% IMPORTANT: The following is UTF-8 encoded. This means that in the presence % of non-ASCII characters, it will not work with BibTeX 0.99 or older. % Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or % “biber”. @ARTICLE{Collaborators:142115, author = {G. A. Roth and D. Abate and K. H. Abate and S. M. Abay and C. Abbafati and N. Abbasi and H. Abbastabar and F. Abd-Allah and J. Abdela and A. Abdelalim and I. Abdollahpour and R. S. Abdulkader and H. T. Abebe and M. Abebe and Z. Abebe and A. N. Abejie and S. F. Abera and O. Z. Abil and H. N. Abraha and A. R. Abrham and L. J. Abu-Raddad and M. M. K. Accrombessi and D. Acharya and A. A. Adamu and O. M. Adebayo and R. A. Adedoyin and V. Adekanmbi and O. O. Adetokunboh and B. M. Adhena and M. G. Adib and A. Admasie and A. Afshin and G. Agarwal and K. M. Agesa and A. Agrawal and S. Agrawal and A. Ahmadi and M. Ahmadi and M. B. Ahmed and S. Ahmed and A. N. Aichour and I. Aichour and M. T. E. Aichour and M. E. Akbari and R. O. Akinyemi and N. Akseer and Z. Al-Aly and A. Al-Eyadhy and R. M. Al-Raddadi and F. Alahdab and K. Alam and T. Alam and A. Alebel and K. A. Alene and M. Alijanzadeh and R. Alizadeh-Navaei and S. M. Aljunid and A. Alkerwi and F. Alla and P. Allebeck and J. Alonso and K. Altirkawi and N. Alvis-Guzman and A. T. Amare and L. N. Aminde and E. Amini and W. Ammar and Y. A. Amoako and N. H. Anber and C. L. Andrei and S. Androudi and M. D. Animut and M. Anjomshoa and H. Ansari and M. G. Ansha and C. A. T. Antonio and P. Anwari and O. Aremu and J. Ärnlöv and A. Arora and M. Arora and A. Artaman and K. K. Aryal and H. Asayesh and E. T. Asfaw and Z. Ataro and S. Atique and S. R. Atre and M. Ausloos and E. F. G. A. Avokpaho and A. Awasthi and B. P. A. Quintanilla and Y. Ayele and R. Ayer and P. S. Azzopardi and A. Babazadeh and U. Bacha and H. Badali and A. Badawi and A. G. Bali and K. E. Ballesteros and M. Banach and K. Banerjee and M. S. Bannick and J. A. M. Banoub and M. A. Barboza and S. L. Barker-Collo and T. W. Bärnighausen and S. Barquera and L. H. Barrero and Q. Bassat and S. Basu and B. T. Baune and H. W. Baynes and S. Bazargan-Hejazi and N. Bedi and E. Beghi and M. Behzadifar and M. Behzadifar and Y. Béjot and B. B. Bekele and A. B. Belachew and E. Belay and Y. A. Belay and M. L. Bell and A. K. Bello and D. A. Bennett and I. M. Bensenor and A. E. Berman and E. Bernabe and R. S. Bernstein and G. J. Bertolacci and M. Beuran and T. Beyranvand and A. Bhalla and S. Bhattarai and S. Bhaumik and Z. A. Bhutta and B. Biadgo and M. H. Biehl and A. Bijani and B. Bikbov and V. Bilano and N. Bililign and M. S. Bin Sayeed and D. Bisanzio and T. Biswas and B. F. Blacker and B. B. Basara and R. Borschmann and C. Bosetti and K. Bozorgmehr and O. J. Brady and L. C. Brant and C. Brayne and A. Brazinova and N. J. K. Breitborde and H. Brenner$^*$ and P. S. Briant and G. Britton and T. Brugha and R. Busse and Z. A. Butt and C. S. K. H. Callender and I. R. Campos-Nonato and J. C. Campuzano Rincon and J. Cano and M. Car and R. Cárdenas and G. Carreras and J. J. Carrero and A. Carter and F. Carvalho and C. A. Castañeda-Orjuela and J. Castillo Rivas and C. D. Castle and C. Castro and F. Castro and F. Catalá-López and E. Cerin and Y. Chaiah and J.-C. Chang and F. J. Charlson and P. Chaturvedi and P. P. Chiang and O. Chimed-Ochir and V. H. Chisumpa and A. Chitheer and R. Chowdhury and H. Christensen and D. J. Christopher and S.-C. Chung and F. M. Cicuttini and L. G. Ciobanu and M. Cirillo and A. J. Cohen and L. T. Cooper and P. A. Cortesi and M. Cortinovis and E. Cousin and B. C. Cowie and M. H. Criqui and E. A. Cromwell and C. S. Crowe and J. A. Crump and M. Cunningham and A. K. Daba and A. F. Dadi and L. Dandona and R. Dandona and A. K. Dang and P. I. Dargan and A. Daryani and S. K. Das and R. D. Gupta and J. D. Neves and T. T. Dasa and A. P. Dash and A. C. Davis and N. Davis Weaver and D. V. Davitoiu and K. Davletov and F. P. De La Hoz and J.-W. De Neve and M. G. Degefa and L. Degenhardt and T. T. Degfie and S. Deiparine and G. T. Demoz and B. B. Demtsu and E. Denova-Gutiérrez and K. Deribe and N. Dervenis and D. C. Des Jarlais and G. A. Dessie and S. Dey and S. D. Dharmaratne and D. Dicker and M. T. Dinberu and E. L. Ding and M. A. Dirac and S. Djalalinia and K. Dokova and D. T. Doku and C. A. Donnelly and E. R. Dorsey and P. P. Doshi and D. Douwes-Schultz and K. E. Doyle and T. R. Driscoll and M. Dubey and E. Dubljanin and E. E. Duken and B. B. Duncan and A. R. Duraes and H. Ebrahimi and S. Ebrahimpour and D. Edessa and D. Edvardsson and A. E. Eggen and C. El Bcheraoui and M. El Sayed Zaki and Z. El-Khatib and H. Elkout and C. L. Ellingsen and M. Endres and A. Y. Endries and B. Er and H. E. Erskine and B. Eshrati and S. Eskandarieh and R. Esmaeili and A. Esteghamati and M. Fakhar and H. Fakhim and M. Faramarzi and M. Fareed and F. Farhadi and C. S. E. S. Farinha and A. Faro and M. S. Farvid and F. Farzadfar and M. H. Farzaei and V. L. Feigin and A. B. Feigl and N. Fentahun and S.-M. Fereshtehnejad and E. Fernandes and J. C. Fernandes and A. J. Ferrari and G. T. Feyissa and I. Filip and S. Finegold and F. Fischer and C. Fitzmaurice and N. A. Foigt and K. J. Foreman and C. Fornari and T. D. Frank and T. Fukumoto and J. E. Fuller and N. Fullman and T. Fürst and J. M. Furtado and N. D. Futran and S. Gallus and A. L. Garcia-Basteiro and M. A. Garcia-Gordillo and W. M. Gardner and A. K. Gebre and T. T. Gebrehiwot and A. T. Gebremedhin and B. Gebremichael and T. G. Gebremichael and T. F. Gelano and J. M. Geleijnse and R. Genova-Maleras and Y. C. D. Geramo and P. W. Gething and K. E. Gezae and M. R. Ghadami and R. Ghadimi and K. Ghasemi Falavarjani and M. Ghasemi-Kasman and M. Ghimire and K. B. Gibney and P. S. Gill and T. K. Gill and R. F. Gillum and I. A. Ginawi and M. Giroud and G. Giussani and S. Goenka and E. M. Goldberg and S. Goli and H. Gómez-Dantés and P. N. Gona and S. V. Gopalani and T. M. Gorman and A. Goto and A. C. Goulart and E. V. Gnedovskaya and A. Grada and G. Grosso and H. C. Gugnani and A. L. S. Guimaraes and Y. Guo and P. C. Gupta and R. Gupta and R. Gupta and T. Gupta and R. A. Gutiérrez and B. Gyawali and J. A. Haagsma and N. Hafezi-Nejad and T. B. Hagos and T. T. Hailegiyorgis and G. B. Hailu and A. Haj-Mirzaian and A. Haj-Mirzaian and R. R. Hamadeh and S. Hamidi and A. J. Handal and G. J. Hankey and H. L. Harb and S. Harikrishnan and J. M. Haro and M. Hasan and H. Hassankhani and H. Y. Hassen and R. Havmoeller and R. J. Hay and S. I. Hay and Y. He and A. Hedayatizadeh-Omran and M. I. Hegazy and B. Heibati and M. Heidari and D. Hendrie and A. Henok and N. J. Henry and C. Herteliu and F. Heydarpour and P. Heydarpour and S. Heydarpour and D. T. Hibstu and H. W. Hoek and M. K. Hole and E. Homaie Rad and P. Hoogar and H. D. Hosgood and S. M. Hosseini and M. Hosseinzadeh and M. Hostiuc and S. Hostiuc and P. J. Hotez and D. G. Hoy and T. Hsiao and G. Hu and J. J. Huang and A. Husseini and M. M. Hussen and S. Hutfless and B. Idrisov and O. S. Ilesanmi and U. Iqbal and S. S. N. Irvani and C. M. S. Irvine and N. Islam and S. M. S. Islam and F. Islami and K. H. Jacobsen and L. Jahangiry and N. Jahanmehr and S. K. Jain and M. Jakovljevic and M. T. Jalu and S. L. James and M. Javanbakht and A. U. Jayatilleke and P. Jeemon and K. J. Jenkins and R. P. Jha and V. Jha and C. O. Johnson and S. C. Johnson and J. B. Jonas and A. Joshi and J. J. Jozwiak and S. B. Jungari and M. Jürisson and Z. Kabir and R. Kadel and A. Kahsay and R. Kalani and M. Karami and B. Karami Matin and A. Karch and C. Karema and H. Karimi-Sari and A. Kasaeian and D. H. Kassa and G. M. Kassa and T. D. Kassa and N. J. Kassebaum and S. V. Katikireddi and A. Kaul and Z. Kazemi and A. K. Karyani and D. S. Kazi and A. T. Kefale and P. N. Keiyoro and G. R. Kemp and A. P. Kengne and A. Keren and C. N. Kesavachandran and Y. S. Khader and B. Khafaei and M. A. Khafaie and A. Khajavi and N. Khalid and I. A. Khalil and E. A. Khan and M. S. Khan and M. A. Khan and Y.-H. Khang and M. M. Khater and A. T. Khoja and A. Khosravi and M. H. Khosravi and J. Khubchandani and A. A. Kiadaliri and G. D. Kibret and Z. T. Kidanemariam and D. N. Kiirithio and D. Kim and Y.-E. Kim and Y. J. Kim and R. W. Kimokoti and Y. Kinfu and A. Kisa and K. Kissimova-Skarbek and M. Kivimäki and A. K. S. Knudsen and J. M. Kocarnik and S. Kochhar and Y. Kokubo and T. Kolola and J. A. Kopec and P. A. Koul and A. Koyanagi and M. A. Kravchenko and K. Krishan and B. Kuate Defo and B. Kucuk Bicer and G. A. Kumar and M. Kumar and P. Kumar and M. J. Kutz and I. Kuzin and H. H. Kyu and D. P. Lad and S. D. Lad and A. Lafranconi and D. K. Lal and R. Lalloo and T. Lallukka and J. O. Lam and F. H. Lami and V. C. Lansingh and S. Lansky and H. J. Larson and A. Latifi and K. M. Lau and J. V. Lazarus and G. Lebedev and P. H. Lee and J. Leigh and M. Leili and C. T. Leshargie and S. Li and Y. Li and J. Liang and L.-L. Lim and S. S. Lim and M. A. Limenih and S. Linn and S. Liu and Y. Liu and R. Lodha and C. Lonsdale and A. D. Lopez and S. Lorkowski and P. A. Lotufo and R. Lozano and R. Lunevicius and S. Ma and E. R. K. Macarayan and M. T. Mackay and J. H. MacLachlan and E. R. Maddison and F. Madotto and H. Magdy Abd El Razek and M. Magdy Abd El Razek and D. P. Maghavani and M. Majdan and R. Majdzadeh and A. Majeed and R. Malekzadeh and D. C. Malta and A.-L. Manda and L. G. Mandarano-Filho and H. Manguerra and M. A. Mansournia and C. C. Mapoma and D. Marami and J. C. Maravilla and W. Marcenes and L. Marczak and A. Marks and G. B. Marks and G. Martinez and F. R. Martins-Melo and I. Martopullo and W. März and M. B. Marzan and J. R. Masci and B. B. Massenburg and M. R. Mathur and P. Mathur and R. Matzopoulos and P. K. Maulik and M. Mazidi and C. McAlinden and J. J. McGrath and M. McKee and B. J. McMahon and S. Mehata and M. M. Mehndiratta and R. Mehrotra and K. M. Mehta and V. Mehta and T. C. Mekonnen and A. Melese and M. Melku and P. T. N. Memiah and Z. A. Memish and W. Mendoza and D. T. Mengistu and G. Mengistu and G. A. Mensah and S. T. Mereta and A. Meretoja and T. J. Meretoja and T. Mestrovic and H. B. Mezgebe and B. Miazgowski and T. Miazgowski and A. I. Millear and T. R. Miller and M. K. Miller-Petrie and G. K. Mini and P. Mirabi and M. Mirarefin and A. Mirica and E. M. Mirrakhimov and A. T. Misganaw and H. Mitiku and B. Moazen and K. A. Mohammad and M. Mohammadi and N. Mohammadifard and M. A. Mohammed and S. Mohammed and V. Mohan and A. H. Mokdad and M. Molokhia and L. Monasta and G. Moradi and M. Moradi-Lakeh and M. Moradinazar and P. Moraga and L. Morawska and I. Moreno Velásquez and J. Morgado-Da-Costa and S. D. Morrison and M. M. Moschos and S. Mouodi and S. M. Mousavi and K. F. Muchie and U. O. Mueller and S. Mukhopadhyay and K. Muller and J. E. Mumford and J. Musa and K. I. Musa and G. Mustafa and S. Muthupandian and J. B. Nachega and G. Nagel and A. Naheed and A. Nahvijou and G. Naik and S. Nair and F. Najafi and L. Naldi and H. S. Nam and V. Nangia and J. R. Nansseu and B. R. Nascimento and G. Natarajan and N. Neamati and I. Negoi and R. I. Negoi and S. Neupane and C. R. J. Newton and F. N. Ngalesoni and J. W. Ngunjiri and A. Q. Nguyen and G. Nguyen and H. T. Nguyen and H. T. Nguyen and L. H. Nguyen and M. Nguyen and T. H. Nguyen and E. Nichols and D. N. A. Ningrum and Y. L. Nirayo and M. R. Nixon and N. Nolutshungu and S. Nomura and O. F. Norheim and M. Noroozi and B. Norrving and J. J. Noubiap and H. R. Nouri and M. Nourollahpour Shiadeh and M. R. Nowroozi and P. S. Nyasulu and C. M. Odell and R. Ofori-Asenso and F. A. Ogbo and I.-H. Oh and O. Oladimeji and A. T. Olagunju and P. R. Olivares and H. E. Olsen and B. O. Olusanya and J. O. Olusanya and K. L. Ong and S. K. S. Ong and E. Oren and H. M. Orpana and A. Ortiz and J. R. Ortiz and S. S. Otstavnov and S. Øverland and M. O. Owolabi and R. Özdemir and M. P A and R. Pacella and S. Pakhale and A. P. Pakhare and A. H. Pakpour and A. Pana and S. Panda-Jonas and J. D. Pandian and A. Parisi and E.-K. Park and C. D. H. Parry and H. Parsian and S. Patel and S. Pati and G. C. Patton and V. R. Paturi and K. R. Paulson and A. Pereira and D. M. Pereira and N. Perico and K. Pesudovs and M. Petzold and M. R. Phillips and F. B. Piel and D. M. Pigott and J. D. Pillay and M. Pirsaheb and F. Pishgar and S. Polinder and M. J. Postma and A. Pourshams and H. Poustchi and A. Pujar and S. Prakash and N. Prasad and C. A. Purcell and M. Qorbani and H. Quintana and D. A. Quistberg and K. W. Rade and A. Radfar and A. Rafay and A. Rafiei and F. Rahim and K. Rahimi and A. Rahimi-Movaghar and M. Rahman and M. H. U. Rahman and M. A. Rahman and R. K. Rai and S. Rajsic and U. Ram and C. L. Ranabhat and P. Ranjan and P. C. Rao and D. L. Rawaf and S. Rawaf and C. Razo-García and K. S. Reddy and R. C. Reiner and M. B. Reitsma and G. Remuzzi and A. M. N. Renzaho and S. Resnikoff and S. Rezaei and S. Rezaeian and M. S. Rezai and S. M. Riahi and A. L. P. Ribeiro and M. J. Rios-Blancas and K. T. Roba and N. L. S. Roberts and S. R. Robinson and L. Roever and L. Ronfani and G. Roshandel and A. Rostami and D. Rothenbacher and A. Roy and E. Rubagotti and P. S. Sachdev and B. Saddik and E. Sadeghi and H. Safari and M. Safdarian and S. Safi and S. Safiri and R. Sagar and A. Sahebkar and M. A. Sahraian and N. Salam and J. S. Salama and P. Salamati and R. D. F. Saldanha and Z. Saleem and Y. Salimi and S. S. Salvi and I. Salz and E. Z. Sambala and A. M. Samy and J. Sanabria and M. D. Sanchez-Niño and D. F. Santomauro and I. S. Santos and J. V. Santos and M. M. S. Milicevic and B. P. Sao Jose and A. R. Sarker and R. Sarmiento-Suárez and N. Sarrafzadegan and B. Sartorius and S. Sarvi and B. Sathian and M. Satpathy and A. R. Sawant and M. Sawhney and S. Saxena and M. Sayyah and E. Schaeffner and M. I. Schmidt and I. J. C. Schneider and B. Schöttker$^*$ and A. E. Schutte and D. C. Schwebel and F. Schwendicke and J. G. Scott and M. Sekerija and S. G. Sepanlou and E. Serván-Mori and S. Seyedmousavi and H. Shabaninejad and K. A. Shackelford and A. Shafieesabet and M. Shahbazi and A. A. Shaheen and M. A. Shaikh and M. Shams-Beyranvand and M. Shamsi and M. Shamsizadeh and K. Sharafi and M. Sharif and M. Sharif-Alhoseini and R. Sharma and J. She and A. Sheikh and P. Shi and M. S. Shiferaw and M. Shigematsu and R. Shiri and R. Shirkoohi and I. Shiue and F. Shokraneh and M. G. Shrime and S. Si and S. Siabani and T. J. Siddiqi and I. D. Sigfusdottir and R. Sigurvinsdottir and D. H. Silberberg and D. A. S. Silva and J. P. Silva and N. T. D. Silva and D. G. A. Silveira and J. A. Singh and N. P. Singh and P. K. Singh and V. Singh and D. N. Sinha and K. Sliwa and M. Smith and B. H. Sobaih and S. Sobhani and E. Sobngwi and S. S. Soneji and M. Soofi and R. J. D. Sorensen and J. B. Soriano and I. N. Soyiri and L. A. Sposato and C. T. Sreeramareddy and V. Srinivasan and J. D. Stanaway and V. I. Starodubov and V. Stathopoulou and D. J. Stein and C. Steiner and L. G. Stewart and M. A. Stokes and M. L. Subart and A. Sudaryanto and M. B. Sufiyan and P. J. Sur and I. Sutradhar and B. L. Sykes and P. N. Sylaja and D. O. Sylte and C. E. I. Szoeke and R. Tabarés-Seisdedos and T. Tabuchi and S. K. Tadakamadla and K. Takahashi and N. Tandon and S. G. Tassew and N. Taveira and A. Tehrani-Banihashemi and T. G. Tekalign and M. G. Tekle and M.-H. Temsah and O. Temsah and A. S. Terkawi and M. Y. Teshale and B. Tessema and G. A. Tessema and K. R. Thankappan and S. Thirunavukkarasu and N. Thomas and A. G. Thrift and G. D. Thurston and B. Tilahun and Q. G. To and R. Tobe-Gai and M. Tonelli and R. Topor-Madry and A. E. Torre and M. Tortajada-Girbés and M. Touvier and M. R. Tovani-Palone and B. X. Tran and K. B. Tran and S. Tripathi and C. E. Troeger and T. C. Truelsen and N. T. Truong and A. G. Tsadik and D. Tsoi and L. Tudor Car and E. M. Tuzcu and S. Tyrovolas and K. N. Ukwaja and I. Ullah and E. A. Undurraga and R. L. Updike and M. S. Usman and O. A. Uthman and S. B. Uzun and M. Vaduganathan and A. Vaezi and G. Vaidya and P. R. Valdez and E. Varavikova and T. J. Vasankari and N. Venketasubramanian and S. Villafaina and F. S. Violante and S. K. Vladimirov and V. Vlassov and S. E. Vollset and T. Vos and G. R. Wagner and F. S. Wagnew and Y. Waheed and M. T. Wallin and J. L. Walson and Y. Wang and Y.-P. Wang and M. M. Wassie and E. Weiderpass and R. G. Weintraub and F. Weldegebreal and K. G. Weldegwergs and A. Werdecker and A. A. Werkneh and T. E. West and R. Westerman and H. A. Whiteford and J. Widecka and L. B. Wilner and S. Wilson and A. S. Winkler and C. S. Wiysonge and C. D. A. Wolfe and S. Wu and Y.-C. Wu and G. M. A. Wyper and D. Xavier and G. Xu and S. Yadgir and A. Yadollahpour and S. H. Yahyazadeh Jabbari and B. Yakob and L. L. Yan and Y. Yano and M. Yaseri and Y. J. Yasin and G. K. Yentür and A. Yeshaneh and E. M. Yimer and P. Yip and B. D. Yirsaw and E. Yisma and N. Yonemoto and G. Yonga and S.-J. Yoon and M. Yotebieng and M. Z. Younis and M. Yousefifard and C. Yu and V. Zadnik and Z. Zaidi and S. B. Zaman and M. Zamani and Z. Zare and A. J. Zeleke and Z. M. Zenebe and A. L. Zhang and K. Zhang and M. Zhou and S. Zodpey and L. J. Zuhlke and M. Naghavi and C. J. L. Murray}, collaboration = {GBD 2017 Causes of {Death Collaborators}}, title = {{G}lobal, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the {G}lobal {B}urden of {D}isease {S}tudy 2017.}, journal = {The lancet}, volume = {392}, number = {10159}, issn = {0140-6736}, address = {London [u.a.]}, publisher = {Elsevier}, reportid = {DKFZ-2018-02345}, pages = {1736 - 1788}, year = {2018}, abstract = {Global development goals increasingly rely on country-specific estimates for benchmarking a nation's progress. To meet this need, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 estimated global, regional, national, and, for selected locations, subnational cause-specific mortality beginning in the year 1980. Here we report an update to that study, making use of newly available data and improved methods. GBD 2017 provides a comprehensive assessment of cause-specific mortality for 282 causes in 195 countries and territories from 1980 to 2017.The causes of death database is composed of vital registration (VR), verbal autopsy (VA), registry, survey, police, and surveillance data. GBD 2017 added ten VA studies, 127 country-years of VR data, 502 cancer-registry country-years, and an additional surveillance country-year. Expansions of the GBD cause of death hierarchy resulted in 18 additional causes estimated for GBD 2017. Newly available data led to subnational estimates for five additional countries-Ethiopia, Iran, New Zealand, Norway, and Russia. Deaths assigned International Classification of Diseases (ICD) codes for non-specific, implausible, or intermediate causes of death were reassigned to underlying causes by redistribution algorithms that were incorporated into uncertainty estimation. We used statistical modelling tools developed for GBD, including the Cause of Death Ensemble model (CODEm), to generate cause fractions and cause-specific death rates for each location, year, age, and sex. Instead of using UN estimates as in previous versions, GBD 2017 independently estimated population size and fertility rate for all locations. Years of life lost (YLLs) were then calculated as the sum of each death multiplied by the standard life expectancy at each age. All rates reported here are age-standardised.At the broadest grouping of causes of death (Level 1), non-communicable diseases (NCDs) comprised the greatest fraction of deaths, contributing to $73·4\%$ $(95\%$ uncertainty interval [UI] 72·5-74·1) of total deaths in 2017, while communicable, maternal, neonatal, and nutritional (CMNN) causes accounted for $18·6\%$ (17·9-19·6), and injuries $8·0\%$ (7·7-8·2). Total numbers of deaths from NCD causes increased from 2007 to 2017 by $22·7\%$ (21·5-23·9), representing an additional 7·61 million (7·20-8·01) deaths estimated in 2017 versus 2007. The death rate from NCDs decreased globally by $7·9\%$ (7·0-8·8). The number of deaths for CMNN causes decreased by $22·2\%$ (20·0-24·0) and the death rate by $31·8\%$ (30·1-33·3). Total deaths from injuries increased by $2·3\%$ (0·5-4·0) between 2007 and 2017, and the death rate from injuries decreased by $13·7\%$ (12·2-15·1) to 57·9 deaths (55·9-59·2) per 100 000 in 2017. Deaths from substance use disorders also increased, rising from 284 000 deaths (268 000-289 000) globally in 2007 to 352 000 (334 000-363 000) in 2017. Between 2007 and 2017, total deaths from conflict and terrorism increased by $118·0\%$ (88·8-148·6). A greater reduction in total deaths and death rates was observed for some CMNN causes among children younger than 5 years than for older adults, such as a $36·4\%$ (32·2-40·6) reduction in deaths from lower respiratory infections for children younger than 5 years compared with a $33·6\%$ (31·2-36·1) increase in adults older than 70 years. Globally, the number of deaths was greater for men than for women at most ages in 2017, except at ages older than 85 years. Trends in global YLLs reflect an epidemiological transition, with decreases in total YLLs from enteric infections, respiratory infections and tuberculosis, and maternal and neonatal disorders between 1990 and 2017; these were generally greater in magnitude at the lowest levels of the Socio-demographic Index (SDI). At the same time, there were large increases in YLLs from neoplasms and cardiovascular diseases. YLL rates decreased across the five leading Level 2 causes in all SDI quintiles. The leading causes of YLLs in 1990-neonatal disorders, lower respiratory infections, and diarrhoeal diseases-were ranked second, fourth, and fifth, in 2017. Meanwhile, estimated YLLs increased for ischaemic heart disease (ranked first in 2017) and stroke (ranked third), even though YLL rates decreased. Population growth contributed to increased total deaths across the 20 leading Level 2 causes of mortality between 2007 and 2017. Decreases in the cause-specific mortality rate reduced the effect of population growth for all but three causes: substance use disorders, neurological disorders, and skin and subcutaneous diseases.Improvements in global health have been unevenly distributed among populations. Deaths due to injuries, substance use disorders, armed conflict and terrorism, neoplasms, and cardiovascular disease are expanding threats to global health. For causes of death such as lower respiratory and enteric infections, more rapid progress occurred for children than for the oldest adults, and there is continuing disparity in mortality rates by sex across age groups. Reductions in the death rate of some common diseases are themselves slowing or have ceased, primarily for NCDs, and the death rate for selected causes has increased in the past decade.Bill $\&$ Melinda Gates Foundation.}, cin = {C070 / G110}, ddc = {610}, cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)G110-20160331}, pnm = {313 - Cancer risk factors and prevention (POF3-313)}, pid = {G:(DE-HGF)POF3-313}, typ = {PUB:(DE-HGF)16}, pubmed = {pmid:30496103}, pmc = {pmc:PMC6227606}, doi = {10.1016/S0140-6736(18)32203-7}, url = {https://inrepo02.dkfz.de/record/142115}, }