Global health assignment

1. GERMANY
GROUP 6
PRESENTER: HASSAN ALIBRAHIM

2. QUESTIONS:
1. What is the burden of disease due to diabetes
in your assigned country. (GERMANY)
2. Describe the prevalence of obesity, diabetes
and overweight with their risk factors in your
assigned country. (GERMANY)

3. DIABETES
Diabetes is a chronic disease that occurs either when the
pancreas does not produce enough insulin or when the
body cannot effectively use the insulin it produces.
Insulin is a hormone that regulates blood sugar

4. WHAT ARE COMMON
CONSEQUENCES OF DIABETES?
Diabetes increases the risk of heart disease and stroke.
In a multinational study, 50% of people with diabetes die
of cardiovascular disease.
Combined with reduced blood flow, neuropathy (nerve
damage) in the feet increases the chance of foot ulcers,
infection and eventual need for limb amputation.
Diabetes is among the leading causes of kidney failure.

5. CONT…
Diabetic retinopathy is an important cause of blindness, and
occurs as a result of long-term accumulated damage to the
small blood vessels in the retina. One percent of global
blindness can be attributed to diabetes.
The overall risk of dying among people with diabetes is at
least double the risk of their peers without diabetes.

6. IN GERMANY
In diabetic patients:
10% of Cardiovascular disease, including coronary heart
diseases.
1-8% myocardial infarctions
6.7% stroke
8% nephropathy
15% micro-albuminuria, which may lead to nephropathy

7. CONT…
Diabetic foot is relatively easy and inexpensive to prevent
with frequent checks and foot care. Peripheral arterial
occlusive disease is the initial stage of foot disease, affecting
up to 10% of diabetic patients resulting in ulcers and
wounds ( amputation of toes or all or part of a foot 0.2-0.3%
of all cases).
The literature suggests that diabetic retinopathy affects 10-
28.7% of patients, while blindness develops in 0.5- 3.7% of
diabetic patients

8. HEALTHCARE EXPENDITURES
Based on the above, and being mindful of the
close association between diabetes and other –
often related- co-morbidities, the study estimates
that in 2010, the direct cost burden of people with
diabetes was highest in Germany, in part due to
the greater diabetes population, at €43.2 billion.

9. DALY
A total of 23.9 million healthy years of life were lost due to
disease and injury in Germany in 2010*.
10% 49192.7 years
20% 510249.6 years
disability-adjusted life year

10. Describe the prevalence of obesity, diabetes and overweight
with their risk factors in your assigned country. (GERMANY)
Second question

11. OBESITY AND
OVERWEIGHT

13. DIABETES
7,4 million adult citizens have diabetes, i.e., 12% of the total
population
This situation will deteriorate in the future, with an estimated 8
million adult citizens with diabetes in 2030
54.579 German citizens die from diabetes every year. This is
about 6 citizens every hour.
Type 2 diabetes, accounting for 80-90% of all diabetes in
Germany, decreases life expectancy by 5-10 years
According to the WHO, diabetes is the 4th leading cause of
death in Europe

14. RISK FACTORS:
1. Age
2. Diabetes in the family
3. Physical activity
4. Overweight
5. Diet

15. REFERENCES
http://www.who.int/mediacentre/factsheets/fs312/en/
http://www.lse.ac.uk/LSEHealthAndSocialCare/research/LSE
Health/MTRG/LSEDiabetesReport26Jan2012.pdf
http://www.healthdata.org/sites/default/files/files/country_pro
files/GBD/ihme_gbd_country_report_germany.pdf