Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016 : a systematic analysis for the Global Burden of Disease Study 2016

Background The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of risk factor exposure and attributable burden of disease. By providing estimates over a long time series, this study can monitor risk exposure trends critical to health surveillance and inform policy debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2016. This study included 481 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk (RR) and exposure estimates from 22 717 randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources, according to the GBD 2016 source counting methods. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. Finally, we explored four drivers of trends in attributable burden: population growth, population ageing, trends in risk exposure, and all other factors combined. Findings Since 1990, exposure increased significantly for 30 risks, did not change significantly for four risks, and decreased significantly for 31 risks. Among risks that are leading causes of burden of disease, child growth failure and household air pollution showed the most significant declines, while metabolic risks, such as body-mass index and high fasting plasma glucose, showed significant increases. In 2016, at Level 3 of the hierarchy, the three leading risk factors in terms of attributable DALYs at the global level for men were smoking (124.1 million DALYs [95% UI 111.2 million to 137.0 million]), high systolic blood pressure (122.2 million DALYs [110.3 million to 133.3 million], and low birthweight and short gestation (83.0 million DALYs [78.3 million to 87.7 million]), and for women, were high systolic blood pressure (89.9 million DALYs [80.9 million to 98.2 million]), high body-mass index (64.8 million DALYs [44.4 million to 87.6 million]), and high fasting plasma glucose (63.8 million DALYs [53.2 million to 76.3 million]). In 2016 in 113 countries, the leading risk factor in terms of attributable DALYs was a metabolic risk factor. Smoking remained among the leading five risk factors for DALYs for 109 countries, while low birthweight and short gestation was the leading risk factor for DALYs in 38 countries, particularly in sub-Saharan Africa and South Asia. In terms of important drivers of change in trends of burden attributable to risk factors, between 2006 and 2016 exposure to risks explains an 9.3% (6.9-11.6) decline in deaths and a 10.8% (8.3-13.1) decrease in DALYs at the global level, while population ageing accounts for 14.9% (12.7-17.5) of deaths and 6.2% (3.9-8.7) of DALYs, and population growth for 12.4% (10.1-14.9) of deaths and 12.4% (10.1-14.9) of DALYs. The largest contribution of trends in risk exposure to disease burden is seen between ages 1 year and 4 years, where a decline of 27.3% (24.9-29.7) of the change in DALYs between 2006 and 2016 can be attributed to declines in exposure to risks. Interpretation Increasingly detailed understanding of the trends in risk exposure and the RRs for each risk-outcome pair provide insights into both the magnitude of health loss attributable to risks and how modification of risk exposure has contributed to health trends. Metabolic risks warrant particular policy attention, due to their large contribution to global disease burden, increasing trends, and variable patterns across countries at the same level of development. GBD 2016 findings show that, while it has huge potential to improve health, risk modification has played a relatively small part in the past decade. Copyright (C) The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

Date Palm Nanofibres and Composites

International audienceOver the last decades, the development of renewable resources of fibres was intensified, which amplified the market request of such a raw material. This is due to three potential advantages associated with these natural substances, namely: very cheap, bio-renewable and their availability in large quantities with various varieties forms. This chapter is devoted to the discussion of the potential valorization of the date palm waste to prepare fibres and nanofibres. This agricultural waste has lately noticed considerable attention, as an important source to produce cellulosic fibres, especially in forest-poor regions. The morphologies features, the chemical composition of date palm and their comparison with different lignocellulosic fibres sources are described. Then, the delignification methods and characterization of fibres from date palm are also presented. Finally, the preparation of nanocellulose (Cellulose nanocrystals (CNCs) and cellulose nanofibres (CNF)) and their use as nanofibre-reinforced nanocomposite materials will be detailed and discussed

Algae and Cyanobacteria as Biocontrol Agents of Fungal Plant Pathogens

none2noAbstract: Since long time, algae are used in agriculture as soil amendment for their beneficial effects on plant health and productivity. In fact, algae contain several molecules such as plant growth hormones (cytokinins, auxins, abscisic and gibberellic acid), polysaccharides, betaines and micronutrients. The research on algae, their compounds and their effects on plants have started in the middle 1950s and brought to the formulations of liquid products containing extracts with compounds readily available for plants. The algae extracts, besides having effects on plant growth, have demonstrated to improve plant resistance to both abiotic and biotic stresses. Among biotic stresses, algae showed antifungal activity against different pathogens especially of horticultural plants. From the middle of last century, plant management has always been dependent from the market demand that required growing quantity of ‘perfect’ fruits and vegetables over the year. In this scenario, the chemical industry of fertilizers and pesticides developed new products that have been used for years. In particular, pesticides have represented the base of the management of fungal plant pathogens. During the last decades, the use of both pesticides and chemical fertilizers has represented a serious risk for human health and brought disorder of ecosystem equilibrium. Consequently, algae for their biostimulant and antifungal effects may be considered useful tools to reduce the input of chemicals in integrated pest management strategies. In line with these strategies, the European Regulation EC 1107/2009, concerning the placing of plant protection products on the market and repealing Council Directives 79/117/ EEC and 91/414/EEC, recommends that priority should be given to non-chemical and natural alternatives wherever possible.mixedHillary Righini; Roberta RobertiHillary Righini; Roberta Robert