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Objective: To analyze the death characteristics of residents in Shannan City, Tibet autonomous region in 2021 for understanding the causes of death and the sequence of causes of death, and provide a basis for formulating re-levant prevention and control strategies. Methods: Indicators of mortality rate, standardized mortality rate, years of life lost (YLL), probability of premature death, and life expectancy to reflect causes of death were analyzed in Shannan City in 2021. Results: In 2021, the total mortality rate of residents in Shannan City was 500.3/100 000 (standardized rate 1060.9/100,000); the male mortality rate was 539.2/100 000 (standardized rate 1 282.5/100, 000); the female mortality rate was 462.5/100 000 (standardized rate 889.5/100 000). The mortality rate of males was higher than that of females. The total mortality YLL was 35 998.8, among which there was 20 827.0 for males and 15171.8 for females. The top five causes of death among residents were cerebrovascular disease, heart disease, malignant tumor, respiratory system disease, and infectious disease, accounting for 71.7% of the reported deaths. Chronic non-communicable diseases accounted for 68.4% of all deaths. The probability of premature death from the four main chronic diseases was 17.5%, among which there was 21.9% for men and 13.5% for women. The life expectancy of residents in Shannan was 75.3 years, 72.9 years for men and 77.7 years for women. Conclusions: The probability of premature death among Shannan city residents for four major categories of chronic diseases is higher than the national level, and the four major categories of chronic diseases are still the main causes of death in Shannan City residents. Reducing premature death and YLL from chronic diseases is the main goal of preventing and controlling chronic diseases.

Objective To provide a comprehensive overview of poisoning mortality patterns in China. Methods Using mortality data from the Chinese national disease surveillance points system, we examined trends in poisoning mortality by intent and substance from 2006 to 2016. Differences overtime between urban and rural residents among different age groups and across external causes of poisoning were quantified using negative binomial models for males and females separately. Results In 2016, there were 4936 poisoning deaths in a sample of 84060559 people (5.9 per 100000 people; 95% confidence interval; 5.6-6.2). Age-adjusted poisoning mortality dropped from 9.2 to 5.4 per 100000 people between 2006 and 2016. Males, rural residents and older adults consistently had higher poisoning mortality than females, urban residents and children or young adults. Most pesticide-related deaths (34 996 out of 39 813) were suicides among persons older than 15 years, although such suicides decreased between 2006 and 2016 (from 6.1 per 100000 people to 3.6 for males and from 5.8 to 3.0 for females). In 2016, alcohol caused 29.3% (600/2050) of unintentional poisoning deaths in men aged 25-64 years. During the study period, unintentional fatal drug poisoning by narcotics and psychodysleptics in individuals aged 25-44 years increased from 0.4 per 100 000 people to 0.7 for males and from 0.05 to 0.13 for females. Conclusion Despite substantial decreases in mortality, poisoning is still a public health threat in China. This warrants further research to explore causative factors and to develop and implement interventions targeting at-risk populations. Objectif Offrir un apercu detaille des schemas de mortalite par empoisonnement en Chine. Methodes A partir de donnees sur la mortalite provenant du systeme national chinois a points pour la surveillance des maladies, nous avons examine les tendances de la mortalite par empoisonnement, suivant les intentions et les substances, de 2006 a 2016. Les differences au fil du temps entre residents urbains et ruraux, de differentes tranches d'age et pour differentes causes externes d'empoisonnement, ont ete quantifiees a l'aide de modeles binomiaux negatifs, en separant les hommes et les femmes. Resultats En 2016, on a compte 4936 empoisonnements mortels sur un echantillon de 84 060 559 personnes (5,9 pour 100 000 habitants; interval le de confiance de 95%: 5,6-6,2). La mortalite par empoisonnement ajustee en fonction de l'age est passee de 9,2 a 5,4 pour 100 000 habitants entre 2006 et 2016. Les hommes, les residents ruraux et les adultes les plus ages affichaient systematiquement une mortalite par empoisonnement superieure a celle des femmes, des residents urbains et des enfants ou jeunes adultes. La plupart des deces dus a des pesticides (34 996 sur 39 813) etaient des suicides de personnes de plus de 15 ans, bien que ce type de suicides ait diminue entre 2006 et 2016 (passant de 6,1 a 3,6 pour 100 000 habitants chez les hommes et de 5,8 a 3,0 chez les femmes). En 2016, l'alcool a cause 29,3% (600/2050) des empoisonnements mortels involontaires chez les hommes de 25 a 64 ans. Durant la periode etudiee, les empoisonnements mortels involontaires dus a des narcotiques et des psychodysleptiques chez les personnes agees de 25 a 44 ans sont passes de 0,4 a 0,7 pour 100 000 habitants chez les hommes et de 0,05 a 0,13 chez les femmes. Conclusion En depit de fortes baisses de la mortalite, les empoisonnements restent une menace pour la sante publique en Chine. Cela justifie de mener des recherches plus poussees afin detudier les facteurs qui en sont a l'origine et d'elaborer puis de deployer des interventions axees sur les populations a risque. Objetivo Ofrecer una vision general integradora de los patrones de mortalidad por intoxicacion en China. Metodos Utilizando datos de mortalidad del sistema nacional chino de puntos de vigilancia de enfermedades, examinamos las tendencias en la mortalidad por intoxicacion con intencion y fundamento de 2006 a 2016. Se cuantificaron las diferencias en el tiempo entre los residentes urbanos y rurales para diferentes grupos por edades y considerando causas externas de intoxicacion, utilizando modelos binomiales negativos para hombres y mujeres de forma independiente. Resultados En 2016, hubo 4936 muertes por intoxicacion en una muestra de 84060559 personas (5,9 por cada 100000 personas; intervalo de confianza del 95%; 5,6-6,2). La mortalidad por intoxicacion ajustada por edades disminuyo de 9,2 a 5,4 por cada 100 000 personas entre 2006 y 2016. Los hombres, los habitantes de zonas rurales y los adultos mayores tuvieron una mortalidad superior por intoxicacion comparado con las mujeres, los habitantes de zonas urbanas y los ninos o adultos jovenes. La mayoria de las muertes relacionadas con pesticidas (34996 de 39 813) fueron suicidios entre personas mayores de 15 anos, aunque estos suicidios disminuyeron entre 2006y 2016 (de 6,1 por cada 100 000 personas a 3,6 en los hombres y de 5,8 a 3,0 en las mujeres). En 2016, el alcohol provoco el 29,3% (600/2050) de las muertes por intoxicacion no intencionadas en hombres entre las edades de 25 y 64 anos. Durante el periodo de estudio, la intoxicacion fatal con farmacos no Intencionada por narcoticos y psicodislepticos en individuos entre las edades de 25 y 44 anos aumento de 0,4 por cada 100 000 personas a 0,7 en los hombres y de 0,05 a 0,13 en las mujeres. Conclusion A pesar de la disminucion sustancial en la mortalidad, la intoxicacion sigue siendo una amenaza para la salud publica en China. Esto justifica mas investigaciones para explorar factores causales y desarrollar e implementar intervenciones orientadas a las poblaciones en riesgo., [phrase omitted] Introduction According to the Global Burden of Disease 2015 update, approximately 86 353 people died from unintentional poisonings worldwide in 2015, with 78 054 (90%) deaths occurring in [...]