Faculty of Medicine and Health Sciences
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The vision of the Faculty of Medicine and Health Sciences is to be a dynamic, people-centred and inclusive environment, internationally recognised for its excellence in research, education and clinical training in medicine and health sciences, and for the contribution it makes to improving health and health care in South Africa, the African continent and beyond.
This faculty was known as the Faculty of Health Sciences until 30 April 2012.
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- ItemGlobal, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016(Elsevier, 2019-05-01) Feigin, Valery L.; Nichols, Emma; Alam, Tahiya; Bannick, Marlena S.; Beghi, Ettore; Blake, Natacha; Culpepper, William J.; Dorsey, E. Ray; Elbaz, Alexis; Ellenbogen, Richard G.; Fisher, James L.; Fitzmaurice, Christina; Giussani, Giorgia; Glennie, Linda; James, Spencer L.; Johnson, Catherine Owens; Kassebaum, Nicholas J.; Logroscino, Giancarlo; Marin, Benoit; Mountjoy-Venning, W. Cliff; Nguyen, Minh; Ofori-Asenso, Richard; Patel, Anoop P.; Piccininni, Marco; Roth, Gregory A.; Steiner, Timothy J.; Stovner, Lars Jacob; Szoeke, Cassandra E. I.; Theadom, Alice; Vollset, Stein Emil; Wallin, Mitchell Taylor; Wright, Claire; Zunt, Joseph Raymond; Abbasi, Nooshin; Abd-Allah, Foad; Abdelalim, Ahmed; Abdollahpour, Ibrahim; Aboyans, Victor; Abraha, Haftom Niguse; Acharya, Dilaram; Adamu, Abdu A.; Adebayo, Oladimeji M.; Adeoye, Abiodun Moshood; Adsuar, Jose C.; Afarideh, Mohsen; Agrawal, Sutapa; Ahmadi, Alireza; Ahmed, Muktar Beshir; Aichour, Amani Nidhal; Aichour, Ibtihel; Aichour, Miloud Taki Eddine; Akinyemi, Rufus Olusola; Akseer, Nadia; Al-Eyadhy, Ayman; Al-Shahi salman, Rustam; Alahdab, Fares; Alene, Kefyalew Addis; Aljunid, Syed Mohamed; Altirkawi, Khalid; Alvis-Guzman, Nelson; Anber, Nahla Hamed; Antonio, Carl Abelardo T.; Arabloo, Jalal; Aremu, Olatunde; Arnlov, Johan; Asayesh, Hamid; Asghar, Rana Jawad; Atalay, Hagos Tasew; Awasthi, Ashish; Ayala Quintanilla, Beatriz Paulina; Ayuk, Tambe B.; Badawi, Alaa; Banach, Maciej; Banoub, Joseph Adel Mattar; Barboza, Miguel A.; Barker-Collo, Suzanne Lyn; Barnighausen, Till Winfried; Baune, Bernhard T.; Bedi, Neeraj; Behzadifar, Masoud; Behzadifar, Meysam; Bejot, Yannick; Bekele, Bayu Begashaw; Belachew, Abate Bekele; Bennett, Derrick A.; Bensenor, Isabela M.; Berhane, Adugnaw; Beuran, Mircea; Bhattacharyya, Krittika; Bhutta, Zulfiqar A.; Biadgo, Belete; Bijani, Ali; Bililign, Nigus; Bin Sayeed, Muhammad Shahdaat; Blazes, Christopher Kynrint; Brayne, Carol; Butt, Zahid A.; Campos-Nonato, Ismael R.; Cantu-Brito, Carlos; Car, Mate; Cardenas, Rosario; Carrero, Juan J.; Carvalho, Felix; Castaneda-Orjuela, Carlos A.; Castro, Franz; Catala-Lopez, Ferran; Cerin, Ester; Chaiah, Yazan; Chang, Jung-Chen; Chatziralli, Irini; Chiang, Peggy Pei-Chia; Christensen, Hanne; Christopher, Devasahayam J.; Cooper, Cyrus; Cortesi, Paolo Angelo; Costa, Vera M.; Criqui, Michael H.; Crowe, Christopher Stephen; Damasceno, Albertino Antonio Moura; Daryani, Ahmad; De la Cruz-Góngora, Vanessa; De La Hoz, Fernando Pio; De Leo, Diego; Degefa, Meaza Girma; Demoz, Gebre Teklemariam; Deribe, Kebede; Dharmaratne, Samath Dhamminda; Diaz, Daniel; Dinberu, Mesfin Tadese; Djalalinia, Shirin; Doku, David Teye; Dubey, Manisha; Dubljanin, Eleonora; Duken, Eyasu Ejeta; Edvardsson, David; El-Khatib, Ziad; Endres, Matthias; Endries, Aman Yesuf; Eskandarieh, Sharareh; Esteghamati, Alireza; Esteghamati, Sadaf; Farhadi, Farzaneh; Faro, Andre; Farzadfar, Farshad; Farzaei, Mohammad Hosein; Fatima, Batool; Fereshtehnejad, Seyed-Mohammad; Fernandes, Eduarda; Feyissa, Garumma Tolu; Filip, Irina; Fischer, Florian; Fukumoto, Takeshi; Ganji, Morsaleh; Gankpe, Fortune Gbetoho; Garcia-Gordillo, Miguel A,; Gebre, Abadi Kahsu; Gebremichael, Teklu Gebrehiwo; Gelaw, Belayneh K,; Geleijnse, Johanna M.; Geremew, Demeke; Gezae, Kebede Embaye; Ghasemi-Kasman, Maryam; Gidey, Mahari Y.; Gill, Paramjit Singh; Gill, Tiffany K.; Gnedovskaya, Elena V.; Goulart, Alessandra C.; Grada, Ayman; Grosso, Giuseppe; Guo, Yuming; Gupta, Rajeev; Haagsma, Juanita A.; Hagos, Tekleberhan B.; Haj-Mirzaian, Arvin; Haj-Mirzaian, Arya; Hamadeh, Randah R.; Hamidi, Samer; Hankey, Graeme J.; Hao, Yuantao; Haro, Josep Maria; Hassankhani, Hadi; Hassen, Hamid Yimam; Havmoeller, Rasmus; Hay, Simon I.; Hegazy, Mohamed I.; Heidari, Behnam; Henok, Andualem; Heydarpour, Fatemeh; Hoang, Chi Linh; Hole, Michael K.; Homaie Rad, Enayatollah; Hosseini, Seyed Mostafa; Hu, Guoqing; Igumbor, Ehimario U.; Ilesanmi, Olayinka Stephen; Irvani, Seyed Sina Naghibi; Islam, Sheikh Mohammed Shariful; Jakovljevic, Mihajlo; Javanbakht, Mehdi; Jha, Ravi Prakash; Jobanputra, Yash B.; Jonas, Jost B.; Jozwiak, Jacek Jerzy; Jurisson, Mikk; Kahsay, Amaha; Kalani, Rizwan; Kalkonde, Yogeshwar; Kamil, Teshome Abegaz; Kanchan, Tanuj; Karami, Manoochehr; Karch, Andre; Karimi, Narges; Kasaeian, Amir; Kassa, Tesfaye Dessale; Kassa, Zemenu Yohannes; Kaul, Anil; Kefale, Adane Teshome; Keiyoro, Peter Njenga; Khader, Yousef Saleh; Khafaie, Morteza Abdullatif; Khalil, Ibrahim A.; Khan, Ejaz Ahmad; Khang, Young-Ho; Khazaie, Habibolah; Kiadaliri, Aliasghar A.; Kiirithio, Daniel N.; Kim, Anthony S.; Kim, Daniel; Kim, Young-Eun; Kim, Yun Jin; Kisa, Adnan; Kokubo, Yoshihiro; Koyanagi, Ai; Krishnamurthi, Rita V.; Kuate Defo, Barthelemy; Kucuk Bicer, Burcu; Kumar, Manasi; Lacey, Ben; Lafranconi, Alessandra; Lansingh, Van C.; Latifi, Arman; Leshargie, Cheru Tesema; Li, Shanshan; Liao, Yu; Linn, Shai; Lo, Warren David; Lopez, Jaifred Christian F.; Lorkowski, Stefan; Lotufo, Paulo A.; Lucas, Robyn M.; Lunevicius, Raimundas; Mackay, Mark T.; Mahotra, Narayan Bahadur; Majdan, Marek; Majdzadeh, Reza; Majeed, Azeem; Malekzadeh, Reza; Malta, Deborah Carvalho; Manafi, Navid; Mansournia, Mohammad Ali; Mantovani, Lorenzo Giovanni; Marz, Winfried; Mashamba-Thompson, Tivani Phosa; Massenburg, Benjamin Ballard; Mate, Kedar K. V.; McAlinden, Colm; McGrath, John J.; Mehta, Varshil; Meier, Toni; Meles, Hagazi Gebre; Melese, Addisu; Memiah, Peter T. N.; Memish, Ziad A.; Mendoza, Walter; Mengistu, Desalegn Tadese; Mengistu, Getnet; Meretoja, Atte; Meretoja, Tuomo J.; Mestrovic, Tomislav; Miazgowski, Bartosz; Miazgowski, Tomasz; Miller, Ted R.; Mini, G. K.; Mirrakhimov, Erkin M.; Moazen, Babak; Mohajer, Bahram; Mezerji, Naser Mohammad Gholi; Mohammadi, Moslem; Mohammadi-Khanaposhtani, Maryam; Mohammadibakhsh, Roghayeh; Mohammadnia-Afrouzi, Mousa; Mohammed, Shafiu; Mohebi, Farnam; Mokdad, Ali H.; Monasta, Lorenzo; Mondello, Stefania; Moodley, Yoshan; Moosazadeh, Mahmood; Moradi, Ghobad; Moradi-Lakeh, Maziar; Moradinazar, Mehdi; Moraga, Paula; Moreno Velasquez, Ilais; Morrison, Shane Douglas; Mousavi, Seyyed Meysam; Muhammed, Oumer Sada; Muruet, Walter; Musa, Kamarul Imran; Mustafa, Ghulam; Naderi, Mehdi; Nagel, Gabriele; Naheed, Aliya; Naik, Gurudatta; Najafi, Farid; Nangia, Vinay; Negoi, Ionut; Negoi, Ruxandra Irina; Newton, Charles Richard James; Ngunjiri, Josephine W.; Nguyen, Cuong Tat; Nguyen, Long Hoang; Ningrum, Dina Nur Anggraini; Nirayo, Yirga Legesse; Nixon, Molly R.; Norrving, Bo; Noubiap, Jean Jacques; Nourollahpour Shiadeh, Malihe; Nyasulu, Peter S.; Ogbo, Felix Akpojene; Oh, In-Hwan; Olagunju, Andrew T.; Olagunju, Tinuke O.; Olivares, Pedro R.; Onwujekwe, Obinna E.; Oren, Eyal; Owolabi, Mayowa Ojo; P A, Mahesh; Pakpour, Amir H.; Pan, Wen-Harn; Panda-Jonas, Songhomitra; Pandian, Jeyaraj Durai; Patel, Sangram Kishor; Pereira, David M.; Petzold, Max; Pillay, Julian David; Piradov, Michael A.; Polanczyk, Guilherme V.; Polinder, Suzanne; Postma, Maarten J.; Poulton, Richie; Poustchi, Hossein; Prakash, Swayam; Prakash, V.; Qorbani, Mostafa; Radfar, Amir; Rafay, Anwar; Rafiei, Alireza; Rahim, Fakher; Rahimi-Movaghar, Vafa; Rahman, Mahfuzar; Rahman, Mohammad Hifz Ur; Rahman, Muhammad Aziz; Rajati, Fatemeh; Ram, Usha; Ranta, Anna; Rawaf, David Laith; Rawaf, Salman; Reinig, Nickolas; Reis, Cesar; Renzaho, Andre M. N.; Resnikoff, Serge; Rezaeian, Shahab; Rezai, Mohammad Sadegh; Rios Gonzalez, Carlos Miguel; Roberts, Nicholas L. S.; Roever, Leonardo; Ronfani, Luca; Roro, Elias Merdassa; Roshandel, Gholamreza; Rostami, Ali; Sabbagh, Parisa; Sacco, Ralph L.; Sachdev, Perminder S.; Saddik, Basema; Safari, Hosein; Safari-Faramani, Roya; Safi, Sare; Safiri, Saeid; Sagar, Rajesh; Sahathevan, Ramesh; Sahebkar, Amirhossein; Sahraian, Mohammad Ali; Salamati, Payman; Salehi Zahabi, Saleh; Salimi, Yahya; Samy, Abdallah M.; Sanabria, Juan; Santos, Itamar S.; Santric Milicevic, Milena M.; Sarrafzadegan, Nizal; Sartorius, Benn; Sarvi, Shahabeddin; Sathian, Brijesh; Satpathy, Maheswar; Sawant, Arundhati R.; Sawhney, Monika; Schneider, Ione J. C.; Schottker, Ben; Schwebel, David C.; Seedat, Soraya, 1966-; Sepanlou, Sadaf G.; Shabaninejad, Hosein; Shafieesabet, Azadeh; Shaikh, Masood Ali; Shakir, Raad A.; Shams-Beyranvand, Mehran; Shamsizadeh, Morteza; Sharif, Mehdi; Sharif-Alhoseini, Mahdi; She, Jun; Sheikh, Aziz; Sheth, Kevin N.; Shigematsu, Mika; Shiri, Rahman; Shirkoohi, Reza; Shiue, Ivy; Siabani, Soraya; Siddiqi, Tariq J.; Sigfusdottir, Inga Dora; Sigurvinsdottir, Rannveig; Silberberg, Donald H.; Silva, Joao Pedro; Silveira, Dayane Gabriele Alves; Singh, Jasvinder A.; Sinha, Dhirendra Narain; Skiadaresi, Eirini; Smith, Mari; Sobaih, Badr Hasan; Sobhani, Soheila; Soofi, Moslem; Soyiri, Ireneous N.; Sposato, Luciano A.; Stein, Dan J.; Stein, Murray B.; Stokes, Mark A.; Sufiyan, Mu'awiyyah Babale; Sykes, Bryan L.; Sylaja, Pn; Tabarés-Seisdedos, Rafael; Te Ao, Braden James; Tehrani-Banihashemi, Arash; Temsah, Mohamad-Hani; Temsah, Omar; Thakur, Jarnail Singh; Thrift, Amanda G.; Topor-Madry, Roman; Tortajada-Girbés, Miguel; Tovani-Palone, Marcos Roberto; Tran, Bach Xuan; Tran, Khanh Bao; Truelsen, Thomas Clement; Tsadik, Afewerki Gebremeskel; Tudor Car, Lorainne; Ukwaja, Kingsley Nnanna; Ullah, Irfan; Usman, Muhammad Shariq; Uthman, Olalekan A.; Valdez, Pascual R.; Vasankari, Tommi Juhani; Vasanthan, Rajagopalan; Veisani, Yousef; Venketasubramanian, Narayanaswamy; Violante, Francesco S.; Vlassov, Vasily; Vosoughi, Kia; Vu, Giang Thu; Vujcic, Isidora S.; Wagnew, Fasil Shiferaw; Waheed, Yasir; Wang, Yuan-Pang; Weiderpass, Elisabete; Weiss, Jordan; Whiteford, Harvey A.; Wijeratne, Tissa; Winkler, Andrea Sylvia; Wiysonge, Charles Shey; Wolfe, Charles D. A.; Xu, Gelin; Yadollahpour, Ali; Yamada, Tomohide; Yano, Yuichiro; Yaseri, Mehdi; Yatsuya, Hiroshi; Yimer, Ebrahim M.; Yip, Paul; Yisma, Engida; Yonemoto, Naohiro; Yousefifard, Mahmoud; Yu, Chuanhua; Zaidi, Zoubida; Zaman, Sojib Bin; Zamani, Mohammad; Zandian, Hamed; Zare, Zohreh; Zhang, Yunquan; Zodpey, Sanjay; Naghavi, Mohsen; Murray, Christopher J. L.; Vos, Theo; Gupta, RahulBackground: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders. Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach. Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable). Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies.
- ItemGlobal, regional, and national burden of traumatic brain injury and spinal cord injury, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016(Elsevier, 2019-11-26) James, Spencer L.; Theadom, Alice; Ellenbogen, Richard G.; Bannick, Marlena S.; Montjoy-Venning, Wcliff; Lucchesi, Lydia R.; Abbasi, Nooshin; Abdulkader, Rizwan; Abraha, Haftom Niguse; Adsuar, Jose C.; Afarideh, Mohsen; Agrawal, Sutapa; Ahmadi, Alireza; Ahmed, Muktar Beshir; Aichour, Amani Nidhal; Aichour, Ibtihel; Aichour, Miloud Taki Eddine; Akinyemi, Rufus Olusola; Akseer, Nadia; Alahdab, Fares; Alebel, Animut; Alghnam, Suliman A.; Ali, Beriwan Abdulqadir; Alsharif, Ubai; Altirkawi, Khalid; Andrei, Catalina Liliana; Anjomshoa, Mina; Ansari, Hossein; Ansha, Mustafa Geleto; Antonio, Carl Abelardo T.; Appiah, Seth Christopher Yaw; Ariani, Filippo; Asefa, Nigus Gebremedhin; Asgedom, Solomon Weldegebreal; Atique, Suleman; Awasthi, Ashish; Quintanilla, Beatriz Paulina Ayala; Ayuk, Tambe B.; Azzopardi, Peter S.; Badali, Hamid; Badawi, Alaa; Balalla, Shivanthi; Banstola, Amrit; Barker-Collo, Suzanne Lyn; Barnighausen, Till Winfried; Bedi, Neeraj; Behzadifar, Masoud; Behzadifar, Meysam; Bekele, Bayu Begashaw; Belachew, Abate Bekele; Belay, Yihalem Abebe; Bennett, Derrick A.; Bensenor, Isabela M.; Berhane, Adugnaw; Beuran, Mircea; Bhalla, Ashish; Bhaumik, Soumyadeeep; Bhutta, Zulfiqar A.; Biadgo, Belete; Biffino, Marco; Bijani, Ali; Bililign, Nigus; Birungi, Charles; Boufous, Soufiane; Brazinova, Alexandra; Brown, Allen W.; Car, Mate; Cardenas, Rosario; Carrero, Juan J.; Carvalho, Felix; Castaneda-Orjuela, Carlos A; Catala-Lopez, Ferran; Chaiah, Yazan; Champs, Ana Paula; Chang, Jung-Chen; Choi, Jee-Young J.; Christopher, Devasahayam J.; Cooper, Cyrus; Crowe, Christopher Stephen; Dandona, Lalit; Dandona, Rakhi; Daryani, Ahmad; Davitoiu, Dragos Virgil; Degefa, Meaza Girma; Demoz, Gebre Teklemariam; Deribe, Kebede; Djalalinia, Shirin; Do, Huyen Phuc; Doku, David Teye; Drake, Thomas M.; Dubey, Manisha; Dubljanin, Eleonora; El-Khatib, Ziad; Ofori-Asenso, Richard; Eskandarieh, Sharareh; Esteghamati, Alireza; Esteghamati, Sadaf; Faro, Andre; Farzadfar, Farshad; Farzaei, Mohammad Hosein; Fereshtehnejad, Seyed-Mohammad; Fernandes, Eduarda; Feyissa, Garumma Tolu; Filip, Irina; Fischer, Florian; Fukumoto, Takeshi; Ganji, Morasaleh; Gankpe, Fortune Gbetoho; Gebre, Abadi Kahsu; Gebrehiwot, Tsegaye Tewelde; Gezae, Kebede Embaye; Gopalkrishna, Gururaj; Goulart, Alessandra C.; Haagsma, Juanita A.; Haj-Mirzaian, Arvin; Haj-Mirzaian, Arya; Hamadeh, Randah R.; Hamidi, Samer; Haro, Josep Maria; Hassankhani, Hadi; Hassen, Hamid Yimam; Havmoeller, Rasmus; Hawley, Caitlin; Hay, Simon I.; Hegazy, Mohamed I.; Hendrie, Delia; Henok, Andualem; Hibstu, Desalegn Tsegaw; Hoffman, Howard J.; Hole, Michael K.; Rad, Enayatollah Homaie; Hosseini, Seyed Mostafa; Hostiuc, Sorin; Hu, Guoqing; Hussen, Mamusha Aman; Ilesanmi, Olayinka Stephen; Irvani, Seyed Naghibi; Jakovljevic, Mihajlo; Jayaraman, Sudha; Jha, Ravi Prakash; Jonas, Jost B.; Jones, Kelly M.; Shushtari, Zahra Jorjoran; Jozwiak, Jacek Jerzy; Jürisson, Mikk; Kabir, Ali; Kahsay, Amaha; Kahssay, Molla; Kalani, Rizwan; Karch, Andre; Kasaeian, Amir; Kassa, Getachew Mullu; Kassa, Tesfaye Dessale; Kassa, Zemenu Yohannes; Kengne, Andre Pascal; Khader, Yousef Saleh; Khafaie, Morteza Abdullatif; Khalid, Nauman; Khalil, Ibrahim; Khan, Ejaz Ahmad; Khan, Muhammad Shahzeb; Khang, Young-Ho; Khazaie, Habibolah; Khoja, Abdullah T.; Khubchandani, Jagdish; Kiadaliri, Aliasghar A.; Kim, Daniel; Kim, Young-Eun; Kisa, Adnan; Koyanagi, Ai; Krohn, Kristopher J.; Defo, Barthelemy Kuate; Defo, Barthelemy Kuate; Bicer, Burcu Kucuk; Kumar, G. Anil; Kumar, Manasi; Lalloo, Ratilal; Lami, Faris Hasan; Lansingh, Van C.; Laryea, Dennis Odai; Latifi, Arman; Leshargie, Cheru Tesema; Levi, Miriam; Li, Shanshan; Liben, Misgan Legesse; Lotufo, Paulo A.; Lunevicius, Raimundas; Mahotra, Narayan Bahadur; Majdan, Marek; Majeed, Azeem; Malekzadeh, Reza; Manda, Ana-Laura; Mansournia, Mohammad Ali; Massenburg, Benjamin Ballard; Mate, Kedar K. V.; Mehndiratta, Man Mohan; Mehta, Varshil; Meles, Hagazi; Melese, Addisu; Memiah, Peter T. N.; Mendoza, Walter; Mengistu, Getnet; Meretoja, Atte; Meretoja, Tuomo J.; Mestrovic, Tomislav; Miazgowski, Tomasz; Miller, Ted R.; Mini, G. K.; Mirica, Andreea; Mirrakhimov, Andreea; Moazen, Babak; Mohammadi, Moslem; Mokdad, Ali H.; Molokhia, Mariam; Monasta, Lorenzo; Mondello, Stefania; Moosazadeh, Mahmood; Moradi, Ghobad; Moradi, Mahmoudreza; Moradi-Lakeh, Maziar; Moradinazar, Mehdi; Morrison, Shane Douglas; Moschos, Marilita M.; Mousavi, Seyyed Meysam; Murthy, Srinivas; Musa, Kamarul Imran; Mustafa, Ghulam; Naghavi, Mohsen; Naik, Gurudatta; Najafi, Farid; Nangia, Vinay; Nascimento, Bruno Ramos; Negoi, Ionut; Nguyen, Trang Huyen; Nichols, Emma; Ningrum, Dina Nur Anggraini; Nirayo, Yirga Legesse; Nyasulu, Peter S.; Ofori-Asenso, Richard; Ogbo, Felix Akpojene; Oh, In-Hwan; Okoro, Anselm; Olagunju, Andrew T.; Olagunju, Tinuke O.; Olivares, Pedro R.; Otstavnov, Stanislav S.; Owolabi, Mayowa Ojo; P A, Mahesh; Pakhale, Smita; Pandey, Achyut Raj; Pesudovs, Konrad; Pinilla-Monsalve, Gabriel D.; Polinder, Suzanne; Poustchi, Hossein; Prakash, Swayam; Qorbani, Mostafa; Radfar, Amir; Rafay, Anwar; Rafiei, Alireza; Afarin Rahimi-Movaghar,; Vafa Rahimi-Movaghar,; Mahfuzar Rahman,; Muhammad Aziz Rahman,; Rajesh Kumar Rai,; Fatemeh Rajati,; Usha Ram,; David Laith Rawaf,; Salman Rawaf,; Robert C Reiner,; Cesar Reis,; Andre M N Renzaho,; Serge Resnikoff,; Satar Rezaei,; Shahab Rezaeian,; Leonardo Roever,; Luca Ronfani,; Gholamreza Roshandel,; Nobhojit Roy,; George Mugambage Ruhago,; Basema Saddik,; Hosein Safari,; Saeid Safiri,; Mohammad Ali Sahraian,; Payman Salamati,; Raphael de Freitas Saldanha,; Abdallah M Samy, Juan Sanabria,; João Vasco Santos,; Milena M M Santric Milicevic,; Benn Sartorius,; Maheswar Satpathy,; Ione J C Schneider,; David C Schwebel,; Sadaf G Sepanlou,; Hosein Shabaninejad,; Masood A Ali Shaikh,; Mehran Shams-Beyranvand,; Mehdi Sharif,; Mahdi Sharif-Alhoseini,; Sheikh Mohammed Shariful Islam,; Jun She,; Aziz Sheikh,; Jiabin Shen,; Kevin N Sheth,; Kenji Shibuya,; Mekonnen Sisay Shiferaw,; Mika Shigematsu,; Rahman Shiri,; Ivy Shiue,; Haitham Shoman,; Soraya Siabani,; Tariq J Siddiqi,; João Pedro Silva,; Dayane Gabriele Alves Silveira,; Dhirendra Narain Sinha,; Mari Smith,; Adauto Martins Soares Filho,; Soheila Sobhani,; Moslem Soofi,; Joan B Soriano,; Ireneous N Soyiri,; Dan J Stein,; Mark A Stokes,; Mu'awiyyah Babale Sufiyan,; Bruno F Sunguya,; Jacob E Sunshine,; Bryan L Sykes,; Cassandra E I Szoeke,; Rafael Tabarés-Seisdedos,; Braden James Te Ao,; Arash Tehrani-Banihashemi,; Merhawi Gebremedhin Tekle,; Mohamad-Hani Temsah,; Omar Temsah,; Roman Topor-Madry,; Miguel Tortajada-Girbés,; Bach Xuan Tran,; Khanh Bao Tran,; Lorainne Tudor Car,; Kingsley Nnanna Ukwaja,; Irfan Ullah,; Muhammad Shariq Usman,; Olalekan A Uthman,; Valdez, Pascual R; Vasankari, Tommi Juhani; Venketasubramanian, Narayanaswamy; Francesco S Violante,; Fasil Shiferaw Wagnew,; Yasir Waheed,; Yuan-Pang Wang,; Kidu Gidey Weldegwergs,; Andrea Werdecker,; Tissa Wijeratne,; Andrea Sylvia Winkler,; Grant M A Wyper,; Yuichiro Yano,; Mehdi Yaseri,; Yasin Jemal Yasin,; Pengpeng Ye,; Ebrahim M Yimer,; Paul Yip,; Engida Yisma,; Naohiro Yonemoto,; Seok-Jun Yoon,; Michael G Yost,; Mustafa Z Younis,; Mahmoud Yousefifard,; Chuanhua Yu,; Zoubida Zaidi,; Sojib Bin Zaman,; Mohammad Zamani,; Zerihun Menlkalew Zenebe,; Sanjay Zodpey,; Valery L Feigin,; Theo Vos,; Christopher J L MurrayBackground: Traumatic brain injury (TBI) and spinal cord injury (SCI) are increasingly recognised as global health priorities in view of the preventability of most injuries and the complex and expensive medical care they necessitate. We aimed to measure the incidence, prevalence, and years of life lived with disability (YLDs) for TBI and SCI from all causes of injury in every country, to describe how these measures have changed between 1990 and 2016, and to estimate the proportion of TBI and SCI cases caused by different types of injury. Methods: We used results from the Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016 to measure the global, regional, and national burden of TBI and SCI by age and sex. We measured the incidence and prevalence of all causes of injury requiring medical care in inpatient and outpatient records, literature studies, and survey data. By use of clinical record data, we estimated the proportion of each cause of injury that required medical care that would result in TBI or SCI being considered as the nature of injury. We used literature studies to establish standardised mortality ratios and applied differential equations to convert incidence to prevalence of long-term disability. Finally, we applied GBD disability weights to calculate YLDs. We used a Bayesian meta-regression tool for epidemiological modelling, used cause-specific mortality rates for non-fatal estimation, and adjusted our results for disability experienced with comorbid conditions. We also analysed results on the basis of the Socio-demographic Index, a compound measure of income per capita, education, and fertility. Findings: In 2016, there were 27·08 million (95% uncertainty interval [UI] 24·30–30·30 million) new cases of TBI and 0·93 million (0·78–1·16 million) new cases of SCI, with age-standardised incidence rates of 369 (331–412) per 100 000 population for TBI and 13 (11–16) per 100 000 for SCI. In 2016, the number of prevalent cases of TBI was 55·50 million (53·40–57·62 million) and of SCI was 27·04 million (24·98–30·15 million). From 1990 to 2016, the age-standardised prevalence of TBI increased by 8·4% (95% UI 7·7 to 9·2), whereas that of SCI did not change significantly (−0·2% [–2·1 to 2·7]). Age-standardised incidence rates increased by 3·6% (1·8 to 5·5) for TBI, but did not change significantly for SCI (−3·6% [–7·4 to 4·0]). TBI caused 8·1 million (95% UI 6·0–10·4 million) YLDs and SCI caused 9·5 million (6·7–12·4 million) YLDs in 2016, corresponding to age-standardised rates of 111 (82–141) per 100 000 for TBI and 130 (90–170) per 100 000 for SCI. Falls and road injuries were the leading causes of new cases of TBI and SCI in most regions. Interpretation: TBI and SCI constitute a considerable portion of the global injury burden and are caused primarily by falls and road injuries. The increase in incidence of TBI over time might continue in view of increases in population density, population ageing, and increasing use of motor vehicles, motorcycles, and bicycles. The number of individuals living with SCI is expected to increase in view of population growth, which is concerning because of the specialised care that people with SCI can require. Our study was limited by data sparsity in some regions, and it will be important to invest greater resources in collection of data for TBI and SCI to improve the accuracy of future assessments.