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Data InsightsRicher countries don’t just avoid infectious disease — they also have lower rates of chronic disease deaths

Richer countries don’t just avoid infectious disease — they also have lower rates of chronic disease deaths

The image presents a bar chart comparing death rates per 100,000 people across various income levels of countries for the year 2021. It highlights two categories: Non-communicable diseases (NCDs) and infectious, maternal, and neonatal causes, alongside injuries. 

The income groups are categorized as low-income, lower-middle income, upper-middle income, and high-income. 

- Low-income countries have death rates of 633 from NCDs, 560 from infectious diseases, and 1,279 from injuries.
- Lower-middle income countries show 662 from NCDs, 366 from infectious diseases, and 1,092 from injuries.
- Upper-middle income countries report 534 from NCDs, 155 from infectious diseases, and 699 from injuries.
- High-income countries exhibit significantly lower rates: 378 from NCDs, 74 from infectious diseases, and 487 from injuries.

A note at the bottom clarifies that lower death rates from infectious diseases in high-income countries are not countered by higher rates from NCDs, as these rates are also lower than in poorer countries. 

The data source is the Institute for Health Metrics and Evaluation (IHME), Global Burden of Disease, 2024, and it acknowledges that the metric is age-standardized for comparability.

One of humanity’s biggest victories has been the fight against infectious diseases. This battle has led to plummeting rates of child and maternal mortality and dramatically increased life expectancy.

However, there are still large differences in infectious disease rates between different parts of the world. As we might expect, deaths are much less common in high-income countries where almost everyone can access clean water, sanitation, and medication.

One common misconception is that this prosperity has come at the cost of an increase in death rates from chronic diseases, such as heart disease and cancers (collectively called “non-communicable diseases”). But this is not the case. As you can see in the chart, death rates from these diseases are also lower in richer countries. It’s not the case that we’ve simply substituted one health problem for another.

That means that the risk of someone of a given age dying from any cause each year tends to decrease as countries get richer.

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