A new study published in The Lancet Neurology journal has revealed that more than three billion individuals globally were living with a neurological condition in 2021.
The study mentioned by the World Health Organisation (WHO) listed ten conditions with the highest age-standardised Disability-Adjusted Life Years (DALYs) in 2021 to include stroke, neonatal encephalopathy, migraine, Alzheimer’s disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.
WHO in its statement said it contributed to the analysis of the Global Burden of Disease, injuries, and Risk Factor Study (GBD) 2021 data and that neurological conditions are now the leading cause of ill health and disability worldwide, adding that the overall amount of disability, illness and premature death caused by neurological conditions has increased by 18 per cent since 1990.
It noted that over 80 per cent of neurological deaths and health loss occur in low- and middle-income countries, and access to treatment varies widely with high-income countries having up to 70 times more neurological professionals per 100,000 people than low- and middle-income countries.
WHO Director-General, Dr Tedros Ghebreyesus, noted that neurological conditions cause great suffering to the individuals and families they affect, and rob communities and economies of human capital.
“This study should serve as an urgent call to action to scale up targeted interventions to allow the growing number of people living with neurological conditions to access the quality care, treatment and rehabilitation they need. It is more important than ever to ensure brain health is better understood, valued and protected, from early childhood to later life,” he stated.
The report further revealed that since 1990, the absolute number of individuals living with, or dying from, neurological conditions has increased, while age-standardised DALY rates have dropped.
The statement further read: “Diabetic neuropathy was the fastest growing neurological condition. The number of people with diabetic neuropathy has more than tripled globally since 1990, rising to 206 million cases in 2021. This increase is in line with the worldwide increase in diabetes. Other conditions such as neurological complications from COVID-19 (for example, cognitive impairment and Guillain-Barré syndrome) did previously not exist and now account for over 23 million cases.
“At the same time, neurological burden and health loss due to other conditions decreased by 25% or more since 1990 as a result of improved prevention (including vaccines), care and research: tetanus, rabies, meningitis, neural tube defects, stroke, neurocysticercosis (parasitic infection that affects the central nervous system), encephalitis (inflammation of the brain), and neonatal encephalopathy (brain injury).
“The study also examined 20 modifiable risk factors for potentially preventable neurological conditions such as stroke, dementia and idiopathic intellectual disability.”
“Eliminating key risk factors – most importantly, high systolic blood pressure and ambient and household air pollution – could prevent up to 84 per cent of stroke DALYs. Similarly, preventing exposure to lead could reduce the burden of idiopathic intellectual disability by 63.1 per cent, and reducing high fasting plasma glucose levels could reduce the burden of dementia by 14.6per cent. Smoking significantly contributed to stroke, dementia and multiple sclerosis risk.”
