Burden of disease scenarios by state in the USA, 2022–50: a forecasting analysis for the Global Burden of Disease Study 2021
Mokdad A.H. Bisignano C. Hsu J.M. Bryazka D. Cao S. Bhattacharjee N.V. Dalton B.E. Lindstedt P.A. Smith A.E. Ababneh H.S. Abbasgholizadeh R. Abdelkader A. Abdi P. Abiodun O.O. Aboagye R.G. Abukhadijah H.J. Abu-Zaid A. Acuna J.M. Addo I.Y. Adekanmbi V. Adeyeoluwa T.E. Adzigbli L.A. Afolabi A.A. Afrashteh F. Agyemang-Duah W. Ahmad S. Ahmadzade M. Ahmed A. Ahmed A. Ahmed S.A. Akkaif M.A. Akkala S. Akrami A.E. Al Awaidy S. Al Hasan S.M. Al Taani O. Al Zaabi O.A.M. Alahdab F. Al-Ajlouni Y. Al-Aly Z. Alam M. Aldhaleei W.A. Algammal A.M. Alhassan R.K. Ali M.U. Ali R. Ali W. Al-Ibraheem A. Almustanyir S. Alqahatni S.A. Alrawashdeh A. Al-Rifai R.H. Alsabri M.A. Alshahrani N.Z. Al-Tawfiq J.A. Al-Wardat M. Aly H. Amindarolzarbi A. Amiri S. Anil A. Anyasodor A.E. Arabloo J. Arafat M. Aravkin A.Y. Ardekani A. Areda D. Asghariahmadabad M. Ayanore M.A. Ayyoubzadeh S.M. Azadnajafabad S. Azhar G.S. Aziz S. Azzam A.Y. Babu G.R. Baghdadi S. Bahreini R. Bako A.T. Bärnighausen T.W. Bastan M.-M. Basu S. Batra K. Batra R. Behnoush A.H. Bemanalizadeh M. Benzian H. Bermudez A.N.C. Bernstein R.S. Beyene K.A. Bhagavathula A.S. Bhala N. Bharadwaj R. Bhargava A. Bhaskar S. Bhat V. Bhuyan S.S. Bodunrin A.O. Boxe C. Boyko E.J. Braithwaite D. Brauer M. Bugiardini R. Bustanji Y. Butt Z.A. Caetano dos Santos F.L. Capodici A. Castaldelli-Maia J.M. Cembranel F. Cenko E. Cerin E. Chan J.S.K. Chattu V.K. Chaudhary A.A. Chen A.-T. Chen G. Chi G. Ching P.R. Cho D.Y. Chong B. Choudhari S.G. Chukwu I.S. Chung E. Chung S.-C. Coker D.C. Columbus A. Conde J. Cortese S. Criqui M.H. Cruz-Martins N. Dai X. Dai Z. Damiani G. DAnna L. Daoud F. Darcho S.D. Das S. Dash N.R. Dashtkoohi M. Degenhardt L. Des Jarlais D.C. Desai H.D. Devanbu V.G.C. Dewan S.M.R. Dhama K. Dhulipala V.R. Diaz L.A.A. Ding D.D. Do T.C. Do T.H.P. Dongarwar D. DOria M. Dorsey E.R. Doshi O.P. Douiri A. Dowou R.K. Dube J. Dziedzic A.M. Emar A.R. Ebrahimi A. Ehrlich J.R.R. Ekundayo T.C. El Bayoumy I.F. Elhadi M. Elhadi Y.A.M. Eltaha C. Etaee F. 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Weerakoon K.G. Wei M.Y. Wickramasinghe N.D. Wolde A.A. Wu C. Wu F. Xiao H. Xu S. Yano Y. Yasufuku Y. Yiğit A. Yon D.K. Younis M.Z. Yu C. Yuan C.-W. Zahid M.H. Zare I. Zeariya M.G.M. Zhang H. Zhang Z. Zheng R. Zhong C.C. Zhu B. Zhumagaliuly A. Zia H. Zielińska M. Zyoud S.H. Vollset S.E. Murray C.J.L.
7 December 2024Elsevier B.V.
The Lancet
2024#404Issue 104692341 - 2370 pp.
Background: The capacity to anticipate future health issues is important for both policy makers and practitioners in the USA, as such insights can facilitate effective planning, investment, and implementation strategies. Forecasting trends in disease and injury burden is not only crucial for policy makers but also garners substantial interest from the general populace and leads to a better-informed public. Through the integration of new data sources, the refinement of methodologies, and the inclusion of additional causes, we have improved our previous forecasting efforts within the scope of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to produce forecasts at the state and national levels for the USA under various possible scenarios. Methods: We developed a comprehensive framework for forecasting life expectancy, healthy life expectancy (HALE), cause-specific mortality, and disability-adjusted life-years (DALYs) due to 359 causes of disease and injury burden from 2022 to 2050 for the USA and all 50 states and Washington, DC. Using the GBD 2021 Future Health Scenarios modelling framework, we forecasted drivers of disease, demographic drivers, risk factors, temperature and particulate matter, mortality and years of life lost (YLL), population, and non-fatal burden. In addition to a reference scenario (representing the most probable future trajectory), we explored various future scenarios and their potential impacts over the next several decades on human health. These alternative scenarios comprised four risk elimination scenarios (including safer environment, improved behavioural and metabolic risks, improved childhood nutrition and vaccination, and a combined scenario) and three USA-specific scenarios based on risk exposure or attributable burden in the best-performing US states (improved high adult BMI and high fasting plasma glucose [FPG], improved smoking, and improved drug use [encompassing opioids, cocaine, amphetamine, and others]). Findings: Life expectancy in the USA is projected to increase from 78·3 years (95% uncertainty interval 78·1–78·5) in 2022 to 79·9 years (79·5–80·2) in 2035, and to 80·4 years (79·8–81·0) in 2050 for all sexes combined. This increase is forecasted to be modest compared with that in other countries around the world, resulting in the USA declining in global rank over the 2022–50 forecasted period among the 204 countries and territories in GBD, from 49th to 66th. There is projected to be a decline in female life expectancy in West Virginia between 1990 and 2050, and little change in Arkansas and Oklahoma. Additionally, after 2023, we projected almost no change in female life expectancy in many states, notably in Oklahoma, South Dakota, Utah, Iowa, Maine, and Wisconsin. Female HALE is projected to decline between 1990 and 2050 in 20 states and to remain unchanged in three others. Drug use disorders and low back pain are projected to be the leading Level 3 causes of age-standardised DALYs in 2050. The age-standardised DALY rate due to drug use disorders is projected to increase considerably between 2022 and 2050 (19·5% [6·9–34·1]). Our combined risk elimination scenario shows that the USA could gain 3·8 additional years (3·6–4·0) of life expectancy and 4·1 additional years (3·9–4·3) of HALE in 2050 versus the reference scenario. Using our USA-specific scenarios, we forecasted that the USA could gain 0·4 additional years (0·3–0·6) of life expectancy and 0·6 additional years (0·5–0·8) of HALE in 2050 under the improved drug use scenario relative to the reference scenario. Life expectancy and HALE are likewise projected to be 0·4–0·5 years higher in 2050 under the improved adult BMI and FPG and improved smoking scenarios compared with the reference scenario. However, the increases in these scenarios would not substantially improve the USAs global ranking in 2050 (from 66th of 204 in life expectancy in the reference scenario to 63rd–64th in each of the three USA-specific scenarios), indicating that the USAs best-performing states are still lagging behind other countries in their rank throughout the forecasted period. Regardless, an estimated 12·4 million (11·3–13·5) deaths could be averted between 2022 and 2050 if the USA were to follow the combined scenario trajectory rather than the reference scenario. There would also be 1·4 million (0·7–2·2) fewer deaths over the 28-year forecasted period with improved adult BMI and FPG, 2·1 million (1·3–2·9) fewer deaths with improved exposure to smoking, and 1·2 million (0·9–1·5) fewer deaths with lower rates of drug use deaths. Interpretation: Our findings highlight the alarming trajectory of health challenges in the USA, which, if left unaddressed, could lead to a reversal of the health progress made over the past three decades for some US states and a decline in global health standing for all states. The evidence from our alternative scenarios along with other published studies suggests that through collaborative, evidence-based strategies, there are opportunities to change the trajectory of health outcomes in the USA, such as by investing in scientific innovation, health-care access, preventive health care, risk exposure reduction, and education. Our forecasts clearly show that the time to act is now, as the future of the countrys health and wellbeing—as well as its prosperity and leadership position in science and innovation—are at stake. Funding: Bill & Melinda Gates Foundation.
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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 Radiation Oncology, Massachusetts General Hospital, Boston, MA, United States
Doheny Eye Institute, University of California Los Angeles, Los Angeles, CA, United States
Department of Mathematics and Sciences, Ajman University, Ajman, United Arab Emirates
Department of Medicine, Memorial University, St. Johns, NL, Canada
Department of Internal Medicine, Federal Medical Centre, Abuja, Nigeria
Department of Family and Community Health, University of Health and Allied Sciences, Ho, Ghana
Academic Health System, Hamad Medical Corporation, Doha, Qatar
Department of Biochemistry and Molecular Medicine, Alfaisal University, Riyadh, Saudi Arabia
College of Graduate Health Sciences, University of Tennessee, Memphis, TN, United States
Department of Clinical Medicine, American University of Antigua, Coolidge, Antigua and Barbuda
FIU Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, 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
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, United States
Department of Pharmacology and Therapeutics, University of Medical Sciences, Ondo, Ondo, Nigeria
Department of Veterinary Medicine, University of Ibadan, Ibadan, Nigeria
Department of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana
Technical Services Directorate, MSI Nigeria Reproductive Choices, Abuja, Nigeria
School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Department of Geography and Planning, Queens University, Kingston, ON, Canada
Department of Medical Oncology, Miami Cancer Institute, Miami, FL, United States
Department of Community Medicine and Preventive Health, King Edward Medical University Lahore, Lahore, Pakistan
Urology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Pharmacy Practice, Riphah Institute of Pharmaceutical Sciences, Islamabad, Pakistan
Division of Infectious Diseases and Global Public Health (IDGPH), University of California San Diego, San Diego, CA, United States
Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan
Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
Brody School of Medicine, East Carolina University, Greenville, NC, United States
Department of Cardiology, Fudan University, Shanghai, China
Department of Management, Policy, and Community Health, University of Texas, Houston, TX, United States
Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, IL, United States
Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
Department of Communicable Diseases, Ministry of Health, Muscat, Oman
Middle East, Eurasia, and Africa Influenza Stakeholders Network, Muscat, Oman
Division of Public Health Sciences, Washington University in St. Louis, St. Louis, MO, United States
Department of Internal Medicine, Allegheny Health Network, Pittsburgh, PA, United States
Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman
Department of Biomedical Informatics, Biostatistics, and Epidemiology, University of Missouri, Columbia, MO, United States
McWilliams School of Biomedical Informatics, University of Texas, Houston, TX, United States
School of Medicine, New York Medical College, Valhalla, NY, United States
Department of Epidemiology, Columbia University, New York, NY, United States
Department of Research and Development, Washington University in St. Louis, St. Louis, MO, United States
Clinical Epidemiology Center, US Department of Veterans Affairs (VA), St. Louis, MO, United States
Department of Bioengineering, George Mason University, Fairfax, VA, United States
Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, United States
Department of Bacteriology, Immunology, and Mycology, Suez Canal University, Ismailia, Egypt
Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana
Department of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, Nigeria
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China
Department of Biosciences, Jamia Millia Islamia, New Delhi, India
Department of Geography, Sultan Qaboos University, Muscat, Oman
Department of Nuclear Medicine, King Hussein Cancer Center, Amman, Jordan
Department of Diagnostic Radiology and Nuclear Medicine, The University of Jordan, Amman, Jordan
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
Ministry of Health, Riyadh, Saudi Arabia
Department of Medicine, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
Department of Medicine, Johns Hopkins University, Baltimore, MD, United States
Department of Allied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
Department of Emergency Medicine, Sanaa University, Sanaa, Yemen
Pediatric Emergency Medicine Department, St. Christophers Hospital for Children, Philadelphia, PA, United States
Department of Family and Community Medicine, University of Jeddah, Jeddah, Saudi Arabia
Department of Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States
Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
Department of Pediatrics, Cleveland Clinic, Cleveland, OH, United States
Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States
Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, India
All India Institute of Medical Sciences, Bhubaneswar, India
Rural Health Research Institute, Charles Sturt University, Orange, NSW, Australia
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
College of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates
Department of Applied Mathematics, University of Washington, Seattle, WA, United States
Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
College of Art and Science, Ottawa University, Surprise, AZ, United States
School of Life Sciences, Arizona State University, Tempe, AZ, United States
Neurological Surgery Department, University of California San Francisco, San Francisco, CA, United States
Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Ghana
Department of Health Economics, Centre for Health Policy Advocacy Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana
Department of Health Information Management, Tehran University of Medical Sciences, Tehran, Iran
Department of Surgery, Washington University in St. Louis, St. Louis, MO, United States
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom
Consultant, The World Bank, Washington, DC, United States
Institute of Biotechnology and Genetic Engineering, The University of Agriculture, Peshawar, Pakistan
Montefiore-Einstein Cerebrovascular Research Lab, Albert Einstein College of Medicine, Bronx, NY, United States
Faculty of Medicine, October 6 University, 6th of October City, Egypt
Department of Population Medicine, Qatar University, Doha, Qatar
Department of Orthopedics, University of California Los Angeles, Los Angeles, CA, United States
Orthopedic Institute for Children, Los Angeles, CA, United States
College of Optometry, Pacific University, Forest Grove, OR, United States
Department of Neurosurgery, Houston Methodist Hospital, Houston, TX, United States
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
Center for Primary Care, Harvard University, Boston, MA, United States
School of Public Health, Imperial College London, London, United Kingdom
Department of Medical Education, University of Nevada Las Vegas, Las Vegas, NV, United States
School of Public Health, University of Nevada Las Vegas, Las Vegas, NV, United States
IT Department, Coforge, Georgia, GA, United States
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Non-Communicable Diseases Research Center (NCDRC), Tehran, Iran
Department of Pediatrics, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Pediatric Neurology, Tehran University of Medical Sciences, Tehran, Iran
Department of Epidemiology and Health Promotion, New York University, New York, NY, United States
Department of Epidemiology and Biostatistics, University of the Philippines Manila, Manila, Philippines
Department of Epidemiology, Brown University, Providence, RI, United States
Hubert Department of Global Health, Emory University, Atlanta, GA, United States
Department of Global Health, George Washington University, Washington, DC, United States
Department of Pharmaceutical and Administrative Sciences, University of Health Sciences and Pharmacy in St. Louis, St. Louis, MO, United States
School of Pharmacy, University of Auckland, Auckland, New Zealand
Department of Public Health, North Dakota State University, Fargo, ND, United States
Institute of Applied Health Research, University of Nottingham, Nottingham, United Kingdom
Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States
Department of Internal Medicine, Wayne State University, Detroit, MI, 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 Internal Medicine, St. Johns National Academy of Health Sciences, Bangalore, India
Department of Health Administration, Rutgers University, New Brunswick, NJ, United States
Department of Computer Science, East Carolina University, Greenville, NC, United States
Department of Earth, Environment, and Equity, Howard University, Washington, DC, United States
School of Medicine, University of Washington, Seattle, WA, United States
Department of General Medicine Service, Department of Veterans Affairs, Seattle, WA, United States
Department of Epidemiology, University of Florida, Gainesville, FL, United States
Cancer Population Sciences Program, University of Florida Health Cancer Center, Gainesville, FL, United States
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
School of Pharmacy, The University of Jordan, Amman, Jordan
Department of Basic Biomedical Sciences, University of Sharjah, Sharjah, United Arab Emirates
School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
Al Shifa School of Public Health, Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan
Harvard Business School, Harvard University, Boston, MA, United States
Department of Health Management (Direzione Sanitaria), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Interdisciplinary Research Center for Health Science, SantAnna School of Advanced Studies, Pisa, Italy
Department of Psychiatry, University of São Paulo, São Paulo, Brazil
Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
School of Public Health, University of Hong Kong, Hong Kong, China
Cardio-Oncology Research Unit, Cardiovascular Analytics Group, Hong Kong, China
Temerty Faculty of Medicine, 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
Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
Department of Computer Science, University of Texas at Austin, Austin, TX, United States
Department of Stomatology, Huazhong University of Science and Technology, Wuhan, China
Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, China
Division of Cardiovascular Medicine, Harvard University, Boston, MA, United States
Division of Infectious Diseases, Virginia Commonwealth University, Richmond, VA, United States
Division of Plastic Surgery, University of Wisconsin, Madison, WI, United States
Department of Medicine, National University of Singapore, Singapore, Singapore
Department of Community Medicine, Jawaharlal Nehru Medical College, Wardha, India
Department of Paediatric Surgery, Federal Medical Centre, Umuahia, Nigeria
Department of Pediatrics, University of Washington, Seattle, WA, United States
Department of Health Informatics, University College London, London, United Kingdom
Health Data Research UK, London, United Kingdom
College of Education and Human Performance, West Liberty University, West Liberty, WV, United States
Department of Biostatistics, Johns Hopkins University, Baltimore, MD, United States
Nova Medical School, Nova University of Lisbon, Lisbon, Portugal
School of Psychology, University of Southampton, Southampton, United Kingdom
Department of Child and Adolescent Psychiatry, New York University, New York, NY, United States
Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, United States
Department of Diagnostic and Therapeutic Technologies, Cooperativa de Ensino Superior Politécnico e Universitário (Polytechnic and University Higher Education Cooperative), Vila Nova de Famalicão, Portugal
Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal
School of Population Health, University of New South Wales, Sydney, NSW, Australia
School of Pharmacy and Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia
IRCCS Istituto Ortopedico Galeazzi, University of Milan Galeazzi Orthopedic Institute IRCCS, Milan, Italy
Department of Dermatology, Case Western Reserve University, Cleveland, OH, United States
Department of Brain Sciences, Imperial College London, London, United Kingdom
Department of Public Health, Haramaya University, Harar, Ethiopia
Department of Biochemistry, Ministry of Health and Welfare, New Delhi, India
Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran
Department of Gynecology and Obstetrics, Vali-E-Asr Reproductive Health Research Center, Tehran, Iran
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States
Department of Research, Gujarat Adani Institute of Medical Sciences and G.K. General Hospital, Bhuj, India
Chettinad Hospital & Research Institute, Chettinad Academy of Research and Education, Chennai, India
Department of Pharmacy, United International University, Dhaka, Bangladesh
Pharmacology Division, Center for Life Sciences Research Bangladesh, Dhaka, Bangladesh
Division of Pathology, ICAR-Indian Veterinary Research Institute, Bareilly, India
The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States
Department of Gastroenterology, Pontifical Catholic University of Chile, Santiago, Chile
Department of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam
Department of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Viet Nam
Health Science Center, University of Texas, Houston, TX, United States
Department of Medical, Surgical, and Health Sciences, University of Trieste, Trieste, Italy
Cardio-Thoraco-Vascular Department, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
University of Rochester, Rochester, NY, United States
Independent Consultant, South Plainfield, NJ, United States
School of Population Health and Environmental Sciences, Kings College London, London, United Kingdom
Office of Institutional Analysis, University of Windsor, Windsor, ON, Canada
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 Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, United States
Institute for Social Research, University of Michigan, Ann Arbor, MI, United States
Department of Microbiology, University of Medical Sciences, Ondo, Ondo, Nigeria
Department of Public Health and Community Medicine, Tanta University, Tanta city, Egypt
School of Public Health, Texila American University, Guyana, Guyana
Faculty of Medicine, University of Tripoli, Tripoli, Libya
Houston Methodist Hospital, Houston, TX, United States
Healthcare Policy and Financing, Global Health Focus, Khartoum, Sudan
Department of Pediatrics, University of Texas, Dallas, TX, United States
Department of Internal Medicine, Yale University, New Haven, CT, United States
Drexel University Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States
Department of Anesthesia, Cincinnati Childrens Hospital Medical Center, Cincinnati, OH, United States
Department of Biotechnology, University of the Western Cape, Cape Town, South Africa
Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria
Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Ibadan, Nigeria
Department of Oral Biology, Riphah International University, Islamabad, Pakistan
Department of Public Health, University of California San Diego, San Diego, CA, United States
Department of Public Health, San Diego State University, San Diego, CA, United States
Laboratory of Experimental Medicine, Kazakh National Medical University, Almaty, Kazakhstan
National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
Department of Social Medicine and Epidemiology, Guilan University of Medical Sciences, Rasht, Iran
Department of Public Health and Infectious Diseases, City University of Hong Kong, Hong Kong, China
Department of Pharmacy, Wollega University, Nekemte, Ethiopia
Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
Institute of Public Health, Charité Universitätsmedizin Berlin (Charité Medical University Berlin), Berlin, Germany
Department of Community Medicine, Bayero University Kano, Kano, Nigeria
Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
Institute of Health and Wellbeing, Federation University Australia, Churchill, VIC, Australia
Department of General Medicine, Grant Medical College & Sir J.J. Group of Hospitals, Mumbai, India
Department of Medicine, Miami Cancer Institute, Miami, FL, United States
Department of Biostatistics, Xuzhou Medical University, Xuzhou, China
Key Lab of Environment and Health, Xuzhou Medical University, Xuzhou, China
Department of Midwifery, Adigrat University, Adigrat, Ethiopia
Department of Environmental Health, Wollo University, Dessie, Ethiopia
Department of Electrical and Computer Engineering, University of California Davis, Davis, CA, United States
Department of Radiology, University of Southern California, Los Angeles, CA, United States
Obstetrics and Gynecology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, United States
Division of General Internal Medicine, Howard University, Washington, DC, United States
Department of Community and Family Medicine, Howard University, Washington, DC, United States
Department of Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, United States
Department of Dermatology, Yale University, New Haven, CT, United States
Department of Health Systems and Policy Research, Indian Institute of Public Health, Gandhinagar, India
Department of Endocrinology, National Institute of Health, Bethesda, MD, United States
Harrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH, United States
Division of Cardiovascular Medicine, Ohio State University, Columbus, OH, United States
Department of the Health Directorate, Local Health Authority of Bologna, Bologna, Italy
Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
Department of Cardiology, Lehigh Valley Health Network, Allentown, PA, United States
Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, United States
Centre for Noncommunicable Diseases and Nutrition, BRAC University, Dhaka, Bangladesh
Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States
Department of Surgery, Charité Universitätsmedizin Berlin (Charité Medical University Berlin), Berlin, Germany
Clinician Scientist Program, Berlin Institute of Health, Berlin, Germany
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Department of Radiology, Massachusetts General Hospital, Boston, MA, United States
Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
The Warren Alpert Medical School, Brown University, Providence, RI, United States
Department of Zoology and Entomology, Al-Azhar University, Cairo, Egypt
Department of Pharmaceutical Technology, University of Dhaka, Dhaka, Bangladesh
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
Department of Biochemistry and Molecular Biology, Tejgaon College, Dhaka, Bangladesh
Department of Biomedical Engineering and Public Health, World University of Bangladesh, Dhaka, Bangladesh
Department of Ophthalmology, Iran University of Medical Sciences, Tehran, Iran
Department of Pharmacy, Marwadi University, Rajkot, India
Skaane University Hospital, Skaane County Council, Malmö, Sweden
Faculty of Kinesiology, University of New Brunswick, Fredericton, NB, Canada
School of Allied Health, Murdoch University, Murdoch, WA, Australia
Department of Medicine, MedStar Health, Washington, DC, United States
Department of Medicine, Georgetown University, Washington, DC, United States
Graduate School of Medicine, University of Tokyo, Tokyo, Japan
School of Dentistry, Hanoi Medical University, Hanoi, Viet Nam
Department of Pulmonology, Yokohama City University, Yokohama, Japan
National Human Genome Research Institute (NHGRI), National Institutes of Health, Bethesda, MD, United States
School of Computer Science, Duy Tan University, Da Nang, Viet Nam
Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Clinical Legal Medicine, National Institute of Legal Medicine Mina Minovici, Bucharest, Romania
Department of Psychology, Tsinghua University, Beijing, China
Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Department of Finance and Economics, University of Sharjah, Sharjah, United Arab Emirates
Department of Social Sciences and Business, Roskilde University, Roskilde, Denmark
International Master Program for Translational Science, Taipei Medical University, Taipei, Taiwan
Health Policy and Management Department, City University of New York, New York, NY, United States
Collaborative Alliance Research and Education (CARE) Programme, Episcope Research Service, Aberdeen, United Kingdom
School of Pharmacy, BRAC University, Dhaka, Bangladesh
Institute for Physical Activity and Nutrition, Deakin University, Burwood, VIC, Australia
Sydney Medical School, University of Sydney, Sydney, NSW, Australia
Department of Nursing, Aksum University, Aksum, Ethiopia
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 Health and Safety, Dubai Municipality, Dubai, United Arab Emirates
Department of Population Health, New York University, New York, NY, United States
The World Academy of Sciences UNESCO, Trieste, Italy
Shaanxi University of Technology, Hanzhong, China
Department of Environmental Engineering, Islamic Azad University, Ahvaz, Iran
Department of Public Health, Daffodil International University, Dhaka, Bangladesh
Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
Health Informatic Lab, Boston University, Boston, MA, United States
Department of Internal Medicine, GCS Medical College, Hospital & Research Centre, Ahmedabad, India
Department of Neurology, University of Washington, Seattle, WA, United States
Academic Department of Surgery, University of Birmingham, Birmingham, United Kingdom
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States
Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
Office of the Executive Director, Cephas Health Research Initiative Inc, Ibadan, Nigeria
The Hansjörg Wyss Department of Plastic and Reconstructive Surgery, NYU Langone Health, New York, NY, United States
Cleft Lip and Palate Surgery Division, Global Smile Foundation, Norwood, MA, United States
School of Health Professions and Human Services, Hofstra University, Hempstead, NY, United States
Department of Anesthesiology, Montefiore Medical Center, Bronx, NY, United States
Department of Medicine, Jacobi Medical Center, New York, NY, United States
Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, United States
Cardiac Primary Prevention Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Cardiac Electrophysiology, Tehran University of Medical Sciences, Tehran, Iran
Department of Ophthalmology, Harvard University, Boston, MA, United States
Eye Unit, MyungSung Medical College, Addis Ababa, Ethiopia
Research Center of Pediatric Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran
Halal Research Center of the Islamic Republic of Iran (IRI), Iran Food and Drug Administration, Tehran, Iran
Natural and Medical Sciences Research Center, University of Nizwa, Nizwa, Oman
Department of Physical Therapy, King Abdulaziz University, Jeddah, Saudi Arabia
Department of Epidemiology, Non-Communicable Diseases Research Center (NCDRC), Tehran, Iran
College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, United Kingdom
College of Arts and Sciences, Ohio University, Zanesville, OH, United States
Department of Basic Medical Sciences, Yarmouk University, Irbid, Jordan
Department of Environmental Health Sciences, University of California Los Angeles, Los Angeles, CA, United States
Department of Health Policy Management, University of California Los Angeles, Los Angeles, CA, United States
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Internal Medicine, Corewell Health East William Beaumont University Hospital, Royal Oak, MI, United States
Department of Health Management and Economics, Qom University of Medical Sciences, Qom, Iran
Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, United States
Division of Pediatric Hospital Medicine, UH Rainbow Babies and Childrens Hospital, Cleveland, OH, United States
Broad Institute of MIT and Harvard, Cambridge, MA, United States
Massachusetts General Hospital, Boston, MA, United States
Millennium Prevention, Inc., Westwood, MA, United States
School of Health Sciences, Kristiania University College, Oslo, Norway
Department of International Health and Sustainable Development, Tulane University, New Orleans, LA, United States
Department of Global Health, University of Washington, Seattle, WA, United States
Global Healthcare Consulting, New Delhi, India
Copernicus Institute of Sustainable Development, Utrecht University, Utrecht, Netherlands
Department of Anesthesiology, Duke University, Durham, NC, United States
Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA, United States
Department of Mathematics, University of Rajshahi, Rajshahi, Bangladesh
James Cook University, Townsville, QLD, Australia
Atchabarov Scientific-Research Institute of Fundamental and Applied Medicine, Kazakh National Medical University, Almaty, Kazakhstan
Center of Medicine and Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Department of Medicine, Queensland Health, Brisbane, QLD, Australia
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
College of Public Health & Health Informatics, University of Hail, Hail, Saudi Arabia
Geospatial Information Science and Engineering Hub, Indian Institute of Technology, Mumbai, India
Centre for Studies in Economics and Planning, Central University of Gujarat, Gandhinagar, India
School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia
Department of Nutrition and Foo
Institute for Health Metrics and Evaluation
Department of Health Metrics Sciences
Department of Radiation Oncology
Doheny Eye Institute
Department of Mathematics and Sciences
Department of Medicine
Department of Internal Medicine
Department of Family and Community Health
Academic Health System
Department of Biochemistry and Molecular Medicine
College of Graduate Health Sciences
Department of Clinical Medicine
FIU Robert Stempel College of Public Health & Social Work
School of Medicine
Centre for Social Research in Health
Department of Obstetrics and Gynecology
Department of Pharmacology and Therapeutics
Department of Veterinary Medicine
Department of Epidemiology and Biostatistics
Technical Services Directorate
School of Medicine
Department of Geography and Planning
Department of Medical Oncology
Department of Community Medicine and Preventive Health
Urology Department
Department of Pharmacy Practice
Division of Infectious Diseases and Global Public Health (IDGPH)
Institute of Endemic Diseases
Swiss Tropical and Public Health Institute
Brody School of Medicine
Department of Cardiology
Department of Management
Chicago College of Osteopathic Medicine
Feinberg School of Medicine
Department of Communicable Diseases
Middle East
Division of Public Health Sciences
Department of Internal Medicine
Department of Adult Health and Critical Care
Department of Biomedical Informatics
McWilliams School of Biomedical Informatics
School of Medicine
Department of Epidemiology
Department of Research and Development
Clinical Epidemiology Center
Department of Bioengineering
Division of Gastroenterology and Hepatology
Department of Bacteriology
Institute of Health Research
Department of Medical Rehabilitation (Physiotherapy)
Department of Rehabilitation Sciences
Department of Biosciences
Department of Geography
Department of Nuclear Medicine
Department of Diagnostic Radiology and Nuclear Medicine
College of Medicine
Ministry of Health
Department of Medicine
Department of Medicine
Department of Allied Medical Sciences
Institute of Public Health
Department of Emergency Medicine
Pediatric Emergency Medicine Department
Department of Family and Community Medicine
Department of Specialty Internal Medicine
Department of Medicine
Department of Rehabilitation Sciences
Department of Pediatrics
Department of Radiology and Radiological Science
Quran and Hadith Research Center
Department of Pharmacology
All India Institute of Medical Sciences
Rural Health Research Institute
Health Management and Economics Research Center
College of Pharmacy
Department of Applied Mathematics
Health Policy Research Center
College of Art and Science
School of Life Sciences
Neurological Surgery Department
Department of Health Policy Planning and Management
Department of Health Economics
Department of Health Information Management
Department of Surgery
Leeds Institute of Rheumatic and Musculoskeletal Medicine
Consultant
Institute of Biotechnology and Genetic Engineering
Montefiore-Einstein Cerebrovascular Research Lab
Faculty of Medicine
Department of Population Medicine
Department of Orthopedics
Orthopedic Institute for Children
College of Optometry
Department of Neurosurgery
Heidelberg Institute of Global Health (HIGH)
T.H. Chan School of Public Health
Non-communicable Diseases Research Center
Center for Primary Care
School of Public Health
Department of Medical Education
School of Public Health
IT Department
School of Medicine
Non-Communicable Diseases Research Center (NCDRC)
Department of Pediatrics
Department of Pediatric Neurology
Department of Epidemiology and Health Promotion
Department of Epidemiology and Biostatistics
Department of Epidemiology
Hubert Department of Global Health
Department of Global Health
Department of Pharmaceutical and Administrative Sciences
School of Pharmacy
Department of Public Health
Institute of Applied Health Research
Institute of Applied Health Research
Department of Medicine
Department of Internal Medicine
Global Health Neurology Lab
Division of Cerebrovascular Medicine and Neurology
Department of Internal Medicine
Department of Health Administration
Department of Computer Science
Department of Earth
School of Medicine
Department of General Medicine Service
Department of Epidemiology
Cancer Population Sciences Program
School of Population and Public Health
Department of Medical and Surgical Sciences
School of Pharmacy
Department of Basic Biomedical Sciences
School of Public Health Sciences
Al Shifa School of Public Health
Harvard Business School
Department of Health Management (Direzione Sanitaria)
Interdisciplinary Research Center for Health Science
Department of Psychiatry
Department of Nutrition
Mary MacKillop Institute for Health Research
School of Public Health
Cardio-Oncology Research Unit
Temerty Faculty of Medicine
Department of Community Medicine
Department of Biology
Fuwai Hospital
Department of Computer Science
Department of Stomatology
Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration
Division of Cardiovascular Medicine
Division of Infectious Diseases
Division of Plastic Surgery
Department of Medicine
Department of Community Medicine
Department of Paediatric Surgery
Department of Pediatrics
Department of Health Informatics
Health Data Research UK
College of Education and Human Performance
Department of Biostatistics
Nova Medical School
School of Psychology
Department of Child and Adolescent Psychiatry
Department of Family Medicine and Public Health
Department of Diagnostic and Therapeutic Technologies
Institute for Research and Innovation in Health (i3S)
School of Population Health
School of Pharmacy and Charles Perkins Centre
IRCCS Istituto Ortopedico Galeazzi
Department of Dermatology
Department of Brain Sciences
Department of Public Health
Department of Biochemistry
Clinical Sciences Department
Department of Obstetrics and Gynecology
Department of Gynecology and Obstetrics
National Drug and Alcohol Research Centre
Department of Psychiatry
Department of Research
Chettinad Hospital & Research Institute
Department of Pharmacy
Pharmacology Division
Division of Pathology
The Zena and Michael A. Wiener Cardiovascular Institute
Department of Gastroenterology
Department of Medicine
Department of Medicine
Health Science Center
Department of Medical
Cardio-Thoraco-Vascular Department
University of Rochester
Independent Consultant
School of Population Health and Environmental Sciences
Office of Institutional Analysis
Department of Conservative Dentistry with Endodontics
Department of Orthopaedic Surgery
Department of Ophthalmology and Visual Sciences
Institute for Social Research
Department of Microbiology
Department of Public Health and Community Medicine
School of Public Health
Faculty of Medicine
Houston Methodist Hospital
Healthcare Policy and Financing
Department of Pediatrics
Department of Internal Medicine
Drexel University Dornsife School of Public Health
Department of Anesthesia
Department of Biotechnology
Department of Periodontology and Community Dentistry
Department of Periodontology and Community Dentistry
Department of Oral Biology
Department of Public Health
Department of Public Health
Laboratory of Experimental Medicine
National Institute for Stroke and Applied Neurosciences
Department of Social Medicine and Epidemiology
Department of Public Health and Infectious Diseases
Department of Pharmacy
Department of Social Sciences
Institute of Public Health
Department of Community Medicine
Department of Community Medicine
Institute of Health and Wellbeing
Department of General Medicine
Department of Medicine
Department of Biostatistics
Key Lab of Environment and Health
Department of Midwifery
Department of Environmental Health
Department of Electrical and Computer Engineering
Department of Radiology
Obstetrics and Gynecology Department
Departments of Radiology and Neurosurgery
Division of General Internal Medicine
Department of Community and Family Medicine
Department of Cardiac Surgery
Lerner College of Medicine
Department of Dermatology
Department of Health Systems and Policy Research
Department of Endocrinology
Harrington Heart and Vascular Institute
Division of Cardiovascular Medicine
Department of the Health Directorate
Department of Biomedical and Neuromotor Sciences
Department of Cardiology
Department of Epidemiology and Biostatistics
Centre for Noncommunicable Diseases and Nutrition
Department of Medicine
Department of Surgery
Clinician Scientist Program
Faculty of Medicine
Department of Radiology
Obesity Research Center
The Warren Alpert Medical School
Department of Zoology and Entomology
Department of Pharmaceutical Technology
Department of Health Research Methods
Department of Biochemistry and Molecular Biology
Department of Biomedical Engineering and Public Health
Department of Ophthalmology
Department of Pharmacy
Skaane University Hospital
Faculty of Kinesiology
School of Allied Health
Department of Medicine
Department of Medicine
Graduate School of Medicine
School of Dentistry
Department of Pulmonology
National Human Genome Research Institute (NHGRI)
School of Computer Science
Mental Health Research Center
Department of Legal Medicine and Bioethics
Department of Clinical Legal Medicine
Department of Psychology
Faculty of Medicine
Nephrology and Urology Research Center
Department of Finance and Economics
Department of Social Sciences and Business
International Master Program for Translational Science
Health Policy and Management Department
Collaborative Alliance Research and Education (CARE) Programme
School of Pharmacy
Institute for Physical Activity and Nutrition
Sydney Medical School
Department of Nursing
Department of Physical and Medicine
Research and Development Unit
Department of Health and Safety
Department of Population Health
The World Academy of Sciences UNESCO
Shaanxi University of Technology
Department of Environmental Engineering
Department of Public Health
Health System and Population Studies Division
Health Informatic Lab
Department of Internal Medicine
Department of Neurology
Academic Department of Surgery
Russell H. Morgan Department of Radiology and Radiological Science
Faculty of Dentistry
Office of the Executive Director
The Hansjörg Wyss Department of Plastic and Reconstructive Surgery
Cleft Lip and Palate Surgery Division
School of Health Professions and Human Services
Department of Anesthesiology
Department of Medicine
Department of Neurosurgery
Cardiac Primary Prevention Research Center
Department of Cardiac Electrophysiology
Department of Ophthalmology
Eye Unit
Research Center of Pediatric Infectious Diseases
Halal Research Center of the Islamic Republic of Iran (IRI)
Natural and Medical Sciences Research Center
Department of Physical Therapy
Department of Epidemiology
College of Health
College of Arts and Sciences
Department of Basic Medical Sciences
Department of Environmental Health Sciences
Department of Health Policy Management
Sina Trauma and Surgery Research Center
Department of Internal Medicine
Department of Health Management and Economics
Department of Health Economics
Department of Pediatrics
Division of Pediatric Hospital Medicine
Broad Institute of MIT and Harvard
Massachusetts General Hospital
Millennium Prevention
School of Health Sciences
Department of International Health and Sustainable Development
Department of Global Health
Global Healthcare Consulting
Copernicus Institute of Sustainable Development
Department of Anesthesiology
Department of Anesthesiology & Pain Medicine
Department of Mathematics
James Cook University
Atchabarov Scientific-Research Institute of Fundamental and Applied Medicine
Center of Medicine and Public Health
Department of Medicine
Department of Cardiovascular Medicine
College of Public Health & Health Informatics
Geospatial Information Science and Engineering Hub
Centre for Studies in Economics and Planning
School of Medicine and Dentistry
Department of Nutrition and Foo
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