Kerala is the healthiest state of India while ‘Life Expectancy’ low in Uttar Pradesh

New Delhi, November 15: Kerala always stands out with its achievements, this time Kerala stood as the India’s healthiest state followed by Assam, according to the report published in the medical journal Lancet. The report was prepared under the Disease Burden Initiative, a joint project between the Indian Council of Medical Research, Public Health Foundation of India, and Institute for Health Metrics and Evaluation (IHME), in collaboration with the Ministry of Health and Family Welfare.

The Lancet study, which is India’s latest and most comprehensive health report card, says that life expectancy at birth has improved from 59.7 years in 1990 to 70.3 years in 2016 for females, and from 58.3 years to 66.9 years for males.

However, deaths due to non-communicable diseases are among the glaring findings of the India State-Level Disease Burden Initiative report published in the medical journal Lancet was released on Tuesday. The findings of the study point out to severe inequalities in the disease burden in different states, suggesting the need for more specific health planning.

Kerala was declared as the healthiest state where men enjoyed a life expectancy of 73.8 years. However, the corresponding figure for men in Assam was 63.6 years. Ironically, the life expectancy for females in Uttar Pradesh was 66.8 years below the national average and 12 years less than in Kerala, where it was 78.7 years.

 

This meant that on an average a woman in Uttar Pradesh has twelve years shorter life span than their sisters in Kerala. “In Uttar Pradesh, average life expectancy of females in 2016 is 66.8 years, close to four years lesser than the national average of 70.3 years, while in Kerala it is eight years more than the national average at 78.7 years,” it states.

“Life expectancy in the whole of India has improved over three decades but is still lower by eleven years than in China and Sri Lanka,” Lalit Dandona, Director, India State-Level Disease Burden Initiative, was quoted as saying in the report.

As per the Lancet study, Assam, Uttar Pradesh and Chattisgarh have the highest disease burden rates, while Kerala and Goa have the lowest rates.

This is probably the first-of-its-kind report on the state-wise burden of diseases, which also monitors trends over the past thirty years highlighting disparities between states.

Till now only national-level data was available, masking varying disease patterns in states. This has huge implications for policymakers because it means that one health policy and uniform health schemes may not be workable for all the states.

States like Punjab and Tamil Nadu have the highest disease burden due to diabetes, while on the other hand states like Uttar Pradesh, Bihar, Jharkhand and Odisha are tackling highest disease burden due to infections because of unsafe water, shoddy sanitation and non-practice of hand washing, leading to deaths due to diarrhoea especially in children under five years of age.

“The sweeping increase of the burden due to this combination of risks in every part of the country indicates emphatically that major efforts need to be put in place to control their impact in every state before the situation gets totally out of control,” the report warns. Until this date, the report states that risk of malnutrition is “unacceptably high.”

While household air pollution is improving the outdoor air pollution is “worsening,” the report further says. The burden due to outdoor air pollution is highest in a mix of northern states, including Haryana, Uttar Pradesh, Punjab, Rajasthan, Bihar, and West Bengal. Kerala, Goa, Tamil Nadu have lowest rates. “The contribution of air pollution to disease burden remained high in India between 1990 and 2016, with levels of exposure among the highest in the world,” it says. India has 72 percent more per capita disease burden than China and Sri Lanka.