Medicine, Bayero University Kano, Kano, Nigeria
Department of Physiotherapy, Federal University Wukari, Wukari, Nigeria
Department of Family and Community Health, University of Health and Allied Sciences, Ho, Ghana
Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana
Department of Microbiology and Immunology, University of Health and Allied Sciences, Ho, Ghana
Department of Pediatric Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
Department of Neurology, Martin Luther University, Halle-Wittenberg, (Saale), Halle, Germany
Department of Nursing, Al Zaytoonah University of Jordan, Amman, Jordan
Department of Pharmacology and Therapeutics, United Arab Emirates University, Al Ain, United Arab Emirates
College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
College of Pharmacy, University of Jordan, Amman, Jordan
Department of Biochemistry and Molecular Medicine, Alfaisal University, Riyadh, Saudi Arabia
College of Pharmacy, Alfaisal University, Riyadh, Saudi Arabia
College of Graduate Health Sciences, University of Tennessee, Memphis, TN, United States
Department of Ophthalmology, University of Tennessee, Memphis, TN, United States
School of Medicine, University of Sydney, Sydney, NSW, Australia
Centre for Social Research in Health, University of New South Wales, Sydney, NSW, Australia
School of Population Health, University of New South Wales, Sydney, NSW, Australia
Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
Department of HIV and Infectious Diseases, Jhpiego, Abuja, Nigeria
Department of Adolescent Research and Care, Adolescent Friendly Research Initiative and Care, Ado Ekiti, Nigeria
Department of Life Sciences, University of Management and Technology, Lahore, Pakistan
Department of Community Medicine, King Edward Memorial Hospital, Lahore, Pakistan
Department of Public Health, Public Health Institute, Lahore, Pakistan
College of Medicine, Shaqra University, Shaqra, Saudi Arabia
Department of Health and Biological Sciences, Abasyn University, Peshawar, Pakistan
Department of Natural Sciences, Lebanese American University, Beirut, Lebanon
Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut, Lebanon
School of Public Health, Zhejiang University, Hangzhou, China
Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Medical Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Psychiatric Nursing and Management Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ophthalmic Research Center (ORC), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Neuroscience, Mashhad University of Medical Sciences, Mashhad, Iran
Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan
Unit of Basic Medical Sciences, University of Khartoum, Khartoum, Sudan
Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
Department of Biosciences, COMSATS Institute of Information Technology, Islamabad, Pakistan
College of Nursing, Majmaah University, Al Majmaah, Saudi Arabia
Department of Epidemiology, Jimma University, Jimma, Ethiopia
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
Department of Neurosciences, Kenya Medical Research Institute, Wellcome Trust Research Programme, Kilifi, Kenya
Department of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
Department of Communicable Diseases, Ministry of Health, Muscat, Oman
Centre of Studies and Research, Ministry of Health, Muscat, Oman
Middle East, Eurasia, and Africa Influenza Stakeholders, Network, Muscat, Oman
Fundamentals and Administration Department, Sultan Qaboos University, Muscat, Oman
Department of Geography, Sultan Qaboos University, Muscat, Oman
School of Medicine, New York Medical College, Valhalla, NY, United States
Department of Epidemiology, Columbia University, New York, NY, United States
Department of Community and Mental Health, Al al-Bayt University, Mafraq, Jordan
Department of Neurology, Charité Universitätsmedizin Berlin (Charité Medical University, Berlin), Berlin, Germany
Institute of Public Health, Charité Universitätsmedizin Berlin (Charité Medical University, Berlin), Berlin, Germany
Department of Bacteriology, Immunology and Mycology, Suez Canal University, Ismailia, Egypt
Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
Department of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, Nigeria
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong
Center for Biotechnology and Microbiology, University of Swat, Swat, Pakistan
Institute of Health and Wellbeing, Federation University Australia, Melbourne, VIC, Australia
School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
Department of Medicine, Nazarbayev University, Astana, Kazakhstan
Department of Family and Community Medicine, University of Jeddah, Jeddah, Saudi Arabia
Institute of Molecular Biology and Biotechnology, University of Lahore, Lahore, Pakistan
University Institute of Public Health, University of Lahore, Lahore, Pakistan
Research Centre for Health Sciences (RCHS), University of Lahore, Lahore, Pakistan
Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
Department of Medical Sciences, Azal University for Human Development, Sanaa, Yemen
Department of Clinical Sciences, University of Science and Technology of Fujairah, Fujairah, United Arab Emirates
Department of Pediatrics, Cleveland Clinic, Cleveland, OH, United States
Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States
Department of Pharmacy Practice and Pharmacotherapeutics, University of Sharjah, Sharjah, United Arab Emirates
Department of Basic Biomedical Sciences, University of Sharjah, Sharjah, United Arab Emirates
Department of Clinical Sciences, University of Sharjah, Sharjah, United Arab Emirates
College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
Sharjah Institute of Medical Sciences, University of Sharjah, Sharjah, United Arab Emirates
Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
Research Institute of Medical & Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
Spiritual Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Child Neurology, Oregon Health and Science University, Portland, OR, United States
School of Pharmacy, University of Nottingham, Malaysia, Semenyih, Malaysia
Organ Procurement and Transplantation Multi-disciplinary Center, Guilan University of Medical Sciences, Rasht, Iran
Brachial Plexus and Peripheral Nerve Injury Center, Rasht, Iran
Rural Health Research Institute, Charles Sturt University, Orange, NSW, Australia
Health Management and Economics Research Center, Tehran, Iran
School of Medicine, Tehran, Iran
Department of Ophthalmology, Tehran, Iran
Physiology Research Center, Tehran, Iran
Department of Physiology, Tehran, Iran
Iran University of Medical Sciences, Tehran, Iran
College of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates
College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia
Department of Midwifery, Adigrat University, Adigrat, Ethiopia
Department of Medical Laboratory Sciences, Adigrat University, Adigrat, Ethiopia
Department of Veterinary Pharmacology and Toxicology, University of Ilorin, Ilorin, Nigeria
Department of Veterinary Physiology and Biochemistry, University of Ilorin, Ilorin, Nigeria
Faculty of Nursing, Philadelphia University, Amman, Jordan
Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal
Northumbria HealthCare NHS Foundation Trust, Newcastle upon Tyne, United Kingdom
Institute of Public Health, University of Gondar, Gondar, Ethiopia
Department of Internal Medicine, University of Gondar, Gondar, Ethiopia
School of Nursing, University of Gondar, Gondar, Ethiopia
Department of Clinical Pharmacy, University of Gondar, Gondar, Ethiopia
Institute of Biotechnology and Genetic Engineering, University of Agriculture, Peshawar, Pakistan
ASIDE Healthcare, Lewes, DE, United States
Faculty of Medicine, October 6 University, 6th of October City, Egypt
Department of Forensic Science, Government Institute of Forensic Science Nagpur, Nagpur, India
Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur, India
School of Public Affairs, Nanjing University of Information Science and Technology, Nanjing, China
International Medical School, Management and Science University, Alam, Malaysia
Department of Forensic Medicine and Toxicology, India
Kasturba Medical College, Mangalore, India
Department of Pharmaceutical Regulatory Affairs and Management, Manipal, India
Manipal Academy of Higher Education, Manipal, India
Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom
Department of Psychiatry, University of Oxford, Oxford, United Kingdom
Department of Neurosurgery, University of Southampton, Southampton, United Kingdom
School of Psychology, University of Southampton, Southampton, United Kingdom
Department of Pharmacology, Sir Seewoosagur Ramgoolam Medical College, Belle Rive, Mauritius
Miller School of Medicine, University of Miami, Miami, FL, United States
School of Psychology, University of Auckland, Auckland, New Zealand
School of Pharmacy, University of Auckland, Auckland, New Zealand
Department of Public and Environmental Health, University of The Gambia, Banjul, Gambia
Department of Epidemiology, University of Florida, Gainesville, FL, United States
College of Medicine, University of Florida, Gainesville, FL, United States
Alpha Genomics Private Limited, Islamabad, Pakistan
Health Information Management, Shiraz University of Medical Sciences, Shiraz, Iran
School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Pediatric Neurology, Tehran University of Medical Sciences, Tehran, Iran
Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Department of Neurosurgery, Tehran University of Medical Sciences, Tehran, Iran
Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Cooper University Hospital, Cooper University Hospital, Camden, NJ, United States
Avicenna Biotech Research, Germantown, MD, United States
Department of Regulatory Affairs, Amarex Clinical Research, Germantown, MD, United States
Transplant and Hepatobiliary Surgery Service, Hospital Universitorio Fundación Santa Fe de Bogotá, Bogota, Colombia
Subdirectorate of Clinical Studies and Clinical Epidemiology, Hospital Universitorio Fundación Santa Fe de Bogotá, Bogotá, Colombia
Department of Pediatrics, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Pharmaceutical and Administrative Sciences, University of Health Sciences and Pharmacy in St. Louis, St Louis, MO, United States
Department of Forensic Chemistry, Government Institute of Forensic Science, Aurangabad, Aurangabad, India
Department of Public Health, North Dakota State University, Fargo, ND, United States
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, United States
Global Health Neurology Lab, NSW Brain Clot Bank, Sydney, NSW, Australia
Division of Cerebrovascular Medicine and Neurology, National Cerebral and Cardiovascular Center, Suita, Japan
Department of General Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Internal Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Community Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Forensic Medicine and Toxicology, Manipal Academy of Higher Education, Mangalore, India
Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Mangalore, India
Department of Medical Lab Technology, Chandigarh University, Mohali, India
Department of Human Genetics and Molecular Medicine, Central University of Punjab, Bathinda, India
Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
Department of Health Administration, Rutgers University, New Brunswick, NJ, United States
Department of Radiology, Mayo Clinic College of Medicine, Rochester, MN, United States
Neurovascular Research Laboratory, Mayo Clinic College of Medicine, Rochester, MN, United States
Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy
Clinical Research Centre, An-Najah National University Hospital, Nablus, Palestine
UOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna (Institute of Neurological Sciences of Bologna), Bologna, Italy
Department of Anesthesia and Critical Care Medicine, Baltimore, MD, United States
Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD, United States
Department of Neurosurgery, Baltimore, MD, United States
Johns Hopkins University, Baltimore, MD, United States
Department of Medicine, University Ferhat Abbas of Setif, Setif, Algeria
Faculty of Medicine, University Ferhat Abbas of Setif, Setif, Algeria
Department of Epidemiology and Preventive Medicine, University Hospital Saadna Abdenour, Setif, Algeria
School of Pharmacy, University of Jordan, Amman, Jordan
Faculty of Health Sciences, Ankara University, Ankara, Turkey
Research Unit on Applied Molecular Biosciences (UCIBIO), Faculty of Pharmacy, University of Porto, Porto, Portugal
Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal
Department of Psychiatry, University of São Paulo, São Paulo, Brazil
Department of Clinical Nutrition, Jazan University, Jazan, Saudi Arabia
Department of Public Health, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia
Epidemiology Program, Department of Public Health, CNHS, Jazan University, Jazan, Saudi Arabia
Substance Abuse and Toxicology Research Center, Jazan University, Jazan, Saudi Arabia
Department of Public Health, Jazan University, Jazan, Saudi Arabia
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
Division of Neurology, University of Toronto, Toronto, ON, Canada
Institute of Medical Science, University of Toronto, Toronto, ON, Canada
Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Sawangi, India
Department of Biology, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA, United States
Centre for Research Impact & Outcome, Chitkara University, Rajpura, India
Interdisciplinary Research Group on Biomedicine and Health, VNU International School (VNUIS), Hanoi, Viet Nam
Faculty of Applied Sciences, VNU International School (VNUIS), Hanoi, Viet Nam
Department of Pediatrics, Peking University, Beijing, China
Department of Child and Adolescent Psychiatry, New York University, New York, NY, United States
Institute for Excellence in Health Equity, New York University, New York, NY, United States
Research Center on Public Health (CESP), School of Medicine and Surgery, University of Milan Bicocca, Monza, Italy
Center for Public Health Research, University of Milan Bicocca, Monza, Italy
Guilan University of Medical Sciences, Rasht, Iran
Department of Diagnostic and Therapeutic Technologies, Cooperativa de Ensino Superior Politécnico e Universitário (Polytechnic and University Higher Education, Cooperative), Vila Nova de Famalicão, Portugal
Research Center for Child Psychiatry, University of Turku, Turku, Finland
Heart Center, University of Turku, Turku, Finland
Department of Medical and Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy
Public Health Foundation of India, Gurugram, India
Department of Public Health, Haramaya University, Harar, Ethiopia
Department of Psychiatry, Haramaya University, Harar, Ethiopia
Department of Pediatrics, Tanta University, Tanta, Egypt
Research and Development Cell, Dr. D. Y. Patil Vidyapeeth Pune (Deemed to be University), Pune, India
Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Vidyapeeth Pune (Deemed to be University), Pune, India
University of South Carolina, Columbia, SC, United States
Department of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam
South Plainfield, NJ, United States
Department of Forensic Medicine and Toxicology, Kasturba Medical College Mangalore, Mangalore, India
Department of Conservative Dentistry with Endodontics, Medical University of Silesia, Katowice, Poland
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, United States
Department of Radiology, Massachusetts General Hospital, Boston, MA, United States
Faculty of Science and Health, University of Portsmouth, Hampshire, United Kingdom
Almoosa College of Health Sciences, Al Ahsa, Saudi Arabia
Department of Public Health and Community Medicine, Tanta University, Tanta, Egypt
Community Health Sciences, University of Calgary, Calgary, AB, Canada
School of Public Health, Texila American University, Guyana, Guyana
Department of Pediatric Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Department of Dental Public Health, King Abdulaziz University, Jeddah, Saudi Arabia
Department of Neurophysiology, Cairo University, Cairo, Egypt
Department of Neurology, Cairo University, Cairo, Egypt
Faculty of Medicine, University of Tripoli, Tripoli, Libya
Houston Methodist Hospital, Houston, TX, United States
Department of Pediatrics, University of Texas, Dallas, TX, United States
Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
Department of Medicine, University of Ibadan, Ibadan, Nigeria
Research Centre for Healthcare and Community, Coventry University, Coventry, United Kingdom
Department of Oral Biology, Islamabad, Pakistan
Riphah International University, Islamabad, Pakistan
Department of Neurological Surgery, Northwestern University, Chicago, IL, United States
Neurological Surgery, Northwestern University, Chicago, IL, United States
Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA, United States
School of Medicine, Emory University, Atlanta, GA, United States
Department of Family and Preventive Medicine, Emory University, Atlanta, GA, United States
School of Engineering, Edith Cowan University, Joondalup, WA, Australia
Department of Biology and Medicine, Brown University, Providence, RI, United States
Laboratory of Experimental Medicine, Kazakh National Medical University, Almaty, Kazakhstan
Research and Publication Activity Division, Kazakh National Medical University, Almaty, Kazakhstan
Science Department, Kazakh National Medical University, Almaty, Kazakhstan
Department of Infectious Diseases and Public Health, City University of Hong Kong, Hong Kong
Department of Biomedical Sciences, City University of Hong Kong, Hong Kong
Department of Pharmacy, Wollega University, Nekemte, Ethiopia
Department of Nursing, Wollega University, Nekemte, Ethiopia
Department of Public Health, Wollega University, Nekemte, Ethiopia
Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
Laboratory of Public Health, IRCCS Istituto Auxologico Italiano, Milan, Italy
Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus
Department of Neuroscience, Multiple Sclerosis Research Center, Ravenna, Italy
Department of Biotechnological and Applied Clincial Sciences, University of LAquila, LAquila, Italy
Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
Department of Food Technology, Salahaddin University-Erbil, Erbil, Iraq
Department of Nutrition and Dietetics, Cihan University-Erbil, Erbil, Iraq
Institute of Health and Wellbeing, Federation University Australia, Churchill, VIC, Australia
Department of Biostatistics, Xuzhou Medical University, Xuzhou, China
Key Lab of Environment and Health, Xuzhou Medical University, Xuzhou, China
Department of Neurology, King Georges Medical University, Lucknow, India
Department of Medicine, Aga Khan University, Karachi, Pakistan
Department of Nursing, Aksum University, Aksum, Ethiopia
Laboratory of Neurological Disorders, Mario Negri Institute for Pharmacological Research, Milan, Italy
Department of Health Systems and Policy Research, Indian Institute of Public Health, Gandhinagar, India
Department of Dermatology, Case Western Reserve University, Cleveland, OH, United States
Department of Quantitative Health Science, Case Western Reserve University, Cleveland, OH, United States
Department of Epidemiology and Biostatistics, Anhui Medical University, Hefei, China
Department of Toxicology, Shriram Institute for Industrial Research, Delhi, India
Department of Biochemistry, Ain Shams University, Cairo, Egypt
Department of Entomology, Ain Shams University, Cairo, Egypt
Medical Ain Shams Research Institute (MASRI), Ain Shams University, Cairo, Egypt
Faculty of Medicine, Utrecht University, Utrecht, Netherlands
Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands
Department of Zoology and Entomology, Al-Azhar University, Cairo, Egypt
Public Health Department, Dalhatu Araf Specialist Hospital, Lafia, Nigeria
Department of Public Health, Federal University of Lafia, Lafia, Nigeria
Santa Clara, CA, United States
Department of Medicine, MedStar Health, Washington, DC, United States
Department of Medicine, Georgetown University, Washington, DC, United States
Department of Microbiology, Taiz University, Taiz, Yemen
School of Medicine, Nankai University, Tianjin, China
School of Dentistry, Hanoi Medical University, Hanoi, Viet Nam
School of Computer Science, Duy Tan University, Da Nang, Viet Nam
Faculty of Medicine, Duy Tan University, Da Nang, Viet Nam
Institute for Research and Training in Medicine, Biology and Pharmacy, Duy Tan University, Da Nang, Viet Nam
Jadara University Research Center, Jadara University, Irbid, Jordan
Faculty of Medicine, Chinese University of Hong Kong, Hong Kong
Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong
International Master Program for Translational Science, Taipei Medical University, Taipei, Taiwan
Department of Occupational Safety and Health, China Medical University, Taiwan, Taichung, Taiwan
Department of Occupational Therapy, Asia University, Taiwan, Taichung, Taiwan
Collaborative Alliance Research and Education (CARE), Episcope Research Service, Aberdeen, United Kingdom
West Africa RCC, Africa Centre for Disease Control and Prevention, Abuja, Nigeria
Department of Community Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
Department of Neurology, University College Hospital, Ibadan, Ibadan, Nigeria
Department of Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
Department of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Ibadan, Nigeria
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
Department of Clinical Pharmacy, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia
Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom
School of Pharmacy, BRAC University, Dhaka, Bangladesh
Department of Physical and Medicine, Université Paris Cité, Paris, France
Research and Development Unit, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Barcelona, Spain
Department of Immunology, Kerman University of Medical Sciences, Kerman, Iran
Department of Immunology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Department of Epidemiology and Biostatistics, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Department of Neurology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Non-communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
Department of Psychiatry, Manama, Bahrain
Ministry of Health, Manama, Bahrain
Department of Health and Safety, Dubai Municipality, Dubai, United Arab Emirates
World Academy of Sciences, UNESCO, Trieste, Italy
Shaanxi University of Technology, Hanzhong, China
Department of Environmental Engineering, Islamic Azad University, Ahvaz, Iran
Department of Neurosciences, University of the Philippines, Manila, Manila, Philippines
Institute for Neurosciences, St. Lukes Medical Center, Bonifacio Global City, Philippines
Department of Pharmacology, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
Department of Public Health, Tongji University, Shanghai, China
Rothschild Foundation Hospital, Institut Français de Myopie, Paris, France
Singapore Eye Research Institute, Singapore, Singapore
Department of Economics, National Open University, Benin City, Nigeria
School of Public Health, University College Cork, Cork, Ireland
Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
Office of the Executive Director, Cephas Health Research Initiative, Inc, Ibadan, Nigeria
Department of Physical Therapy and Health Rehabilitation, Majmaah University, Majmaah, Saudi Arabia
Public Health Foundation of India, New Delhi, India
Amity Institute of Forensic Sciences, Amity University, Noida, India
Department of Biostatistics, Mazandaran University of Medical Sciences, Sari, Iran
Department of Medical-Surgical Nursing, Mazandaran University of Medical Sciences, Sari, Iran
Faculty of Nursing, Yarmouk University, Irbid, Jordan
Department of Biochemistry, Liaquat University Of Medical and Health Sciences, Jamshoro, Pakistan
Department of Internal Medicine, Corewell Health East William Beaumont University Hospital, Royal Oak, MI, United States
Department of Medical Oncology, Miami Cancer Institute, Miami, FL, United States
Department of Public Health, New Mexico State University, Las Cruces, NM, United States
School of Traditional Chinese Medicine

National Institute for Stroke and Applied Neurosciences
National Institute of Stroke and Applied Neurosciences
National Institute for Stroke and Applied Neurosciences
Institute for Health Metrics and Evaluation
Department of Health Metrics Sciences
Department of Applied Mathematics
School of Health Systems and Public Health
Department of Neurology
Department of Anesthesiology & Pain Medicine
Third Department of Neurology
Research Center of Neurology
Department of Clinical Governance and Quality Improvement
College of Pharmacy
Department of Mathematics and Sciences
Department of Clinical Sciences
Center for Medical and BioAllied Health Sciences Research
Department of Epidemiology
Pediatric Dentistry and Dental Public Health Department
Department of Small Animal Clinical Sciences
Department of Physiotherapy
Department of Community Medicine
Department of Physiotherapy
Department of Family and Community Health
Institute of Health Research
Department of Microbiology and Immunology
Department of Pediatric Dentistry
Department of Neurology
Department of Nursing
Department of Pharmacology and Therapeutics
College of Medicine and Health Sciences
College of Pharmacy
Department of Biochemistry and Molecular Medicine
College of Pharmacy
College of Graduate Health Sciences
Department of Ophthalmology
School of Medicine
Centre for Social Research in Health
School of Population Health
Department of Medical Rehabilitation
Department of HIV and Infectious Diseases
Department of Adolescent Research and Care
Department of Life Sciences
Department of Community Medicine
Department of Public Health
College of Medicine
Department of Health and Biological Sciences
Department of Natural Sciences
Gilbert and Rose-Marie Chagoury School of Medicine
School of Public Health
Department of Epidemiology and Biostatistics
Modeling in Health Research Center
Medical Plants Research Center
Department of Epidemiology
Psychiatric Nursing and Management Department
Social Determinants of Health Research Center
Obesity Research Center
Department of Neurosurgery
Department of Genetics
Skull Base Research Center
Student Research Committee
Department of Anesthesiology
Ophthalmic Research Center (ORC)
Department of Neuroscience
Biotechnology Research Center
Institute of Endemic Diseases
Unit of Basic Medical Sciences
Swiss Tropical and Public Health Institute
Department of Biosciences
College of Nursing
Department of Epidemiology
College of Medicine and Public Health
Department of Neurosciences
Department of Nursing and Health Sciences
Department of Communicable Diseases
Centre of Studies and Research
Middle East
Fundamentals and Administration Department
Department of Geography
School of Medicine
Department of Epidemiology
Department of Community and Mental Health
Department of Neurology
Institute of Public Health
Department of Bacteriology
Department of Zoology
Department of Medical Rehabilitation (Physiotherapy)
Department of Rehabilitation Sciences
Center for Biotechnology and Microbiology
Institute of Health and Wellbeing
School of Public Health and Preventive Medicine
School of Psychological Sciences
Department of Medicine
Department of Family and Community Medicine
Institute of Molecular Biology and Biotechnology
University Institute of Public Health
Research Centre for Health Sciences (RCHS)
Department of Rehabilitation Sciences
Department of Clinical Pharmacy
Department of Public Health
Department of Medical Sciences
Department of Clinical Sciences
Department of Pediatrics
Lerner Research Institute
Department of Pharmacy Practice and Pharmacotherapeutics
Department of Basic Biomedical Sciences
Department of Clinical Sciences
College of Medicine
Sharjah Institute of Medical Sciences
Clinical Sciences Department
College of Pharmacy
Research Institute of Medical & Health Sciences
Spiritual Health Research Center
Faculty of Pharmacy
Department of Child Neurology
School of Pharmacy
Organ Procurement and Transplantation Multi-disciplinary Center
Brachial Plexus and Peripheral Nerve Injury Center
Rural Health Research Institute
Health Management and Economics Research Center
School of Medicine
Department of Ophthalmology
Physiology Research Center
Department of Physiology
Iran University of Medical Sciences
College of Pharmacy
College of Medicine and Health Sciences
Department of Midwifery
Department of Medical Laboratory Sciences
Department of Veterinary Pharmacology and Toxicology
Department of Veterinary Physiology and Biochemistry
Faculty of Nursing
Department of Forensic Medicine
Northumbria HealthCare NHS Foundation Trust
Institute of Public Health
Department of Internal Medicine
School of Nursing
Department of Clinical Pharmacy
Institute of Biotechnology and Genetic Engineering
ASIDE Healthcare
Faculty of Medicine
Department of Forensic Science
Rashtrasant Tukadoji Maharaj Nagpur University
School of Public Affairs
International Medical School
Department of Forensic Medicine and Toxicology
Kasturba Medical College
Department of Pharmaceutical Regulatory Affairs and Management
Manipal Academy of Higher Education
Nuffield Department of Surgical Sciences
Department of Psychiatry
Department of Neurosurgery
School of Psychology
Department of Pharmacology
Miller School of Medicine
School of Psychology
School of Pharmacy
Department of Public and Environmental Health
Department of Epidemiology
College of Medicine
Alpha Genomics Private Limited
Health Information Management
School of Medicine
Epilepsy Research Center
Non-communicable Diseases Research Center
Department of Pediatric Neurology
Iranian Research Center for HIV/AIDS (IRCHA)
School of Medicine
Sina Trauma and Surgery Research Center
Digestive Diseases Research Institute
Department of Neurosurgery
Sina Hospital
Cooper University Hospital
Avicenna Biotech Research
Department of Regulatory Affairs
Transplant and Hepatobiliary Surgery Service
Subdirectorate of Clinical Studies and Clinical Epidemiology
Department of Pediatrics
Department of Pharmaceutical and Administrative Sciences
Department of Forensic Chemistry
Department of Public Health
Division of Gastroenterology and Hepatology
Global Health Neurology Lab
Division of Cerebrovascular Medicine and Neurology
Department of General Medicine
Department of Internal Medicine
Department of Community Medicine
Department of Forensic Medicine and Toxicology
Manipal College of Dental Sciences
Department of Medical Lab Technology
Department of Human Genetics and Molecular Medicine
Department of Pharmacy
Department of Health Administration
Department of Radiology
Neurovascular Research Laboratory
Department of Biomedical and NeuroMotor Sciences
Clinical Research Centre
UOC Clinica Neurologica
Department of Anesthesia and Critical Care Medicine
Russell H. Morgan Department of Radiology and Radiological Science
Department of Neurosurgery
Johns Hopkins University
Department of Medicine
Faculty of Medicine
Department of Epidemiology and Preventive Medicine
School of Pharmacy
Faculty of Health Sciences
Research Unit on Applied Molecular Biosciences (UCIBIO)
Institute for Research and Innovation in Health (i3S)
Department of Psychiatry
Department of Clinical Nutrition
Department of Public Health
Epidemiology Program
Substance Abuse and Toxicology Research Center
Department of Public Health
Temerty Faculty of Medicine
Division of Neurology
Institute of Medical Science
Department of Community Medicine
Department of Biology
Division of Infectious Diseases
Centre for Research Impact & Outcome
Interdisciplinary Research Group on Biomedicine and Health
Faculty of Applied Sciences
Department of Pediatrics
Department of Child and Adolescent Psychiatry
Institute for Excellence in Health Equity
Research Center on Public Health (CESP)
Center for Public Health Research
Guilan University of Medical Sciences
Department of Diagnostic and Therapeutic Technologies
Research Center for Child Psychiatry
Heart Center
Department of Medical and Surgical Sciences and Advanced Technologies GF Ingrassia
Public Health Foundation of India
Department of Public Health
Department of Psychiatry
Department of Pediatrics
Research and Development Cell
Department of Oral Pathology and Microbiology
University of South Carolina
Department of Medicine
South Plainfield
Department of Forensic Medicine and Toxicology
Department of Conservative Dentistry with Endodontics
Department of Orthopaedic Surgery
Department of Radiology
Faculty of Science and Health
Almoosa College of Health Sciences
Department of Public Health and Community Medicine
Community Health Sciences
School of Public Health
Department of Pediatric Dentistry
Rabigh Faculty of Medicine
Department of Dental Public Health
Department of Neurophysiology
Department of Neurology
Faculty of Medicine
Houston Methodist Hospital
Department of Pediatrics
Department of Epidemiology and Medical Statistics
Department of Health Promotion and Education
Department of Medicine
Research Centre for Healthcare and Community
Department of Oral Biology
Riphah International University
Department of Neurological Surgery
Neurological Surgery
Department of Preventive Medicine
Satcher Health Leadership Institute
School of Medicine
Department of Family and Preventive Medicine
School of Engineering
Department of Biology and Medicine
Laboratory of Experimental Medicine
Research and Publication Activity Division
Science Department
Department of Infectious Diseases and Public Health
Department of Biomedical Sciences
Department of Pharmacy
Department of Nursing
Department of Public Health
Department of Neurobiology
Laboratory of Public Health
Department of Social Sciences
Department of Life and Health Sciences
Department of Neuroscience
Department of Biotechnological and Applied Clincial Sciences
Department of Community Medicine
Department of Food Technology
Department of Nutrition and Dietetics
Institute of Health and Wellbeing
Department of Biostatistics
Key Lab of Environment and Health
Department of Neurology
Department of Medicine
Department of Nursing
Laboratory of Neurological Disorders
Department of Health Systems and Policy Research
Department of Dermatology
Department of Quantitative Health Science
Department of Epidemiology and Biostatistics
Department of Toxicology
Department of Biochemistry
Department of Entomology
Medical Ain Shams Research Institute (MASRI)
Faculty of Medicine
Department of Radiology
Department of Zoology and Entomology
Public Health Department
Department of Public Health
Santa Clara
Department of Medicine
Department of Medicine
Department of Microbiology
School of Medicine
School of Dentistry
School of Computer Science
Faculty of Medicine
Institute for Research and Training in Medicine
Jadara University Research Center
Faculty of Medicine
Jockey Club School of Public Health and Primary Care
International Master Program for Translational Science
Department of Occupational Safety and Health
Department of Occupational Therapy
Collaborative Alliance Research and Education (CARE)
West Africa RCC
Department of Community Medicine
Department of Neurology
Department of Medicine
Department of Oral and Maxillofacial Surgery
Faculty of Medicine
Faculty of Medical Sciences
Department of Clinical Pharmacy
Faculty of Health and Life Sciences
School of Pharmacy
Department of Physical and Medicine
Research and Development Unit
Department of Immunology
Department of Immunology
Department of Epidemiology and Biostatistics
Department of Neurology
Non-communicable Diseases Research Center
College of Medicine and Medical Sciences
Department of Psychiatry
Ministry of Health
Department of Health and Safety
World Academy of Sciences
Shaanxi University of Technology
Department of Environmental Engineering
Department of Neurosciences
Institute for Neurosciences
Department of Pharmacology
Department of Public Health
Rothschild Foundation Hospital
Singapore Eye Research Institute
Department of Economics
School of Public Health
Faculty of Dentistry
Office of the Executive Director
Department of Physical Therapy and Health Rehabilitation
Public Health Foundation of India
Amity Institute of Forensic Sciences
Department of Biostatistics
Department of Medical-Surgical Nursing
Faculty of Nursing
Department of Biochemistry
Department of Internal Medicine
Department of Medical Oncology
Department of Public Health
School of Traditional Chinese Medicine

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