Global 37·6 (36·8 to 38·8) 42·4 (41·6 to 43·2) 54·4 (53·5 to 55·4) 16·8 (15·2 to 18·0) * * Significant change during this time period. 4·7 (4·0 to 5·4) * * Significant change during this time period. 12·0 (10·9 to 13·1) * * Significant change during this time period. 1·42 (1·28 to 1·53) * * Significant change during this time period. 1·18 (0·99 to 1·36) * * Significant change during this time period. 1·56 (1·42 to 1·70) * * Significant change during this time period.

Southeast Asia, east Asia, and Oceania † † Refers to Global Burden of Disease super region. 37·1 (35·9 to 38·6) 44·9 (43·9 to 46·2) 62·9 (61·8 to 64·2) 25·9 (24·1 to 27·3) * * Significant change during this time period. 7·8 (6·9 to 8·8) * * Significant change during this time period. 18·0 (16·6 to 19·4) * * Significant change during this time period. 2·04 (1·88 to 2·16) * * Significant change during this time period. 1·92 (1·67 to 2·17) * * Significant change during this time period. 2·11 (1·93 to 2·27) * * Significant change during this time period.

East Asia 42·8 (41·4 to 44·6) 53·3 (52·1 to 54·9) 77·0 (75·5 to 78·1) 34·2 (31·7 to 35·9) * * Significant change during this time period. 10·5 (8·8 to 12·2) * * Significant change during this time period. 23·7 (21·7 to 25·3) * * Significant change during this time period. 2·26 (2·08 to 2·39) * * Significant change during this time period. 2·20 (1·80 to 2·56) * * Significant change during this time period. 2·30 (2·11 to 2·46) * * Significant change during this time period.

China 42·6 (41·2 to 44·5) 53·3 (52·0 to 55·1) 77·9 (76·5 to 78·9) 35·3 (32·8 to 37·0) * * Significant change during this time period. 10·8 (8·8 to 12·6) * * Significant change during this time period. 24·6 (22·4 to 26·2) * * Significant change during this time period. 2·33 (2·13 to 2·46) * * Significant change during this time period. 2·25 (1·83 to 2·63) * * Significant change during this time period. 2·37 (2·15 to 2·54) * * Significant change during this time period.

North Korea 49·6 (46·2 to 52·9) 47·6 (44·1 to 51·2) 53·4 (49·6 to 56·9) 3·8 (−1·3 to 8·2) −1·9 (−6·2 to 2·0) 5·7 (1·2 to 10·2) * * Significant change during this time period. 0·28 (−0·10 to 0·62) −0·40 (−1·26 to 0·41) 0·71 (0·15 to 1·26) * * Significant change during this time period.

Taiwan (Province of China) 60·6 (58·6 to 62·7) 71·8 (69·9 to 73·7) 85·4 (82·5 to 88·2) 24·8 (21·4 to 28·1) * * Significant change during this time period. 11·2 (8·6 to 13·6) * * Significant change during this time period. 13·6 (10·2 to 16·7) * * Significant change during this time period. 1·32 (1·14 to 1·49) * * Significant change during this time period. 1·70 (1·30 to 2·07) * * Significant change during this time period. 1·08 (0·82 to 1·32) * * Significant change during this time period.

Oceania 27·2 (22·9 to 31·0) 32·4 (28·4 to 36·3) 36·0 (31·8 to 40·4) 8·8 (4·0 to 13·5) * * Significant change during this time period. 5·2 (1·9 to 8·5) * * Significant change during this time period. 3·6 (−0·5 to 7·8) 1·08 (0·49 to 1·66) * * Significant change during this time period. 1·76 (0·62 to 2·97) * * Significant change during this time period. 0·66 (−0·10 to 1·44)

American Samoa 47·6 (44·6 to 50·6) 55·9 (52·9 to 59·1) 59·5 (55·0 to 64·1) 11·9 (6·5 to 17·4) * * Significant change during this time period. 8·3 (4·1 to 12·5) * * Significant change during this time period. 3·6 (−1·8 to 8·9) 0·86 (0·46 to 1·23) * * Significant change during this time period. 1·61 (0·79 to 2·42) * * Significant change during this time period. 0·38 (−0·20 to 0·96)

Federated States of Micronesia 27·9 (23·4 to 32·5) 32·2 (27·2 to 37·1) 41·6 (34·8 to 49·1) 13·7 (5·8 to 21·4) * * Significant change during this time period. 4·3 (0·0 to 8·0) 9·4 (2·3 to 17·2) * * Significant change during this time period. 1·54 (0·68 to 2·40) * * Significant change during this time period. 1·44 (0·02 to 2·72) * * Significant change during this time period. 1·59 (0·44 to 2·77) * * Significant change during this time period.

Fiji 41·0 (34·8 to 47·2) 43·3 (39·7 to 47·0) 47·9 (41·9 to 54·3) 6·8 (−1·9 to 15·4) 2·2 (−4·0 to 8·6) 4·6 (−2·4 to 11·8) 0·59 (−0·17 to 1·35) 0·55 (−0·92 to 2·16) 0·62 (−0·34 to 1·59)

Guam 61·9 (59·0 to 64·9) 71·3 (68·7 to 74·0) 68·7 (64·8 to 72·9) 6·7 (2·0 to 11·6) * * Significant change during this time period. 9·4 (5·6 to 13·4) * * Significant change during this time period. −2·7 (−7·5 to 2·5) 0·40 (0·12 to 0·67) * * Significant change during this time period. 1·41 (0·83 to 2·03) * * Significant change during this time period. −0·24 (−0·67 to 0·21)

Kiribati 20·3 (17·0 to 23·8) 23·0 (19·9 to 26·3) 26·5 (21·4 to 31·1) 6·2 (1·0 to 11·1) * * Significant change during this time period. 2·7 (−1·0 to 6·0) 3·4 (−1·1 to 7·9) 1·02 (0·19 to 1·81) * * Significant change during this time period. 1·27 (−0·49 to 2·79) 0·86 (−0·27 to 1·95)

Marshall Islands 33·1 (30·4 to 36·1) 34·5 (31·1 to 38·0) 43·0 (38·0 to 48·2) 9·9 (4·3 to 15·1) * * Significant change during this time period. 1·3 (−2·5 to 5·3) 8·6 (3·5 to 13·7) * * Significant change during this time period. 1·00 (0·46 to 1·50) * * Significant change during this time period. 0·38 (−0·76 to 1·54) 1·39 (0·56 to 2·17) * * Significant change during this time period.

Northern Mariana Islands 61·5 (56·0 to 67·0) 71·9 (67·7 to 75·9) 73·7 (69·2 to 78·3) 12·2 (5·4 to 19·4) * * Significant change during this time period. 10·4 (5·6 to 15·1) * * Significant change during this time period. 1·8 (−3·8 to 7·4) 0·70 (0·30 to 1·12) * * Significant change during this time period. 1·56 (0·83 to 2·37) * * Significant change during this time period. 0·15 (−0·33 to 0·64)

Papua New Guinea 22·9 (17·8 to 27·7) 28·5 (23·2 to 33·6) 31·8 (26·2 to 37·4) 8·9 (2·7 to 15·1) * * Significant change during this time period. 5·6 (1·4 to 9·8) * * Significant change during this time period. 3·3 (−2·1 to 8·6) 1·27 (0·37 to 2·15) * * Significant change during this time period. 2·19 (0·52 to 3·95) * * Significant change during this time period. 0·70 (−0·43 to 1·85)

Samoa 37·4 (32·8 to 41·7) 43·6 (38·8 to 48·2) 47·6 (42·8 to 52·6) 10·3 (4·5 to 16·1) * * Significant change during this time period. 6·3 (2·6 to 9·7) * * Significant change during this time period. 4·0 (−1·2 to 9·0) 0·93 (0·41 to 1·48) * * Significant change during this time period. 1·56 (0·67 to 2·43) * * Significant change during this time period. 0·55 (−0·16 to 1·21)

Solomon Islands 26·7 (21·2 to 32·3) 31·4 (25·9 to 36·8) 32·4 (27·1 to 37·7) 5·8 (−0·9 to 12·3) 4·8 (0·4 to 8·8) * * Significant change during this time period. 1·0 (−4·6 to 6·2) 0·76 (−0·11 to 1·65) 1·66 (0·14 to 3·15) * * Significant change during this time period. 0·20 (−0·87 to 1·24)

Tonga 38·4 (33·7 to 42·9) 42·8 (38·4 to 47·2) 49·6 (44·4 to 54·4) 11·2 (5·0 to 17·4) * * Significant change during this time period. 4·4 (0·4 to 8·3) * * Significant change during this time period. 6·8 (1·7 to 11·8) * * Significant change during this time period. 0·99 (0·44 to 1·55) * * Significant change during this time period. 1·10 (0·08 to 2·11) * * Significant change during this time period. 0·92 (0·22 to 1·60) * * Significant change during this time period.

Vanuatu 28·2 (23·2 to 33·1) 28·7 (24·0 to 33·2) 32·4 (26·9 to 37·5) 4·3 (−2·0 to 10·3) 0·6 (−3·4 to 4·8) 3·7 (−1·9 to 8·9) 0·55 (−0·26 to 1·36) 0·21 (−1·17 to 1·73) 0·75 (−0·39 to 1·82)

Southeast Asia 29·3 (27·8 to 30·8) 34·5 (33·0 to 36·0) 47·5 (45·9 to 49·2) 18·1 (16·4 to 20·0) * * Significant change during this time period. 5·1 (4·0 to 6·2) * * Significant change during this time period. 13·0 (11·4 to 14·6) * * Significant change during this time period. 1·85 (1·67 to 2·05) * * Significant change during this time period. 1·61 (1·25 to 1·97) * * Significant change during this time period. 2·00 (1·76 to 2·27) * * Significant change during this time period.

Cambodia 20·3 (17·7 to 23·6) 23·0 (20·9 to 25·3) 39·4 (36·4 to 42·5) 19·1 (14·8 to 23·0) * * Significant change during this time period. 2·7 (−0·7 to 5·7) 16·5 (13·0 to 19·9) * * Significant change during this time period. 2·56 (1·90 to 3·12) * * Significant change during this time period. 1·25 (−0·33 to 2·76) 3·38 (2·65 to 4·10) * * Significant change during this time period.

Indonesia 28·9 (26·4 to 31·7) 33·0 (31·1 to 35·3) 44·5 (42·6 to 46·8) 15·6 (12·8 to 18·4) * * Significant change during this time period. 4·1 (1·8 to 6·0) * * Significant change during this time period. 11·5 (9·2 to 13·8) * * Significant change during this time period. 1·67 (1·33 to 2·01) * * Significant change during this time period. 1·34 (0·57 to 2·00) * * Significant change during this time period. 1·87 (1·49 to 2·27) * * Significant change during this time period.

Laos 18·0 (15·4 to 21·4) 21·8 (18·8 to 24·7) 36·6 (32·6 to 41·1) 18·6 (13·6 to 24·0) * * Significant change during this time period. 3·8 (0·4 to 7·1) * * Significant change during this time period. 14·8 (10·2 to 19·6) * * Significant change during this time period. 2·74 (1·97 to 3·51) * * Significant change during this time period. 1·94 (0·21 to 3·58) * * Significant change during this time period. 3·24 (2·23 to 4·25) * * Significant change during this time period.

Malaysia 44·2 (42·5 to 46·1) 54·2 (52·6 to 55·9) 68·1 (65·9 to 70·2) 23·9 (21·3 to 26·6) * * Significant change during this time period. 10·0 (7·8 to 12·3) * * Significant change during this time period. 13·9 (11·5 to 16·2) * * Significant change during this time period. 1·66 (1·47 to 1·85) * * Significant change during this time period. 2·05 (1·59 to 2·51) * * Significant change during this time period. 1·43 (1·19 to 1·66) * * Significant change during this time period.

Maldives 37·6 (33·6 to 41·0) 52·7 (49·9 to 55·4) 70·4 (65·7 to 74·8) 32·8 (26·9 to 39·1) * * Significant change during this time period. 15·1 (11·9 to 18·6) * * Significant change during this time period. 17·6 (11·9 to 22·8) * * Significant change during this time period. 2·41 (1·98 to 2·92) * * Significant change during this time period. 3·39 (2·62 to 4·32) * * Significant change during this time period. 1·80 (1·24 to 2·29) * * Significant change during this time period.

Mauritius 53·9 (52·6 to 55·3) 61·9 (60·4 to 63·2) 68·7 (65·5 to 71·9) 14·8 (11·6 to 18·0) * * Significant change during this time period. 8·0 (6·4 to 9·4) * * Significant change during this time period. 6·8 (3·6 to 10·0) * * Significant change during this time period. 0·93 (0·75 to 1·12) * * Significant change during this time period. 1·38 (1·10 to 1·64) * * Significant change during this time period. 0·65 (0·35 to 0·94) * * Significant change during this time period.

Myanmar 19·9 (17·2 to 22·6) 23·1 (20·2 to 26·0) 41·6 (38·0 to 45·5) 21·7 (17·4 to 26·4) * * Significant change during this time period. 3·1 (−0·2 to 6·2) 18·6 (14·5 to 22·5) * * Significant change during this time period. 2·84 (2·29 to 3·44) * * Significant change during this time period. 1·46 (−0·08 to 2·86) 3·70 (2·82 to 4·54) * * Significant change during this time period.

Philippines 39·0 (37·3 to 40·6) 42·7 (40·7 to 44·5) 51·2 (47·9 to 54·4) 12·2 (8·7 to 15·8) * * Significant change during this time period. 3·8 (1·9 to 5·7) * * Significant change during this time period. 8·4 (4·8 to 11·9) * * Significant change during this time period. 1·05 (0·76 to 1·33) * * Significant change during this time period. 0·92 (0·46 to 1·41) * * Significant change during this time period. 1·12 (0·65 to 1·56) * * Significant change during this time period.

Seychelles 45·9 (43·8 to 48·1) 57·3 (55·2 to 59·4) 65·6 (62·2 to 68·9) 19·8 (16·1 to 23·5) * * Significant change during this time period. 11·4 (8·6 to 14·0) * * Significant change during this time period. 8·4 (4·6 to 12·0) * * Significant change during this time period. 1·38 (1·12 to 1·63) * * Significant change during this time period. 2·22 (1·67 to 2·75) * * Significant change during this time period. 0·85 (0·48 to 1·22) * * Significant change during this time period.

Sri Lanka 47·4 (45·1 to 49·8) 54·4 (52·1 to 56·9) 70·6 (66·3 to 75·3) 23·2 (18·5 to 28·1) * * Significant change during this time period. 7·0 (3·8 to 10·2) * * Significant change during this time period. 16·2 (11·5 to 21·0) * * Significant change during this time period. 1·53 (1·24 to 1·84) * * Significant change during this time period. 1·38 (0·75 to 2·02) * * Significant change during this time period. 1·62 (1·16 to 2·08) * * Significant change during this time period.

Thailand 44·4 (42·4 to 46·6) 54·7 (52·2 to 57·4) 69·5 (66·5 to 72·6) 25·1 (21·4 to 28·7) * * Significant change during this time period. 10·3 (7·2 to 13·3) * * Significant change during this time period. 14·8 (10·9 to 18·6) * * Significant change during this time period. 1·72 (1·46 to 1·95) * * Significant change during this time period. 2·09 (1·49 to 2·66) * * Significant change during this time period. 1·49 (1·09 to 1·88) * * Significant change during this time period.

Timor–Leste 22·2 (17·2 to 27·8) 27·3 (23·0 to 34·5) 43·4 (37·2 to 51·9) 21·2 (12·9 to 29·8) * * Significant change during this time period. 5·2 (−0·9 to 12·3) 16·0 (9·3 to 22·8) * * Significant change during this time period. 2·60 (1·51 to 3·68) * * Significant change during this time period. 2·12 (−0·33 to 4·94) 2·89 (1·61 to 4·06) * * Significant change during this time period.

Vietnam 36·6 (33·1 to 40·4) 44·7 (41·6 to 48·2) 60·3 (56·3 to 64·1) 23·7 (18·1 to 29·0) * * Significant change during this time period. 8·1 (4·2 to 12·1) * * Significant change during this time period. 15·6 (10·8 to 20·3) * * Significant change during this time period. 1·92 (1·46 to 2·40) * * Significant change during this time period. 2·01 (1·01 to 3·05) * * Significant change during this time period. 1·87 (1·28 to 2·47) * * Significant change during this time period.

Central Europe, eastern Europe, and central Asia † † Refers to Global Burden of Disease super region. 57·1 (55·8 to 58·6) 59·5 (58·1 to 60·8) 71·4 (68·1 to 74·3) 14·3 (10·9 to 17·4) * * Significant change during this time period. 2·5 (0·6 to 4·2) * * Significant change during this time period. 11·8 (8·4 to 14·9) * * Significant change during this time period. 0·86 (0·66 to 1·03) * * Significant change during this time period. 0·43 (0·10 to 0·73) * * Significant change during this time period. 1·13 (0·82 to 1·41) * * Significant change during this time period.

Central Asia 48·4 (47·0 to 49·9) 49·6 (48·2 to 51·0) 60·2 (58·2 to 62·4) 11·8 (9·5 to 14·1) * * Significant change during this time period. 1·2 (−0·5 to 2·8) 10·6 (8·3 to 12·9) * * Significant change during this time period. 0·84 (0·68 to 1·00) * * Significant change during this time period. 0·25 (−0·10 to 0·58) 1·21 (0·96 to 1·47) * * Significant change during this time period.

Armenia 55·7 (53·6 to 58·0) 58·9 (57·2 to 61·0) 70·7 (67·8 to 73·5) 15·0 (11·9 to 18·0) * * Significant change during this time period. 3·2 (1·1 to 5·3) * * Significant change during this time period. 11·7 (8·9 to 14·8) * * Significant change during this time period. 0·92 (0·74 to 1·10) * * Significant change during this time period. 0·56 (0·18 to 0·94) * * Significant change during this time period. 1·14 (0·87 to 1·42) * * Significant change during this time period.

Azerbaijan 49·6 (47·0 to 52·1) 51·9 (49·4 to 54·4) 65·6 (61·2 to 69·6) 16·1 (11·1 to 20·6) * * Significant change during this time period. 2·3 (−1·1 to 5·6) 13·8 (9·2 to 18·4) * * Significant change during this time period. 1·08 (0·76 to 1·37) * * Significant change during this time period. 0·46 (−0·21 to 1·10) 1·47 (1·00 to 1·93) * * Significant change during this time period.

Georgia 61·2 (59·0 to 63·5) 63·4 (60·8 to 65·4) 67·1 (62·7 to 71·0) 5·9 (1·1 to 10·7) * * Significant change during this time period. 2·1 (−0·7 to 4·7) 3·7 (−0·8 to 7·9) 0·35 (0·07 to 0·63) * * Significant change during this time period. 0·34 (−0·11 to 0·76) 0·36 (−0·08 to 0·76)

Kazakhstan 55·5 (53·1 to 57·6) 54·1 (51·4 to 56·5) 69·1 (64·7 to 73·2) 13·6 (9·3 to 18·0) * * Significant change during this time period. −1·4 (−4·3 to 1·5) 15·0 (10·2 to 19·6) * * Significant change during this time period. 0·84 (0·58 to 1·10) * * Significant change during this time period. −0·25 (−0·80 to 0·27) 1·53 (1·05 to 1·97) * * Significant change during this time period.

Kyrgyzstan 50·9 (49·5 to 53·1) 52·6 (51·3 to 54·2) 60·6 (58·3 to 62·8) 9·7 (6·7 to 12·4) * * Significant change during this time period. 1·8 (0·1 to 3·3) * * Significant change during this time period. 8·0 (5·2 to 10·3) * * Significant change during this time period. 0·67 (0·46 to 0·85) * * Significant change during this time period. 0·34 (0·02 to 0·63) * * Significant change during this time period. 0·88 (0·57 to 1·13) * * Significant change during this time period.

Mongolia 36·6 (34·0 to 39·3) 38·7 (36·1 to 41·5) 53·4 (49·1 to 57·6) 16·8 (11·3 to 21·9) * * Significant change during this time period. 2·2 (−1·3 to 5·6) 14·6 (9·5 to 19·7) * * Significant change during this time period. 1·45 (0·98 to 1·86) * * Significant change during this time period. 0·58 (−0·35 to 1·46) 2·00 (1·32 to 2·65) * * Significant change during this time period.

Tajikistan 41·3 (38·7 to 44·2) 42·6 (39·9 to 45·5) 51·7 (47·7 to 55·5) 10·4 (5·7 to 15·3) * * Significant change during this time period. 1·3 (−2·7 to 5·1) 9·1 (4·4 to 13·8) * * Significant change during this time period. 0·86 (0·48 to 1·25) * * Significant change during this time period. 0·30 (−0·64 to 1·24) 1·21 (0·60 to 1·82) * * Significant change during this time period.

Turkmenistan 45·4 (43·8 to 46·9) 49·1 (47·1 to 51·0) 61·6 (58·7 to 64·8) 16·2 (13·0 to 20·2) * * Significant change during this time period. 3·6 (1·3 to 6·1) * * Significant change during this time period. 12·6 (9·8 to 15·3) * * Significant change during this time period. 1·17 (0·96 to 1·44) * * Significant change during this time period. 0·77 (0·27 to 1·29) * * Significant change during this time period. 1·43 (1·12 to 1·71) * * Significant change during this time period.

Uzbekistan 50·3 (48·4 to 52·2) 52·8 (51·0 to 54·6) 62·9 (59·3 to 66·0) 12·6 (8·6 to 16·1) * * Significant change during this time period. 2·5 (0·2 to 4·8) * * Significant change during this time period. 10·1 (6·2 to 13·2) * * Significant change during this time period. 0·86 (0·60 to 1·09) * * Significant change during this time period. 0·49 (0·04 to 0·92) * * Significant change during this time period. 1·09 (0·69 to 1·42) * * Significant change during this time period.

Central Europe 58·8 (57·7 to 60·2) 68·9 (67·6 to 69·9) 80·6 (79·2 to 81·7) 21·8 (19·6 to 23·2) * * Significant change during this time period. 10·1 (8·3 to 11·3) * * Significant change during this time period. 11·7 (10·5 to 12·9) * * Significant change during this time period. 1·21 (1·09 to 1·30) * * Significant change during this time period. 1·58 (1·30 to 1·79) * * Significant change during this time period. 0·98 (0·88 to 1·09) * * Significant change during this time period.

Albania 54·8 (52·7 to 56·9) 63·6 (61·5 to 65·7) 75·4 (72·5 to 78·2) 20·6 (17·2 to 24·0) * * Significant change during this time period. 8·8 (6·1 to 11·7) * * Significant change during this time period. 11·8 (8·4 to 15·0) * * Significant change during this time period. 1·23 (1·03 to 1·42) * * Significant change during this time period. 1·49 (1·03 to 1·96) * * Significant change during this time period. 1·06 (0·77 to 1·35) * * Significant change during this time period.

Bosnia and Herzegovina 52·3 (49·4 to 55·2) 61·3 (58·1 to 64·4) 72·2 (67·2 to 76·4) 19·9 (14·8 to 24·6) * * Significant change during this time period. 9·0 (5·8 to 12·3) * * Significant change during this time period. 10·9 (5·9 to 16·1) * * Significant change during this time period. 1·24 (0·94 to 1·52) * * Significant change during this time period. 1·59 (1·01 to 2·18) * * Significant change during this time period. 1·02 (0·56 to 1·51) * * Significant change during this time period.

Bulgaria 65·1 (64·0 to 66·4) 68·0 (66·5 to 69·0) 77·2 (73·3 to 80·7) 12·1 (8·4 to 15·8) * * Significant change during this time period. 2·9 (1·2 to 4·2) * * Significant change during this time period. 9·2 (5·4 to 12·8) * * Significant change during this time period. 0·65 (0·46 to 0·84) * * Significant change during this time period. 0·43 (0·18 to 0·63) * * Significant change during this time period. 0·79 (0·48 to 1·08) * * Significant change during this time period.

Croatia 73·9 (71·9 to 76·2) 78·1 (76·5 to 79·7) 86·9 (84·5 to 89·4) 13·0 (9·7 to 16·4) * * Significant change during this time period. 4·2 (1·6 to 6·7) * * Significant change during this time period. 8·8 (5·8 to 11·8) * * Significant change during this time period. 0·63 (0·46 to 0·79) * * Significant change during this time period. 0·55 (0·21 to 0·90) * * Significant change during this time period. 0·67 (0·45 to 0·89) * * Significant change during this time period.

Czech Republic 72·2 (70·9 to 73·4) 81·4 (79·8 to 82·4) 89·0 (87·5 to 90·4) 16·8 (14·9 to 18·7) * * Significant change during this time period. 9·2 (7·4 to 10·4) * * Significant change during this time period. 7·6 (6·0 to 9·5) * * Significant change during this time period. 0·80 (0·72 to 0·89) * * Significant change during this time period. 1·20 (0·96 to 1·35) * * Significant change during this time period. 0·56 (0·44 to 0·70) * * Significant change during this time period.

Hungary 66·4 (64·8 to 68·6) 74·5 (73·0 to 76·0) 82·1 (79·5 to 84·9) 15·7 (12·6 to 18·7) * * Significant change during this time period. 8·0 (6·0 to 9·9) * * Significant change during this time period. 7·6 (4·7 to 10·7) * * Significant change during this time period. 0·81 (0·66 to 0·96) * * Significant change during this time period. 1·14 (0·83 to 1·41) * * Significant change during this time period. 0·61 (0·38 to 0·84) * * Significant change during this time period.

Macedonia 59·3 (57·2 to 61·6) 65·3 (63·6 to 67·4) 75·1 (72·6 to 77·5) 15·7 (12·3 to 18·9) * * Significant change during this time period. 6·0 (3·4 to 8·4) * * Significant change during this time period. 9·7 (6·7 to 12·6) * * Significant change during this time period. 0·90 (0·71 to 1·09) * * Significant change during this time period. 0·96 (0·54 to 1·36) * * Significant change during this time period. 0·87 (0·61 to 1·11) * * Significant change during this time period.

Montenegro 69·1 (66·5 to 71·7) 70·3 (68·4 to 72·4) 81·0 (78·6 to 83·5) 11·9 (8·3 to 15·5) * * Significant change during this time period. 1·1 (−1·8 to 3·9) 10·8 (7·8 to 13·9) * * Significant change during this time period. 0·61 (0·42 to 0·80) * * Significant change during this time period. 0·16 (−0·26 to 0·57) 0·89 (0·64 to 1·14) * * Significant change during this time period.

Poland 61·0 (59·8 to 62·4) 70·8 (69·1 to 72·0) 82·4 (79·7 to 84·6) 21·4 (18·2 to 23·8) * * Significant change during this time period. 9·8 (7·6 to 11·4) * * Significant change during this time period. 11·6 (9·3 to 14·0) * * Significant change during this time period. 1·16 (0·99 to 1·28) * * Significant change during this time period. 1·49 (1·16 to 1·73) * * Significant change during this time period. 0·95 (0·77 to 1·13) * * Significant change during this time period.

Romania 59·1 (57·6 to 61·0) 66·8 (65·2 to 68·4) 78·3 (75·9 to 80·7) 19·2 (16·3 to 21·9) * * Significant change during this time period. 7·7 (5·3 to 9·5) * * Significant change during this time period. 11·5 (8·9 to 14·2) * * Significant change during this time period. 1·08 (0·91 to 1·22) * * Significant change during this time period. 1·22 (0·83 to 1·51) * * Significant change during this time period. 0·99 (0·78 to 1·21) * * Significant change during this time period.

Serbia 64·7 (61·9 to 67·5) 66·9 (64·9 to 69·2) 77·2 (74·9 to 79·3) 12·5 (9·3 to 15·6) * * Significant change during this time period. 2·2 (−0·7 to 5·2) 10·3 (7·4 to 13·0) * * Significant change during this time period. 0·68 (0·51 to 0·86) * * Significant change during this time period. 0·33 (−0·11 to 0·80) 0·90 (0·64 to 1·13) * * Significant change during this time period.

Slovakia 67·8 (65·8 to 69·4) 73·6 (71·6 to 75·4) 83·3 (80·4 to 86·3) 15·5 (12·3 to 18·9) * * Significant change during this time period. 5·9 (3·6 to 8·1) * * Significant change during this time period. 9·7 (6·6 to 12·8) * * Significant change during this time period. 0·79 (0·64 to 0·95) * * Significant change during this time period. 0·83 (0·51 to 1·15) * * Significant change during this time period. 0·77 (0·53 to 1·02) * * Significant change during this time period.

Slovenia 74·1 (72·2 to 76·1) 79·5 (77·8 to 81·3) 90·8 (88·2 to 93·4) 16·6 (13·5 to 19·8) * * Significant change during this time period. 5·3 (3·0 to 7·9) * * Significant change during this time period. 11·3 (8·0 to 14·6) * * Significant change during this time period. 0·78 (0·63 to 0·92) * * Significant change during this time period. 0·70 (0·39 to 1·03) * * Significant change during this time period. 0·83 (0·59 to 1·06) * * Significant change during this time period.

Eastern Europe 63·5 (61·7 to 65·3) 63·1 (61·1 to 64·8) 75·0 (69·6 to 80·2) 11·5 (5·7 to 16·5) * * Significant change during this time period. −0·4 (−3·0 to 1·9) 11·9 (6·4 to 17·1) * * Significant change during this time period. 0·64 (0·33 to 0·90) * * Significant change during this time period. −0·07 (−0·48 to 0·29) 1·08 (0·60 to 1·51) * * Significant change during this time period.

Belarus 64·8 (63·4 to 66·3) 66·1 (63·7 to 67·6) 79·0 (75·3 to 82·8) 14·3 (10·5 to 18·1) * * Significant change during this time period. 1·3 (−1·6 to 3·1) 13·0 (9·1 to 16·9) * * Significant change during this time period. 0·76 (0·58 to 0·96) * * Significant change during this time period. 0·20 (−0·25 to 0·48) 1·12 (0·79 to 1·46) * * Significant change during this time period.

Estonia 68·2 (66·8 to 69·8) 71·6 (70·2 to 72·8) 85·9 (83·6 to 88·3) 17·7 (15·1 to 20·6) * * Significant change during this time period. 3·4 (1·7 to 5·0) * * Significant change during this time period. 14·3 (11·8 to 17·0) * * Significant change during this time period. 0·89 (0·76 to 1·03) * * Significant change during this time period. 0·48 (0·25 to 0·72) * * Significant change during this time period. 1·14 (0·94 to 1·35) * * Significant change during this time period.

Latvia 67·3 (65·9 to 68·8) 69·6 (68·1 to 71·0) 80·7 (78·0 to 83·3) 13·4 (10·5 to 16·4) * * Significant change during this time period. 2·3 (0·4 to 4·1) * * Significant change during this time period. 11·1 (8·3 to 14·2) * * Significant change during this time period. 0·70 (0·55 to 0·84) * * Significant change during this time period. 0·33 (0·06 to 0·61) * * Significant change during this time period. 0·93 (0·70 to 1·17) * * Significant change during this time period.

Lithuania 69·3 (68·0 to 70·6) 72·1 (70·6 to 73·4) 80·5 (78·7 to 82·3) 11·2 (9·2 to 13·2) * * Significant change during this time period. 2·9 (1·2 to 4·4) * * Significant change during this time period. 8·3 (6·0 to 10·7) * * Significant change during this time period. 0·58 (0·47 to 0·68) * * Significant change during this time period. 0·40 (0·17 to 0·62) * * Significant change during this time period. 0·68 (0·49 to 0·87) * * Significant change during this time period.

Moldova 56·6 (54·4 to 59·0) 58·1 (56·0 to 60·2) 67·4 (64·5 to 70·4) 10·8 (7·3 to 14·0) * * Significant change during this time period. 1·5 (−1·5 to 4·3) 9·3 (6·2 to 12·6) * * Significant change during this time period. 0·67 (0·46 to 0·86) * * Significant change during this time period. 0·26 (−0·25 to 0·76) 0·93 (0·62 to 1·24) * * Significant change during this time period.

Russia 63·1 (60·6 to 65·4) 62·5 (60·1 to 64·7) 75·1 (67·7 to 81·7) 11·9 (4·5 to 19·0) * * Significant change during this time period. −0·6 (−3·8 to 2·5) 12·6 (5·0 to 19·4) * * Significant change during this time period. 0·66 (0·26 to 1·01) * * Significant change during this time period. −0·10 (−0·63 to 0·40) 1·14 (0·48 to 1·73) * * Significant change during this time period.

Ukraine 64·9 (63·3 to 66·5) 64·0 (61·8 to 65·8) 74·6 (68·3 to 79·8) 9·6 (3·3 to 15·2) * * Significant change during this time period. −1·0 (−3·6 to 1·2) 10·6 (4·2 to 16·5) * * Significant change during this time period. 0·53 (0·19 to 0·81) * * Significant change during this time period. −0·15 (−0·56 to 0·18) 0·95 (0·39 to 1·45) * * Significant change during this time period.

High income † † Refers to Global Burden of Disease super region. 75·5 (74·4 to 76·6) 83·2 (82·3 to 83·8) 89·8 (89·2 to 90·4) 14·4 (13·3 to 15·5) * * Significant change during this time period. 7·7 (6·7 to 8·8) * * Significant change during this time period. 6·6 (6·0 to 7·4) * * Significant change during this time period. 0·67 (0·62 to 0·73) * * Significant change during this time period. 0·98 (0·84 to 1·11) * * Significant change during this time period. 0·48 (0·43 to 0·54) * * Significant change during this time period.

Australasia 83·2 (82·4 to 84·0) 89·7 (89·0 to 90·5) 95·5 (94·5 to 96·4) 12·3 (11·2 to 13·3) * * Significant change during this time period. 6·5 (5·8 to 7·3) * * Significant change during this time period. 5·8 (4·8 to 6·8) * * Significant change during this time period. 0·53 (0·48 to 0·57) * * Significant change during this time period. 0·76 (0·67 to 0·85) * * Significant change during this time period. 0·39 (0·32 to 0·46) * * Significant change during this time period.

Australia 83·9 (83·0 to 84·7) 90·4 (89·6 to 91·2) 95·9 (94·8 to 96·8) 12·0 (10·9 to 13·1) * * Significant change during this time period. 6·5 (5·6 to 7·5) * * Significant change during this time period. 5·5 (4·4 to 6·6) * * Significant change during this time period. 0·51 (0·47 to 0·56) * * Significant change during this time period. 0·75 (0·65 to 0·86) * * Significant change during this time period. 0·37 (0·30 to 0·44) * * Significant change during this time period.

New Zealand 80·2 (79·2 to 81·4) 87·0 (86·0 to 87·8) 92·4 (90·3 to 94·3) 12·2 (9·8 to 14·3) * * Significant change during this time period. 6·8 (5·4 to 7·9) * * Significant change during this time period. 5·4 (3·1 to 7·4) * * Significant change during this time period. 0·54 (0·44 to 0·64) * * Significant change during this time period. 0·81 (0·64 to 0·95) * * Significant change during this time period. 0·38 (0·22 to 0·51) * * Significant change during this time period.

High-income Asia Pacific 73·7 (72·1 to 75·6) 81·8 (80·6 to 83·1) 93·2 (91·8 to 94·2) 19·5 (16·9 to 21·5) * * Significant change during this time period. 8·1 (5·9 to 10·0) * * Significant change during this time period. 11·4 (9·7 to 13·0) * * Significant change during this time period. 0·90 (0·78 to 1·00) * * Significant change during this time period. 1·04 (0·75 to 1·30) * * Significant change during this time period. 0·81 (0·69 to 0·93) * * Significant change during this time period.

Brunei 62·9 (60·0 to 65·6) 70·0 (67·5 to 72·7) 76·4 (71·9 to 81·0) 13·5 (8·4 to 18·7) * * Significant change during this time period. 7·1 (3·9 to 10·6) * * Significant change during this time period. 6·4 (1·4 to 11·3) * * Significant change during this time period. 0·75 (0·48 to 1·02) * * Significant change during this time period. 1·07 (0·60 to 1·60) * * Significant change during this time period. 0·55 (0·12 to 0·94) * * Significant change during this time period.

Japan 80·9 (80·3 to 81·7) 86·9 (86·3 to 87·5) 94·1 (93·5 to 94·6) 13·3 (12·2 to 13·9) * * Significant change during this time period. 6·1 (5·4 to 6·4) * * Significant change during this time period. 7·2 (6·6 to 7·8) * * Significant change during this time period. 0·58 (0·54 to 0·62) * * Significant change during this time period. 0·72 (0·65 to 0·77) * * Significant change during this time period. 0·50 (0·45 to 0·54) * * Significant change during this time period.

Singapore 69·2 (66·5 to 72·0) 79·7 (77·2 to 82·0) 90·6 (87·2 to 93·3) 21·4 (17·5 to 25·0) * * Significant change during this time period. 10·5 (7·1 to 13·9) * * Significant change during this time period. 10·9 (7·1 to 14·8) * * Significant change during this time period. 1·04 (0·85 to 1·21) * * Significant change during this time period. 1·41 (0·95 to 1·88) * * Significant change during this time period. 0·80 (0·53 to 1·08) * * Significant change during this time period.

South Korea 59·5 (56·2 to 62·9) 74·4 (71·4 to 77·0) 90·3 (85·6 to 93·9) 30·9 (24·6 to 35·7) * * Significant change during this time period. 14·9 (10·0 to 18·9) * * Significant change during this time period. 15·9 (10·9 to 20·4) * * Significant change during this time period. 1·61 (1·28 to 1·87) * * Significant change during this time period. 2·24 (1·47 to 2·86) * * Significant change during this time period. 1·21 (0·84 to 1·54) * * Significant change during this time period.

High-income North America 81·0 (80·1 to 81·7) 87·1 (86·5 to 87·7) 89·1 (88·4 to 89·8) 8·1 (7·4 to 9·0) * * Significant change during this time period. 6·1 (5·5 to 6·8) * * Significant change during this time period. 2·0 (1·5 to 2·6) * * Significant change during this time period. 0·37 (0·34 to 0·41) * * Significant change during this time period. 0·73 (0·66 to 0·81) * * Significant change during this time period. 0·14 (0·11 to 0·18) * * Significant change during this time period.

Canada 83·2 (82·2 to 84·1) 89·3 (88·4 to 90·2) 93·8 (92·8 to 94·8) 10·6 (9·3 to 11·9) * * Significant change during this time period. 6·1 (5·1 to 6·9) * * Significant change during this time period. 4·5 (3·4 to 5·7) * * Significant change during this time period. 0·46 (0·40 to 0·52) * * Significant change during this time period. 0·71 (0·59 to 0·80) * * Significant change during this time period. 0·31 (0·24 to 0·39) * * Significant change during this time period.

Greenland 54·0 (50·6 to 57·5) 59·2 (56·4 to 62·8) 67·5 (62·7 to 72·7) 13·5 (8·0 to 19·0) * * Significant change during this time period. 5·2 (1·6 to 8·9) * * Significant change during this time period. 8·3 (3·3 to 13·5) * * Significant change during this time period. 0·86 (0·52 to 1·19) * * Significant change during this time period. 0·92 (0·29 to 1·55) * * Significant change during this time period. 0·82 (0·33 to 1·31) * * Significant change during this time period.

USA 80·7 (79·8 to 81·5) 86·8 (86·1 to 87·4) 88·7 (88·0 to 89·4) 8·0 (7·2 to 8·8) * * Significant change during this time period. 6·1 (5·5 to 6·7) * * Significant change during this time period. 1·9 (1·4 to 2·5) * * Significant change during this time period. 0·36 (0·33 to 0·40) * * Significant change during this time period. 0·72 (0·65 to 0·81) * * Significant change during this time period. 0·13 (0·10 to 0·18) * * Significant change during this time period.

Southern Latin America 54·2 (52·9 to 55·5) 62·6 (61·0 to 63·8) 70·0 (67·9 to 72·0) 15·8 (13·7 to 17·8) * * Significant change during this time period. 8·4 (6·8 to 9·7) * * Significant change during this time period. 7·4 (5·2 to 9·5) * * Significant change during this time period. 0·99 (0·86 to 1·10) * * Significant change during this time period. 1·45 (1·17 to 1·66) * * Significant change during this time period. 0·70 (0·50 to 0·89) * * Significant change during this time period.

Argentina 53·8 (52·3 to 55·2) 61·7 (59·8 to 63·1) 68·1 (65·8 to 70·1) 14·3 (12·0 to 16·5) * * Significant change during this time period. 8·0 (6·1 to 9·5) * * Significant change during this time period. 6·3 (4·2 to 8·5) * * Significant change during this time period. 0·91 (0·77 to 1·04) * * Significant change during this time period. 1·38 (1·06 to 1·64) * * Significant change during this time period. 0·61 (0·41 to 0·82) * * Significant change during this time period.

Chile 56·5 (54·9 to 58·4) 67·0 (65·4 to 68·5) 77·9 (72·3 to 83·7) 21·4 (15·5 to 27·5) * * Significant change during this time period. 10·5 (8·4 to 12·5) * * Significant change during this time period. 10·9 (5·3 to 16·4) * * Significant change during this time period. 1·23 (0·93 to 1·53) * * Significant change during this time period. 1·70 (1·35 to 2·03) * * Significant change during this time period. 0·94 (0·47 to 1·39) * * Significant change during this time period.

Uruguay 57·9 (56·7 to 59·1) 64·7 (63·2 to 65·8) 71·0 (68·9 to 73·0) 13·1 (10·9 to 15·2) * * Significant change during this time period. 6·8 (5·1 to 8·2) * * Significant change during this time period. 6·3 (4·1 to 8·5) * * Significant change during this time period. 0·79 (0·66 to 0·90) * * Significant change during this time period. 1·12 (0·84 to 1·34) * * Significant change during this time period. 0·58 (0·39 to 0·78) * * Significant change during this time period.

Western Europe 78·6 (77·9 to 79·6) 85·3 (84·6 to 86·0) 92·6 (91·7 to 93·3) 13·9 (12·8 to 14·8) * * Significant change during this time period. 6·7 (6·0 to 7·3) * * Significant change during this time period. 7·2 (6·6 to 7·9) * * Significant change during this time period. 0·63 (0·58 to 0·67) * * Significant change during this time period. 0·82 (0·73 to 0·90) * * Significant change during this time period. 0·51 (0·46 to 0·56) * * Significant change during this time period.

Andorra 84·7 (79·5 to 89·3) 92·8 (88·9 to 96·0) 94·7 (91·2 to 97·0) 10·0 (4·4 to 15·4) * * Significant change during this time period. 8·1 (3·8 to 12·6) * * Significant change during this time period. 1·8 (−2·5 to 5·8) 0·43 (0·19 to 0·67) * * Significant change during this time period. 0·92 (0·43 to 1·45) * * Significant change during this time period. 0·12 (−0·17 to 0·39)

Austria 80·9 (79·9 to 82·2) 87·4 (86·5 to 88·5) 93·9 (92·6 to 95·3) 13·1 (11·3 to 14·7) * * Significant change during this time period. 6·6 (5·6 to 7·6) * * Significant change during this time period. 6·5 (5·1 to 8·0) * * Significant change during this time period. 0·58 (0·50 to 0·65) * * Significant change during this time period. 0·78 (0·66 to 0·91) * * Significant change during this time period. 0·45 (0·36 to 0·55) * * Significant change during this time period.

Belgium 80·7 (79·4 to 82·2) 86·1 (84·8 to 87·3) 92·9 (90·7 to 95·0) 12·2 (9·6 to 14·7) * * Significant change during this time period. 5·4 (3·7 to 7·1) * * Significant change during this time period. 6·8 (4·6 to 9·1) * * Significant change during this time period. 0·54 (0·43 to 0·65) * * Significant change during this time period. 0·65 (0·44 to 0·85) * * Significant change during this time period. 0·47 (0·32 to 0·63) * * Significant change during this time period.

Cyprus 68·3 (66·3 to 70·5) 78·0 (76·6 to 79·7) 90·3 (88·8 to 91·8) 22·0 (19·6 to 24·3) * * Significant change during this time period. 9·6 (7·7 to 11·5) * * Significant change during this time period. 12·3 (10·5 to 14·3) * * Significant change during this time period. 1·07 (0·95 to 1·20) * * Significant change during this time period. 1·32 (1·04 to 1·59) * * Significant change during this time period. 0·92 (0·78 to 1·06) * * Significant change during this time period.

Denmark 81·1 (79·3 to 82·7) 85·0 (83·5 to 86·8) 92·1 (89·8 to 94·3) 11·0 (8·2 to 13·7) * * Significant change during this time period. 3·8 (1·7 to 6·5) * * Significant change during this time period. 7·2 (4·5 to 10·0) * * Significant change during this time period. 0·49 (0·36 to 0·61) * * Significant change during this time period. 0·46 (0·20 to 0·78) * * Significant change during this time period. 0·51 (0·32 to 0·70) * * Significant change during this time period.

Finland 81·0 (79·8 to 82·3) 87·7 (86·7 to 88·7) 95·9 (94·6 to 96·9) 14·9 (13·0 to 16·5) * * Significant change during this time period. 6·8 (5·3 to 8·0) * * Significant change during this time period. 8·1 (6·7 to 9·5) * * Significant change during this time period. 0·65 (0·56 to 0·72) * * Significant change during this time period. 0·80 (0·62 to 0·95) * * Significant change during this time period. 0·55 (0·46 to 0·65) * * Significant change during this time period.

France 77·6 (76·4 to 79·1) 84·1 (83·0 to 85·3) 91·7 (90·3 to 93·1) 14·1 (12·1 to 16·0) * * Significant change during this time period. 6·6 (5·4 to 7·7) * * Significant change during this time period. 7·6 (6·0 to 9·1) * * Significant change during this time period. 0·64 (0·55 to 0·73) * * Significant change during this time period. 0·81 (0·66 to 0·95) * * Significant change during this time period. 0·54 (0·42 to 0·65) * * Significant change during this time period.

Germany 78·9 (77·5 to 80·6) 86·1 (84·9 to 87·3) 92·0 (90·4 to 93·6) 13·1 (10·8 to 15·1) * * Significant change during this time period. 7·2 (5·4 to 8·9) * * Significant change during this time period. 5·9 (4·1 to 8·0) * * Significant change during this time period. 0·59 (0·49 to 0·68) * * Significant change during this time period. 0·87 (0·65 to 1·09) * * Significant change during this time period. 0·42 (0·29 to 0·56) * * Significant change during this time period.

Greece 79·5 (78·4 to 80·5) 85·3 (84·4 to 86·3) 90·4 (88·8 to 91·9) 10·9 (9·1 to 12·6) * * Significant change during this time period. 5·8 (4·8 to 6·8) * * Significant change during this time period. 5·1 (3·5 to 6·7) * * Significant change during this time period. 0·49 (0·42 to 0·57) * * Significant change during this time period. 0·70 (0·58 to 0·84) * * Significant change during this time period. 0·36 (0·25 to 0·47) * * Significant change during this time period.

Iceland 87·0 (85·6 to 88·5) 92·8 (91·5 to 93·9) 97·1 (95·8 to 98·1) 10·2 (8·6 to 11·7) * * Significant change during this time period. 5·8 (4·1 to 7·3) * * Significant change during this time period. 4·4 (2·8 to 6·0) * * Significant change during this time period. 0·42 (0·36 to 0·49) * * Significant change during this time period. 0·65 (0·46 to 0·81) * * Significant change during this time period. 0·29 (0·18 to 0·39) * * Significant change during this time period.

Ireland 76·3 (74·9 to 77·5) 83·9 (82·4 to 85·4) 94·6 (91·8 to 96·8) 18·3 (15·3 to 20·9) * * Significant change during this time period. 7·6 (6·0 to 9·3) * * Significant change during this time period. 10·7 (7·8 to 13·4) * * Significant change during this time period. 0·83 (0·70 to 0·94) * * Significant change during this time period. 0·95 (0·75 to 1·17) * * Significant change during this time period. 0·75 (0·55 to 0·93) * * Significant change during this time period.

Israel 71·2 (68·9 to 73·7) 77·9 (75·5 to 80·5) 84·8 (80·7 to 88·4) 13·5 (8·6 to 18·0) * * Significant change during this time period. 6·7 (3·4 to 10·0) * * Significant change during this time period. 6·8 (2·3 to 10·8) * * Significant change during this time period. 0·67 (0·43 to 0·88) * * Significant change during this time period. 0·90 (0·46 to 1·34) * * Significant change during this time period. 0·52 (0·18 to 0·83) * * Significant change during this time period.

Italy 81·5 (80·6 to 82·4) 88·8 (87·8 to 89·7) 94·9 (93·4 to 96·0) 13·3 (11·8 to 14·7) * * Significant change during this time period. 7·2 (6·3 to 8·1) * * Significant change during this time period. 6·1 (4·7 to 7·4) * * Significant change during this time period. 0·58 (0·52 to 0·64) * * Significant change during this time period. 0·85 (0·74 to 0·96) * * Significant change during this time period. 0·41 (0·32 to 0·51) * * Significant change during this time period.

Luxembourg 81·4 (79·7 to 83·0) 90·3 (88·8 to 91·6) 96·0 (94·4 to 97·3) 14·7 (12·4 to 16·7) * * Significant change during this time period. 8·9 (7·2 to 10·6) * * Significant change during this time period. 5·7 (3·9 to 7·4) * * Significant change during this time period. 0·64 (0·53 to 0·73) * * Significant change during this time period. 1·04 (0·83 to 1·24) * * Significant change during this time period. 0·38 (0·26 to 0·49) * * Significant change during this time period.

Malta 75·0 (73·0 to 77·0) 81·1 (79·0 to 83·0) 89·9 (86·3 to 93·0) 14·9 (10·8 to 18·8) * * Significant change during this time period. 6·1 (3·5 to 8·7) * * Significant change during this time period. 8·8 (4·9 to 12·6) * * Significant change during this time period. 0·70 (0·52 to 0·87) * * Significant change during this time period. 0·78 (0·45 to 1·11) * * Significant change during this time period. 0·64 (0·36 to 0·91) * * Significant change during this time period.

Netherlands 84·1 (82·8 to 85·4) 88·6 (87·1 to 89·8) 96·1 (94·5 to 97·3) 11·9 (10·0 to 13·6) * * Significant change during this time period. 4·5 (3·1 to 6·0) * * Significant change during this time period. 7·4 (5·6 to 9·1) * * Significant change during this time period. 0·51 (0·43 to 0·58) * * Significant change during this time period. 0·52 (0·36 to 0·69) * * Significant change during this time period. 0·50 (0·38 to 0·62) * * Significant change during this time period.

Norway 84·0 (82·9 to 85·1) 90·6 (89·5 to 91·7) 96·6 (94·9 to 97·9) 12·6 (10·6 to 14·3) * * Significant change during this time period. 6·6 (5·4 to 7·9) * * Significant change during this time period. 6·0 (4·1 to 7·6) * * Significant change during this time period. 0·54 (0·46 to 0·61) * * Significant change during this time period. 0·76 (0·62 to 0·91) * * Significant change during this time period. 0·40 (0·27 to 0·51) * * Significant change during this time period.

Portugal 67·1 (65·9 to 68·3) 76·2 (75·1 to 77·3) 85·7 (84·1 to 87·3) 18·6 (16·9 to 20·4) * * Significant change during this time period. 9·1 (8·0 to 10·4) * * Significant change during this time period. 9·5 (7·8 to 11·3) * * Significant change during this time period. 0·94 (0·86 to 1·03) * * Significant change during this time period. 1·27 (1·11 to 1·46) * * Significant change during this time period. 0·74 (0·61 to 0·87) * * Significant change during this time period.

Spain 76·2 (75·2 to 77·2) 84·1 (83·1 to 84·9) 91·9 (90·5 to 93·2) 15·7 (14·2 to 17·3) * * Significant change during this time period. 7·9 (6·9 to 8·8) * * Significant change during this time period. 7·8 (6·5 to 9·2) * * Significant change during this time period. 0·72 (0·65 to 0·79) * * Significant change during this time period. 0·99 (0·87 to 1·11) * * Significant change during this time period. 0·56 (0·46 to 0·65) * * Significant change during this time period.

Sweden 85·2 (84·2 to 86·2) 92·4 (91·5 to 93·2) 95·5 (93·4 to 97·2) 10·2 (7·9 to 12·1) * * Significant change during this time period. 7·1 (6·1 to 8·2) * * Significant change during this time period. 3·1 (1·0 to 5·0) * * Significant change during this time period. 0·44 (0·34 to 0·51) * * Significant change during this time period. 0·81 (0·69 to 0·93) * * Significant change during this time period. 0·21 (0·07 to 0·33) * * Significant change during this time period.

Switzerland 86·8 (85·2 to 88·2) 91·6 (90·2 to 93·0) 95·6 (92·4 to 97·8) 8·8 (5·3 to 11·4) * * Significant change during this time period. 4·8 (3·0 to 6·6) * * Significant change during this time period. 4·0 (0·5 to 6·7) * * Significant change during this time period. 0·37 (0·22 to 0·48) * * Significant change during this time period. 0·54 (0·33 to 0·74) * * Significant change during this time period. 0·26 (0·04 to 0·45) * * Significant change during this time period.

UK 78·0 (77·1 to 78·6) 83·9 (83·0 to 84·6) 90·5 (89·6 to 91·3) 12·5 (11·8 to 13·4) * * Significant change during this time period. 6·0 (5·5 to 6·5) * * Significant change during this time period. 6·5 (5·9 to 7·2) * * Significant change during this time period. 0·57 (0·54 to 0·61) * * Significant change during this time period. 0·74 (0·69 to 0·80) * * Significant change during this time period. 0·47 (0·43 to 0·51) * * Significant change during this time period.

Latin America and Caribbean † † Refers to Global Burden of Disease super region. 41·3 (40·3 to 42·5) 52·6 (51·3 to 53·7) 61·8 (60·4 to 63·0) 20·5 (19·0 to 21·8) * * Significant change during this time period. 11·3 (9·8 to 12·3) * * Significant change during this time period. 9·2 (8·1 to 10·2) * * Significant change during this time period. 1·55 (1·43 to 1·65) * * Significant change during this time period. 2·42 (2·09 to 2·66) * * Significant change during this time period. 1·01 (0·89 to 1·12) * * Significant change during this time period.

Andean Latin America 34·1 (32·4 to 36·0) 46·9 (45·3 to 48·6) 59·3 (56·3 to 62·4) 25·2 (21·4 to 28·8) * * Significant change during this time period. 12·8 (10·0 to 15·0) * * Significant change during this time period. 12·4 (9·5 to 15·3) * * Significant change during this time period. 2·13 (1·82 to 2·42) * * Significant change during this time period. 3·19 (2·47 to 3·76) * * Significant change during this time period. 1·47 (1·14 to 1·77) * * Significant change during this time period.

Bolivia 26·2 (23·6 to 29·0) 36·5 (34·2 to 38·9) 48·8 (43·5 to 54·0) 22·6 (16·6 to 28·1) * * Significant change during this time period. 10·3 (7·1 to 13·2) * * Significant change during this time period. 12·3 (6·8 to 17·6) * * Significant change during this time period. 2·39 (1·82 to 2·93) * * Significant change during this time period. 3·31 (2·27 to 4·38) * * Significant change during this time period. 1·81 (1·08 to 2·51) * * Significant change during this time period.

Ecuador 37·8 (36·1 to 39·9) 51·1 (48·9 to 52·8) 62·2 (59·5 to 64·6) 24·3 (20·8 to 27·4) * * Significant change during this time period. 13·3 (10·4 to 15·6) * * Significant change during this time period. 11·1 (8·8 to 13·4) * * Significant change during this time period. 1·91 (1·63 to 2·15) * * Significant change during this time period. 3·01 (2·35 to 3·55) * * Significant change during this time period. 1·22 (0·98 to 1·47) * * Significant change during this time period.

Peru 38·6 (36·3 to 41·3) 51·0 (48·8 to 53·4) 64·3 (59·2 to 69·4) 25·8 (19·8 to 31·4) * * Significant change during this time period. 12·4 (8·7 to 15·7) * * Significant change during this time period. 13·4 (8·0 to 18·5) * * Significant change during this time period. 1·97 (1·52 to 2·34) * * Significant change during this time period. 2·79 (1·92 to 3·53) * * Significant change during this time period. 1·45 (0·90 to 1·97) * * Significant change during this time period.

Caribbean 37·9 (36·1 to 40·0) 45·6 (43·6 to 47·7) 54·2 (51·1 to 57·3) 16·3 (12·7 to 19·7) * * Significant change during this time period. 7·7 (5·0 to 10·2) * * Significant change during this time period. 8·7 (5·3 to 12·1) * * Significant change during this time period. 1·38 (1·09 to 1·64) * * Significant change during this time period. 1·85 (1·20 to 2·43) * * Significant change during this time period. 1·09 (0·67 to 1·50) * * Significant change during this time period.

Antigua and Barbuda 57·0 (54·5 to 59·5) 62·8 (60·2 to 65·4) 69·8 (66·5 to 73·3) 12·8 (8·7 to 16·7) * * Significant change during this time period. 5·8 (2·7 to 9·0) * * Significant change during this time period. 7·0 (3·2 to 11·2) * * Significant change during this time period. 0·78 (0·53 to 1·01) * * Significant change during this time period. 0·97 (0·46 to 1·51) * * Significant change during this time period. 0·66 (0·31 to 1·04) * * Significant change during this time period.

Barbados 59·3 (57·1 to 61·6) 67·3 (64·3 to 69·7) 70·8 (67·3 to 73·8) 11·6 (7·5 to 15·4) * * Significant change during this time period. 8·0 (4·8 to 11·0) * * Significant change during this time period. 3·6 (−0·2 to 7·5) 0·69 (0·45 to 0·90) * * Significant change during this time period. 1·27 (0·76 to 1·73) * * Significant change during this time period. 0·32 (−0·02 to 0·67)

Belize 46·6 (44·3 to 48·8) 48·6 (46·1 to 50·8) 55·7 (50·8 to 59·9) 9·1 (4·0 to 13·6) * * Significant change during this time period. 2·0 (−1·0 to 4·8) 7·2 (2·5 to 11·4) * * Significant change during this time period. 0·69 (0·31 to 1·01) * * Significant change during this time period. 0·41 (−0·21 to 1·02) 0·86 (0·31 to 1·35) * * Significant change during this time period.

Bermuda 63·1 (60·8 to 65·8) 73·5 (71·0 to 76·0) 83·1 (79·7 to 86·3) 20·0 (15·7 to 24·0) * * Significant change during this time period. 10·4 (6·8 to 13·7) * * Significant change during this time period. 9·6 (5·6 to 13·5) * * Significant change during this time period. 1·06 (0·84 to 1·26) * * Significant change during this time period. 1·52 (0·98 to 2·01) * * Significant change during this time period. 0·76 (0·45 to 1·08) * * Significant change during this time period.

Cuba 63·7 (62·4 to 65·5) 67·3 (66·2 to 68·6) 75·5 (73·5 to 77·7) 11·8 (9·5 to 14·2) * * Significant change during this time period. 3·6 (2·1 to 5·2) * * Significant change during this time period. 8·2 (6·0 to 10·4) * * Significant change during this time period. 0·65 (0·53 to 0·78) * * Significant change during this time period. 0·56 (0·32 to 0·79) * * Significant change during this time period. 0·72 (0·53 to 0·91) * * Significant change during this time period.

Dominica 52·4 (50·1 to 54·8) 58·9 (56·3 to 61·2) 61·9 (58·2 to 65·3) 9·5 (5·3 to 13·2) * * Significant change during this time period. 6·5 (3·8 to 9·3) * * Significant change during this time period. 3·0 (−1·3 to 6·9) 0·64 (0·37 to 0·88) * * Significant change during this time period. 1·18 (0·69 to 1·67) * * Significant change during this time period. 0·31 (−0·14 to 0·71)

Dominican Republic 38·4 (35·8 to 41·5) 52·5 (49·5 to 55·5) 61·2 (57·3 to 65·6) 22·8 (17·8 to 27·5) * * Significant change during this time period. 14·1 (9·6 to 18·1) * * Significant change during this time period. 8·7 (4·2 to 13·4) * * Significant change during this time period. 1·80 (1·40 to 2·14) * * Significant change during this time period. 3·14 (2·07 to 3·95) * * Significant change during this time period. 0·96 (0·46 to 1·44) * * Significant change during this time period.

Grenada 47·2 (44·1 to 50·4) 53·2 (50·4 to 55·8) 58·5 (54·7 to 62·2) 11·3 (6·7 to 16·2) * * Significant change during this time period. 5·9 (2·0 to 9·6) * * Significant change during this time period. 5·3 (1·2 to 9·7) * * Significant change during this time period. 0·82 (0·49 to 1·19) * * Significant change during this time period. 1·19 (0·40 to 1·95) * * Significant change during this time period. 0·60 (0·13 to 1·07) * * Significant change during this time period.

Guyana 38·4 (36·3 to 40·5) 43·2 (41·0 to 45·1) 49·8 (46·8 to 53·0) 11·4 (8·0 to 15·3) * * Significant change during this time period. 4·8 (1·9 to 7·2) * * Significant change during this time period. 6·6 (3·4 to 9·9) * * Significant change during this time period. 1·00 (0·71 to 1·32) * * Significant change during this time period. 1·19 (0·48 to 1·77) * * Significant change during this time period. 0·88 (0·46 to 1·32) * * Significant change during this time period.

Haiti 16·7 (13·8 to 19·8) 23·2 (19·6 to 26·9) 32·1 (26·6 to 37·8) 15·4 (9·5 to 21·4) * * Significant change during this time period. 6·5 (2·0 to 10·9) * * Significant change during this time period. 8·9 (2·7 to 15·1) * * Significant change during this time period. 2·51 (1·59 to 3·48) * * Significant change during this time period. 3·30 (1·02 to 5·61) * * Significant change during this time period. 2·02 (0·65 to 3·35) * * Significant change during this time period.

Jamaica 51·1 (48·2 to 54·2) 56·4 (52·4 to 59·8) 62·0 (56·8 to 67·3) 10·8 (5·0 to 16·7) * * Significant change during this time period. 5·2 (0·7 to 9·2) * * Significant change during this time period. 5·6 (0·2 to 10·9) * * Significant change during this time period. 0·74 (0·35 to 1·12) * * Significant change during this time period. 0·97 (0·13 to 1·69) * * Significant change during this time period. 0·59 (0·03 to 1·12) * * Significant change during this time period.

Puerto Rico 67·1 (65·7 to 68·8) 74·6 (73·0 to 76·2) 82·7 (80·2 to 85·0) 15·6 (12·7 to 18·2) * * Significant change during this time period. 7·5 (5·7 to 9·4) * * Significant change during this time period. 8·1 (5·5 to 10·7) * * Significant change during this time period. 0·80 (0·66 to 0·93) * * Significant change during this time period. 1·06 (0·80 to 1·32) * * Significant change during this time period. 0·64 (0·45 to 0·84) * * Significant change during this time period.

Saint Lucia 48·9 (46·6 to 51·1) 56·8 (54·5 to 58·9) 63·3 (60·3 to 66·0) 14·4 (10·9 to 17·7) * * Significant change during this time period. 7·9 (5·0 to 10·8) * * Significant change during this time period. 6·5 (3·3 to 9·7) * * Significant change during this time period. 1·00 (0·76 to 1·21) * * Significant change during this time period. 1·50 (0·95 to 2·07) * * Significant change during this time period. 0·68 (0·35 to 0·98) * * Significant change during this time period.

Saint Vincent and the Grenadines 49·6 (47·2 to 51·7) 53·0 (50·7 to 55·1) 57·4 (54·8 to 59·9) 7·8 (4·6 to 11·1) * * Significant change during this time period. 3·4 (0·9 to 5·8) * * Significant change during this time period. 4·4 (1·5 to 7·6) * * Significant change during this time period. 0·56 (0·34 to 0·79) * * Significant change during this time period. 0·66 (0·18 to 1·14) * * Significant change during this time period. 0·50 (0·17 to 0·86) * * Significant change during this time period.

Suriname 41·9 (39·9 to 44·2) 45·6 (43·0 to 47·9) 54·5 (51·2 to 57·6) 12·5 (8·3 to 16·4) * * Significant change during this time period. 3·6 (0·3 to 6·4) * * Significant change during this time period. 8·9 (5·6 to 12·4) * * Significant change during this time period. 1·01 (0·66 to 1·29) * * Significant change during this time period. 0·83 (0·07 to 1·47) * * Significant change during this time period. 1·12 (0·71 to 1·55) * * Significant change during this time period.

The Bahamas 56·1 (54·0 to 58·3) 63·4 (61·3 to 65·4) 66·4 (62·9 to 69·7) 10·3 (6·3 to 14·0) * * Significant change during this time period. 7·3 (4·7 to 9·8) * * Significant change during this time period. 3·0 (−0·7 to 6·4) 0·65 (0·40 to 0·88) * * Significant change during this time period. 1·22 (0·79 to 1·67) * * Significant change during this time period. 0·29 (−0·06 to 0·61)

Trinidad and Tobago 51·2 (49·7 to 52·6) 55·7 (53·7 to 57·3) 64·3 (60·7 to 67·5) 13·1 (9·0 to 16·6) * * Significant change during this time period. 4·5 (2·3 to 6·4) * * Significant change during this time period. 8·6 (5·3 to 11·8) * * Significant change during this time period. 0·87 (0·62 to 1·10) * * Significant change during this time period. 0·84 (0·43 to 1·18) * * Significant change during this time period. 0·89 (0·57 to 1·20) * * Significant change during this time period.

Virgin Islands 57·2 (54·6 to 60·4) 65·7 (63·0 to 68·8) 74·0 (70·0 to 79·1) 16·8 (11·9 to 21·9) * * Significant change during this time period. 8·5 (4·9 to 12·1) * * Significant change during this time period. 8·3 (4·0 to 13·2) * * Significant change during this time period. 0·99 (0·72 to 1·28) * * Significant change during this time period. 1·38 (0·80 to 1·96) * * Significant change during this time period. 0·75 (0·36 to 1·18) * * Significant change during this time period.

Central Latin America 43·3 (42·3 to 44·5) 55·8 (54·2 to 56·8) 64·4 (62·6 to 65·6) 21·1 (19·3 to 22·6) * * Significant change during this time period. 12·5 (10·8 to 13·7) * * Significant change during this time period. 8·6 (7·6 to 9·7) * * Significant change during this time period. 1·53 (1·40 to 1·63) * * Significant change during this time period. 2·54 (2·20 to 2·78) * * Significant change during this time period. 0·90 (0·79 to 1·01) * * Significant change during this time period.

Colombia 48·5 (46·7 to 50·6) 57·6 (55·9 to 59·0) 68·5 (65·8 to 70·9) 20·0 (16·6 to 23·0) * * Significant change during this time period. 9·1 (6·9 to 11·0) * * Significant change during this time period. 10·9 (8·3 to 13·4) * * Significant change during this time period. 1·33 (1·11 to 1·53) * * Significant change during this time period. 1·72 (1·29 to 2·11) * * Significant change during this time period. 1·09 (0·84 to 1·31) * * Significant change during this time period.

Costa Rica 60·7 (59·2 to 61·9) 64·7 (63·2 to 65·9) 73·7 (71·2 to 76·0) 13·0 (10·4 to 15·5) * * Significant change during this time period. 4·0 (2·5 to 5·5) * * Significant change during this time period. 9·0 (6·5 to 11·6) * * Significant change during this time period. 0·75 (0·60 to 0·88) * * Significant change during this time period. 0·64 (0·40 to 0·88) * * Significant change during this time period. 0·82 (0·60 to 1·04) * * Significant change during this time period.

El Salvador 38·1 (35·9 to 41·8) 52·1 (49·5 to 54·5) 63·2 (58·9 to 67·2) 25·1 (17·9 to 29·7) * * Significant change during this time period. 14·0 (8·5 to 17·2) * * Significant change during this time period. 11·1 (7·6 to 15·0) * * Significant change during this time period. 1·95 (1·38 to 2·27) * * Significant change during this time period. 3·14 (1·86 to 3·86) * * Significant change during this time period. 1·20 (0·84 to 1·60) * * Significant change during this time period.

Guatemala 30·4 (27·4 to 33·4) 42·0 (38·3 to 45·7) 51·5 (45·3 to 57·7) 21·1 (14·5 to 27·5) * * Significant change during this time period. 11·6 (7·1 to 16·1) * * Significant change during this time period. 9·4 (2·8 to 16·2) * * Significant change during this time period. 2·02 (1·42 to 2·57) * * Significant change during this time period. 3·24 (1·97 to 4·51) * * Significant change during this time period. 1·26 (0·38 to 2·10) * * Significant change during this time period.

Honduras 28·1 (24·8 to 31·3) 38·1 (33·1 to 43·3) 46·5 (40·1 to 53·1) 18·5 (11·4 to 25·5) * * Significant change during this time period. 10·0 (5·5 to 15·2) * * Significant change during this time period. 8·5 (2·1 to 15·1) * * Significant change during this time period. 1·94 (1·26 to 2·65) * * Significant change during this time period. 3·04 (1·73 to 4·52) * * Significant change during this time period. 1·25 (0·32 to 2·21) * * Significant change during this time period.

Mexico 45·5 (44·5 to 46·9) 59·0 (57·6 to 59·9) 66·3 (64·9 to 67·4) 20·8 (19·5 to 22·0) * * Significant change during this time period. 13·5 (12·0 to 14·6) * * Significant change during this time period. 7·3 (6·4 to 8·2) * * Significant change during this time period. 1·45 (1·34 to 1·54) * * Significant change during this time period. 2·61 (2·29 to 2·82) * * Significant change during this time period. 0·73 (0·64 to 0·82) * * Significant change during this time period.

Nicaragua 43·1 (41·0 to 46·2) 49·8 (47·9 to 52·0) 61·2 (57·0 to 65·4) 18·1 (11·9 to 22·9) * * Significant change during this time period. 6·7 (3·1 to 9·6) * * Significant change during this time period. 11·4 (7·2 to 15·7) * * Significant change during this time period. 1·35 (0·88 to 1·67) * * Significant change during this time period. 1·45 (0·65 to 2·09) * * Significant change during this time period. 1·28 (0·83 to 1·74) * * Significant change during this time period.

Panama 52·1 (49·3 to 55·5) 60·8 (58·6 to 62·9) 68·3 (64·6 to 71·9) 16·1 (10·8 to 21·2) * * Significant change during this time period. 8·7 (5·0 to 12·0) * * Significant change during this time period. 7·4 (3·3 to 11·6) * * Significant change during this time period. 1·04 (0·69 to 1·36) * * Significant change during this time period. 1·55 (0·86 to 2·15) * * Significant change during this time period. 0·72 (0·33 to 1·11) * * Significant change during this time period.

Venezuela 51·3 (49·0 to 53·9) 60·0 (58·0 to 61·8) 67·8 (63·6 to 71·8) 16·5 (11·1 to 21·5) * * Significant change during this time period. 8·7 (5·4 to 11·6) * * Significant change during this time period. 7·8 (3·5 to 11·9) * * Significant change during this time period. 1·07 (0·74 to 1·38) * * Significant change during this time period. 1·57 (0·97 to 2·10) * * Significant change during this time period. 0·76 (0·35 to 1·15) * * Significant change during this time period.

Tropical Latin America 46·1 (44·9 to 47·2) 54·9 (53·6 to 55·9) 63·4 (62·0 to 64·4) 17·3 (16·1 to 18·5) * * Significant change during this time period. 8·9 (7·9 to 9·7) * * Significant change during this time period. 8·4 (7·3 to 9·6) * * Significant change during this time period. 1·23 (1·14 to 1·31) * * Significant change during this time period. 1·76 (1·57 to 1·94) * * Significant change during this time period. 0·89 (0·77 to 1·02) * * Significant change during this time period.

Brazil 46·5 (45·2 to 47·7) 55·3 (53·9 to 56·4) 63·8 (62·3 to 64·9) 17·3 (16·1 to 18·5) * * Significant change during this time period. 8·8 (8·0 to 9·6) * * Significant change during this time period. 8·5 (7·4 to 9·6) * * Significant change during this time period. 1·22 (1·13 to 1·30) * * Significant change during this time period. 1·74 (1·57 to 1·90) * * Significant change during this time period. 0·89 (0·78 to 1·02) * * Significant change during this time period.

Paraguay 43·1 (41·1 to 45·1) 49·8 (46·8 to 52·3) 56·7 (53·1 to 60·2) 13·6 (9·9 to 17·4) * * Significant change during this time period. 6·8 (3·7 to 9·5) * * Significant change during this time period. 6·9 (3·4 to 10·3) * * Significant change during this time period. 1·06 (0·78 to 1·32) * * Significant change during this time period. 1·46 (0·82 to 2·07) * * Significant change during this time period. 0·81 (0·41 to 1·20) * * Significant change during this time period.

North Africa and Middle East † † Refers to Global Burden of Disease super region. 35·9 (33·7 to 37·9) 42·3 (40·5 to 44·0) 55·8 (54·0 to 57·8) 19·9 (17·6 to 22·2) * * Significant change during this time period. 6·4 (5·1 to 7·6) * * Significant change during this time period. 13·5 (11·6 to 15·5) * * Significant change during this time period. 1·70 (1·49 to 1·93) * * Significant change during this time period. 1·63 (1·29 to 2·00) * * Significant change during this time period. 1·73 (1·50 to 2·00) * * Significant change during this time period.

North Africa and Middle East 35·9 (33·7 to 37·9) 42·3 (40·5 to 44·0) 55·8 (54·0 to 57·8) 19·9 (17·6 to 22·2) * * Significant change during this time period. 6·4 (5·1 to 7·6) * * Significant change during this time period. 13·5 (11·6 to 15·5) * * Significant change during this time period. 1·70 (1·49 to 1·93) * * Significant change during this time period. 1·63 (1·29 to 2·00) * * Significant change during this time period. 1·73 (1·50 to 2·00) * * Significant change during this time period.

Afghanistan 15·8 (12·2 to 19·4) 14·9 (11·5 to 19·1) 25·9 (22·0 to 29·5) 10·1 (5·2 to 14·5) * * Significant change during this time period. −0·9 (−4·1 to 2·7) 11·0 (6·4 to 15·4) * * Significant change during this time period. 1·93 (0·96 to 2·83) * * Significant change during this time period. −0·60 (−2·75 to 1·68) 3·51 (1·88 to 5·10) * * Significant change during this time period.

Algeria 42·8 (37·6 to 46·7) 50·6 (46·1 to 54·2) 63·1 (59·4 to 66·4) 20·2 (16·0 to 24·6) * * Significant change during this time period. 7·8 (4·2 to 11·6) * * Significant change during this time period. 12·4 (8·7 to 16·7) * * Significant change during this time period. 1·49 (1·16 to 1·90) * * Significant change during this time period. 1·68 (0·89 to 2·56) * * Significant change during this time period. 1·38 (0·95 to 1·88) * * Significant change during this time period.

Bahrain 49·9 (46·7 to 53·1) 59·4 (56·3 to 62·2) 72·0 (67·3 to 76·5) 22·1 (16·5 to 27·2) * * Significant change during this time period. 9·5 (5·4 to 13·6) * * Significant change during this time period. 12·6 (7·3 to 17·9) * * Significant change during this time period. 1·41 (1·07 to 1·73) * * Significant change during this time period. 1·75 (0·98 to 2·51) * * Significant change during this time period. 1·20 (0·71 to 1·68) * * Significant change during this time period.

Egypt 34·2 (31·9 to 37·7) 45·9 (43·4 to 49·2) 58·0 (53·9 to 62·5) 23·8 (19·1 to 28·4) * * Significant change during this time period. 11·7 (8·8 to 14·5) * * Significant change during this time period. 12·1 (8·1 to 16·5) * * Significant change during this time period. 2·03 (1·64 to 2·39) * * Significant change during this time period. 2·94 (2·21 to 3·66) * * Significant change during this time period. 1·46 (1·00 to 1·95) * * Significant change during this time period.

Iran 49·3 (45·0 to 53·5) 61·0 (57·2 to 64·7) 71·8 (67·3 to 76·3) 22·4 (16·3 to 28·6) * * Significant change during this time period. 11·6 (6·4 to 16·7) * * Significant change during this time period. 10·8 (5·0 to 16·3) * * Significant change during this time period. 1·44 (1·04 to 1·87) * * Significant change during this time period. 2·12 (1·16 to 3·11) * * Significant change during this time period. 1·02 (0·47 to 1·54) * * Significant change during this time period.

Iraq 42·4 (38·5 to 47·1) 43·4 (40·0 to 46·8) 51·1 (45·9 to 56·6) 8·6 (1·2 to 15·8) * * Significant change during this time period. 0·9 (−3·8 to 5·6) 7·7 (1·6 to 13·7) * * Significant change during this time period. 0·71 (0·11 to 1·29) * * Significant change during this time period. 0·23 (−0·87 to 1·34) 1·02 (0·21 to 1·75) * * Significant change during this time period.

Jordan 50·0 (46·5 to 53·4) 58·3 (53·8 to 62·7) 70·2 (64·8 to 75·3) 20·2 (13·5 to 26·3) * * Significant change during this time period. 8·3 (4·0 to 13·0) * * Significant change during this time period. 11·9 (5·4 to 18·4) * * Significant change during this time period. 1·31 (0·88 to 1·70) * * Significant change during this time period. 1·54 (0·76 to 2·41) * * Significant change during this time period. 1·16 (0·54 to 1·82) * * Significant change during this time period.

Kuwait 66·8 (63·3 to 70·3) 70·8 (68·3 to 73·5) 80·7 (75·5 to 86·1) 13·8 (7·8 to 19·7) * * Significant change during this time period. 4·0 (−0·4 to 8·4) 9·9 (4·4 to 15·4) * * Significant change during this time period. 0·72 (0·42 to 1·02) * * Significant change during this time period. 0·58 (−0·05 to 1·22) 0·81 (0·37 to 1·25) * * Significant change during this time period.

Lebanon 53·1 (48·5 to 57·1) 67·2 (63·6 to 70·6) 85·6 (82·8 to 88·2) 32·5 (27·5 to 38·0) * * Significant change during this time period. 14·1 (9·8 to 18·5) * * Significant change during this time period. 18·4 (14·2 to 23·0) * * Significant change during this time period. 1·84 (1·52 to 2·21) * * Significant change during this time period. 2·36 (1·60 to 3·19) * * Significant change during this time period. 1·52 (1·15 to 1·93) * * Significant change during this time period.

Libya 50·9 (46·8 to 54·5) 57·9 (54·5 to 61·0) 71·1 (67·4 to 74·6) 20·2 (15·7 to 24·7) * * Significant change during this time period. 7·0 (4·1 to 9·9) * * Significant change during this time period. 13·2 (9·5 to 16·8) * * Significant change during this time period. 1·29 (1·00 to 1·60) * * Significant change during this time period. 1·30 (0·74 to 1·87) * * Significant change during this time period. 1·28 (0·93 to 1·65) * * Significant change during this time period.

Morocco 37·5 (34·7 to 40·7) 44·6 (41·5 to 47·5) 57·6 (54·5 to 60·8) 20·1 (16·2 to 23·6) * * Significant change during this time period. 7·1 (4·1 to 10·0) * * Significant change during this time period. 13·0 (9·9 to 16·1) * * Significant change during this time period. 1·65 (1·33 to 1·95) * * Significant change during this time period. 1·73 (0·99 to 2·45) * * Significant change during this time period. 1·60 (1·23 to 2·00) * * Significant change during this time period.

Oman 52·5 (49·6 to 55·5) 63·4 (61·1 to 65·9) 76·2 (74·0 to 78·6) 23·7 (20·4 to 27·1) * * Significant change during this time period. 10·9 (8·4 to 13·6) * * Significant change during this time period. 12·8 (10·0 to 15·4) * * Significant change during this time period. 1·43 (1·21 to 1·67) * * Significant change during this time period. 1·89 (1·44 to 2·38) * * Significant change during this time period. 1·15 (0·89 to 1·38) * * Significant change during this time period.

Palestine 48·1 (43·1 to 53·5) 54·1 (51·2 to 57·6) 57·4 (54·1 to 60·6) 9·3 (2·7 to 15·3) * * Significant change during this time period. 6·0 (0·4 to 11·7) * * Significant change during this time period. 3·3 (−1·0 to 7·2) 0·68 (0·20 to 1·15) * * Significant change during this time period. 1·19 (0·07 to 2·37) * * Significant change during this time period. 0·37 (−0·11 to 0·80)

Qatar 57·7 (53·3 to 62·2) 64·6 (60·3 to 69·1) 81·7 (75·9 to 86·6) 23·9 (16·8 to 30·8) * * Significant change during this time period. 6·9 (1·0 to 12·9) * * Significant change during this time period. 17·0 (10·4 to 24·0) * * Significant change during this time period. 1·33 (0·94 to 1·74) * * Significant change during this time period. 1·13 (0·16 to 2·11) * * Significant change during this time period. 1·46 (0·89 to 2·03) * * Significant change during this time period.

Saudi Arabia 49·9 (47·0 to 53·0) 56·6 (54·8 to 58·7) 77·1 (74·9 to 79·3) 27·2 (23·4 to 31·2) * * Significant change during this time period. 6·7 (3·9 to 9·7) * * Significant change during this time period. 20·5 (17·8 to 23·2) * * Significant change during this time period. 1·67 (1·42 to 1·95) * * Significant change during this time period. 1·26 (0·72 to 1·85) * * Significant change during this time period. 1·93 (1·69 to 2·18) * * Significant change during this time period.

Sudan 28·6 (24·3 to 31·8) 33·7 (29·8 to 36·7) 45·8 (41·0 to 50·0) 17·2 (13·1 to 21·3) * * Significant change during this time period. 5·1 (2·5 to 8·0) * * Significant change during this time period. 12·1 (8·0 to 16·0) * * Significant change during this time period. 1·81 (1·37 to 2·28) * * Significant change during this time period. 1·65 (0·76 to 2·66) * * Significant change during this time period. 1·91 (1·31 to 2·51) * * Significant change during this time period.

Syria 45·5 (42·6 to 48·3) 56·7 (54·6 to 58·8) 67·2 (64·4 to 70·2) 21·7 (17·9 to 25·7) * * Significant change during this time period. 11·2 (8·1 to 14·5) * * Significant change during this time period. 10·5 (7·1 to 14·0) * * Significant change during this time period. 1·50 (1·23 to 1·79) * * Significant change during this time period. 2·21 (1·58 to 2·94) * * Significant change during this time period. 1·06 (0·74 to 1·41) * * Significant change during this time period.

Tunisia 47·6 (43·2 to 50·9) 59·0 (55·3 to 62·3) 69·4 (65·4 to 73·7) 21·8 (17·1 to 26·8) * * Significant change during this time period. 11·4 (8·1 to 14·7) * * Significant change during this time period. 10·4 (6·6 to 14·3) * * Significant change during this time period. 1·45 (1·14 to 1·83) * * Significant change during this time period. 2·15 (1·50 to 2·85) * * Significant change during this time period. 1·02 (0·64 to 1·40) * * Significant change during this time period.

Turkey 42·5 (38·8 to 46·3) 53·9 (50·8 to 56·8) 74·4 (70·0 to 78·4) 31·9 (26·2 to 37·3) * * Significant change during this time period. 11·4 (7·9 to 15·2) * * Significant change during this time period. 20·4 (15·5 to 25·2) * * Significant change during this time period. 2·16 (1·76 to 2·53) * * Significant change during this time period. 2·39 (1·61 to 3·22) * * Significant change during this time period. 2·01 (1·53 to 2·50) * * Significant change during this time period.

United Arab Emirates 49·8 (43·7 to 55·4) 60·2 (56·0 to 64·4) 70·3 (65·5 to 75·4) 20·5 (12·8 to 28·6) * * Significant change during this time period. 10·4 (5·2 to 15·8) * * Significant change during this time period. 10·1 (4·1 to 16·6) * * Significant change during this time period. 1·33 (0·81 to 1·90) * * Significant change during this time period. 1·91 (0·93 to 3·00) * * Significant change during this time period. 0·97 (0·39 to 1·59) * * Significant change during this time period.

Yemen 25·2 (20·8 to 29·1) 31·4 (26·9 to 35·6) 43·3 (38·3 to 47·9) 18·1 (12·9 to 22·7) * * Significant change during this time period. 6·2 (2·6 to 9·9) * * Significant change during this time period. 11·9 (7·5 to 16·2) * * Significant change during this time period. 2·09 (1·45 to 2·72) * * Significant change during this time period. 2·20 (0·92 to 3·57) * * Significant change during this time period. 2·01 (1·22 to 2·75) * * Significant change during this time period.

South Asia † † Refers to Global Burden of Disease super region. 23·8 (22·3 to 25·6) 27·6 (26·1 to 29·3) 40·4 (38·7 to 42·2) 16·6 (14·0 to 18·9) * * Significant change during this time period. 3·8 (2·1 to 5·2) * * Significant change during this time period. 12·9 (10·9 to 14·8) * * Significant change during this time period. 2·04 (1·70 to 2·32) * * Significant change during this time period. 1·47 (0·84 to 2·09) * * Significant change during this time period. 2·39 (2·01 to 2·77) * * Significant change during this time period.

South Asia 23·8 (22·3 to 25·6) 27·6 (26·1 to 29·3) 40·4 (38·7 to 42·2) 16·6 (14·0 to 18·9) * * Significant change during this time period. 3·8 (2·1 to 5·2) * * Significant change during this time period. 12·9 (10·9 to 14·8) * * Significant change during this time period. 2·04 (1·70 to 2·32) * * Significant change during this time period. 1·47 (0·84 to 2·09) * * Significant change during this time period. 2·39 (2·01 to 2·77) * * Significant change during this time period.

Bangladesh 17·8 (15·0 to 20·7) 27·5 (25·2 to 30·0) 47·6 (44·3 to 50·9) 29·8 (25·7 to 34·2) * * Significant change during this time period. 9·7 (6·5 to 12·8) * * Significant change during this time period. 20·1 (16·3 to 23·8) * * Significant change during this time period. 3·80 (3·18 to 4·50) * * Significant change during this time period. 4·36 (2·84 to 6·05) * * Significant change during this time period. 3·44 (2·78 to 4·09) * * Significant change during this time period.

Bhutan 20·0 (16·2 to 23·9) 29·6 (26·1 to 33·1) 47·3 (42·6 to 52·0) 27·2 (22·1 to 32·6) * * Significant change during this time period. 9·6 (5·7 to 13·5) * * Significant change during this time period. 17·7 (13·1 to 22·3) * * Significant change during this time period. 3·32 (2·58 to 4·11) * * Significant change during this time period. 3·94 (2·29 to 5·80) * * Significant change during this time period. 2·93 (2·18 to 3·70) * * Significant change during this time period.

India 24·7 (22·9 to 27·2) 28·0 (26·3 to 30·3) 41·2 (39·1 to 43·4) 16·5 (13·4 to 19·4) * * Significant change during this time period. 3·3 (1·3 to 5·5) * * Significant change during this time period. 13·2 (10·7 to 15·6) * * Significant change during this time period. 1·97 (1·56 to 2·31) * * Significant change during this time period. 1·27 (0·46 to 2·03) * * Significant change during this time period. 2·41 (1·93 to 2·85) * * Significant change during this time period.

Nepal 21·0 (18·1 to 24·1) 26·5 (23·7 to 29·4) 40·0 (36·5 to 44·4) 19·1 (14·6 to 23·9) * * Significant change during this time period. 5·5 (2·5 to 8·5) * * Significant change during this time period. 13·6 (10·0 to 17·6) * * Significant change during this time period. 2·49 (1·90 to 3·14) * * Significant change during this time period. 2·33 (1·05 to 3·69) * * Significant change during this time period. 2·59 (1·94 to 3·31) * * Significant change during this time period.

Pakistan 26·8 (24·0 to 30·0) 27·4 (24·9 to 30·5) 37·6 (33·7 to 41·9) 10·8 (6·1 to 15·5) * * Significant change during this time period. 0·6 (−2·4 to 3·5) 10·2 (5·7 to 14·6) * * Significant change during this time period. 1·30 (0·73 to 1·86) * * Significant change during this time period. 0·22 (−0·86 to 1·32) 1·98 (1·11 to 2·77) * * Significant change during this time period.

Sub–Saharan Africa † † Refers to Global Burden of Disease super region. 19·6 (18·2 to 21·1) 22·3 (20·9 to 23·8) 31·9 (30·5 to 33·7) 12·3 (10·5 to 14·1) * * Significant change during this time period. 2·7 (1·4 to 4·1) * * Significant change during this time period. 9·6 (8·0 to 11·3) * * Significant change during this time period. 1·88 (1·58 to 2·17) * * Significant change during this time period. 1·30 (0·65 to 1·96) * * Significant change during this time period. 2·24 (1·85 to 2·65) * * Significant change during this time period.

Central sub–Saharan Africa 19·6 (16·6 to 22·9) 20·6 (17·4 to 24·2) 29·2 (25·8 to 32·7) 9·7 (6·0 to 13·1) * * Significant change during this time period. 1·1 (−1·7 to 3·8) 8·6 (5·2 to 11·8) * * Significant change during this time period. 1·55 (0·96 to 2·19) * * Significant change during this time period. 0·54 (−0·86 to 1·87) 2·18 (1·26 to 3·11) * * Significant change during this time period.

Angola 18·4 (12·7 to 24·4) 20·6 (14·2 to 27·2) 33·4 (25·5 to 40·4) 14·9 (7·2 to 22·6) * * Significant change during this time period. 2·2 (−2·6 to 6·9) 12·8 (6·1 to 19·7) * * Significant change during this time period. 2·31 (1·09 to 3·64) * * Significant change during this time period. 1·11 (−1·26 to 3·57) 3·06 (1·34 to 4·95) * * Significant change during this time period.

Central African Republic 15·8 (12·7 to 19·6) 16·1 (11·2 to 22·1) 18·6 (13·1 to 24·4) 2·7 (−3·2 to 8·9) 0·3 (−4·7 to 5·4) 2·4 (−3·6 to 8·6) 0·59 (−0·80 to 1·85) 0·10 (−3·25 to 2·99) 0·89 (−1·33 to 3·19)

Congo (Brazzaville) 21·0 (17·0 to 25·1) 21·9 (18·0 to 25·9) 34·1 (28·4 to 40·4) 13·0 (6·7 to 20·0) * * Significant change during this time period. 0·8 (−3·3 to 5·2) 12·2 (6·4 to 18·6) * * Significant change during this time period. 1·86 (0·96 to 2·84) * * Significant change during this time period. 0·40 (−1·49 to 2·44) 2·77 (1·49 to 4·19) * * Significant change during this time period.

Democratic Republic of the Congo 21·7 (17·6 to 26·4) 22·1 (17·5 to 27·0) 29·6 (25·7 to 33·7) 7·9 (2·8 to 12·7) * * Significant change during this time period. 0·4 (−3·6 to 4·4) 7·5 (2·9 to 11·7) * * Significant change during this time period. 1·21 (0·44 to 2·00) * * Significant change during this time period. 0·19 (−1·59 to 1·98) 1·85 (0·69 to 2·94) * * Significant change during this time period.

Equatorial Guinea 13·9 (8·9 to 19·3) 25·7 (18·7 to 34·1) 49·3 (38·3 to 62·0) 35·4 (24·4 to 47·7) * * Significant change during this time period. 11·8 (6·1 to 18·5) * * Significant change during this time period. 23·6 (13·3 to 33·8) * * Significant change during this time period. 4·90 (3·41 to 6·58) * * Significant change during this time period. 6·18 (3·18 to 9·59) * * Significant change during this time period. 4·11 (2·43 to 5·84) * * Significant change during this time period.

Gabon 27·7 (24·2 to 31·4) 28·6 (24·5 to 32·9) 40·4 (35·0 to 46·1) 12·7 (6·6 to 18·9) * * Significant change during this time period. 0·9 (−3·7 to 5·4) 11·8 (5·4 to 17·9) * * Significant change during this time period. 1·45 (0·76 to 2·13) * * Significant change during this time period. 0·30 (−1·35 to 1·87) 2·17 (1·01 to 3·30) * * Significant change during this time period.

Eastern sub–Saharan Africa 15·0 (13·3 to 16·8) 18·8 (17·0 to 20·6) 29·2 (27·3 to 31·3) 14·2 (11·9 to 16·4) * * Significant change during this time period. 3·7 (1·9 to 5·5) * * Significant change during this time period. 10·5 (8·4 to 12·5) * * Significant change during this time period. 2·56 (2·11 to 3·03) * * Significant change during this time period. 2·22 (1·12 to 3·31) * * Significant change during this time period. 2·77 (2·18 to 3·34) * * Significant change during this time period.

Burundi 14·3 (10·7 to 18·2) 17·7 (14·2 to 21·3) 27·4 (23·1 to 32·1) 13·1 (7·3 to 18·2) * * Significant change during this time period. 3·4 (−0·8 to 7·5) 9·7 (4·6 to 14·5) * * Significant change during this time period. 2·52 (1·40 to 3·70) * * Significant change during this time period. 2·19 (−0·51 to 4·93) 2·73 (1·29 to 4·14) * * Significant change during this time period.

Comoros 19·4 (16·1 to 23·1) 23·4 (20·3 to 26·4) 33·0 (29·5 to 36·7) 13·6 (8·5 to 18·2) * * Significant change during this time period. 3·9 (0·5 to 7·4) * * Significant change during this time period. 9·6 (5·6 to 13·7) * * Significant change during this time period. 2·05 (1·24 to 2·82) * * Significant change during this time period. 1·87 (0·20 to 3·57) * * Significant change during this time period. 2·16 (1·25 to 3·06) * * Significant change during this time period.

Djibouti 23·1 (20·2 to 26·6) 24·3 (19·8 to 30·0) 35·0 (29·7 to 42·0) 11·8 (5·8 to 19·1) * * Significant change during this time period. 1·1 (−3·5 to 6·3) 10·7 (5·6 to 15·9) * * Significant change during this time period. 1·58 (0·78 to 2·41) * * Significant change during this time period. 0·45 (−1·58 to 2·47) 2·29 (1·22 to 3·43) * * Significant change during this time period.

Eritrea 12·2 (9·2 to 15·6) 20·7 (17·3 to 24·3) 27·6 (23·7 to 31·3) 15·4 (10·7 to 19·9) * * Significant change during this time period. 8·5 (5·1 to 12·1) * * Significant change during this time period. 6·9 (2·8 to 10·8) * * Significant change during this time period. 3·16 (2·12 to 4·28) * * Significant change during this time period. 5·33 (3·13 to 7·94) * * Significant change during this time period. 1·81 (0·71 to 2·89) * * Significant change during this time period.

Ethiopia 10·6 (7·8 to 14·1) 14·0 (11·1 to 17·3) 28·1 (24·3 to 32·2) 17·5 (12·2 to 22·1) * * Significant change during this time period. 3·5 (−0·5 to 7·2) 14·1 (9·3 to 18·9) * * Significant change during this time period. 3·79 (2·53 to 5·04) * * Significant change during this time period. 2·88 (−0·38 to 6·12) 4·36 (2·85 to 6·01) * * Significant change during this time period.

Kenya 32·4 (27·6 to 37·4) 32·3 (28·0 to 36·8) 39·5 (35·0 to 43·9) 7·1 (3·3 to 11·0) * * Significant change during this time period. −0·1 (−3·1 to 2·6) 7·2 (4·2 to 10·2) * * Significant change during this time period. 0·76 (0·33 to 1·20) * * Significant change during this time period. −0·03 (−0·96 to 0·82) 1·26 (0·73 to 1·81) * * Significant change during this time period.

Madagascar 20·6 (18·0 to 23·2) 23·8 (21·0 to 26·9) 29·6 (24·3 to 35·1) 9·0 (3·5 to 15·0) * * Significant change during this time period. 3·3 (0·1 to 6·6) * * Significant change during this time period. 5·8 (−0·1 to 11·6) 1·39 (0·57 to 2·23) * * Significant change during this time period. 1·47 (0·05 to 2·94) * * Significant change during this time period. 1·34 (−0·02 to 2·61)

Malawi 19·0 (13·9 to 25·5) 21·5 (14·8 to 31·9) 32·2 (26·9 to 38·2) 13·2 (6·3 to 20·1) * * Significant change during this time period. 2·5 (−2·7 to 8·9) 10·7 (1·0 to 19·3) * * Significant change during this time period. 2·06 (0·96 to 3·30) * * Significant change during this time period. 1·15 (−1·45 to 3·95) 2·63 (0·19 to 5·04) * * Significant change during this time period.

Mozambique 13·8 (11·0 to 17·0) 21·1 (15·9 to 28·1) 30·0 (25·3 to 35·0) 16·3 (11·2 to 21·4) * * Significant change during this time period. 7·3 (2·2 to 13·6) * * Significant change during this time period. 9·0 (2·0 to 15·2) * * Significant change during this time period. 3·01 (2·10 to 3·93) * * Significant change during this time period. 4·19 (1·50 to 7·25) * * Significant change during this time period. 2·27 (0·45 to 4·02) * * Significant change during this time period.

Rwanda 16·7 (13·0 to 20·8) 18·6 (14·4 to 22·8) 36·0 (31·6 to 40·5) 19·2 (14·1 to 24·1) * * Significant change during this time period. 1·8 (−2·1 to 5·6) 17·4 (12·1 to 22·7) * * Significant change during this time period. 2·96 (2·06 to 3·90) * * Significant change during this time period. 1·05 (−1·22 to 3·27) 4·16 (2·77 to 5·75) * * Significant change during this time period.

Somalia 12·8 (8·2 to 18·3) 13·5 (9·1 to 19·1) 19·0 (14·3 to 23·7) 6·2 (0·6 to 11·1) * * Significant change during this time period. 0·7 (−2·8 to 3·7) 5·5 (0·5 to 9·8) * * Significant change during this time period. 1·56 (0·13 to 3·01) * * Significant change during this time period. 0·56 (−2·17 to 3·03) 2·19 (0·19 to 4·19) * * Significant change during this time period.

South Sudan 22·0 (16·8 to 28·9) 23·6 (17·4 to 30·7) 26·8 (21·0 to 33·1) 4·9 (−2·0 to 11·2) 1·6 (−3·4 to 6·6) 3·3 (−2·7 to 9·0) 0·78 (−0·31 to 1·81) 0·69 (−1·51 to 2·87) 0·84 (−0·66 to 2·31)

Tanzania 21·9 (18·7 to 25·5) 24·7 (20·5 to 30·1) 33·9 (30·0 to 38·4) 11·9 (7·3 to 16·6) * * Significant change during this time period. 2·7 (−1·5 to 7·4) 9·2 (4·1 to 14·3) * * Significant change during this time period. 1·67 (1·01 to 2·35) * * Significant change during this time period. 1·15 (−0·68 to 2·99) 2·00 (0·83 to 3·19) * * Significant change during this time period.

Uganda 19·3 (15·6 to 23·5) 23·7 (20·0 to 27·7) 31·4 (27·2 to 35·6) 12·1 (7·2 to 16·8) * * Significant change during this time period. 4·4 (0·5 to 8·4) * * Significant change during this time period. 7·8 (3·2 to 12·4) * * Significant change during this time period. 1·89 (1·11 to 2·70) * * Significant change during this time period. 2·06 (0·25 to 3·95) * * Significant change during this time period. 1·78 (0·73 to 2·88) * * Significant change during this time period.

Zambia 21·9 (17·6 to 27·2) 17·2 (13·0 to 22·7) 29·0 (23·0 to 35·4) 7·1 (0·4 to 14·8) * * Significant change during this time period. −4·7 (−9·2 to 0·3) 11·7 (5·0 to 19·1) * * Significant change during this time period. 1·08 (0·07 to 2·22) * * Significant change during this time period. −2·44 (−4·83 to 0·13) 3·28 (1·32 to 5·30) * * Significant change during this time period.

Southern sub–Saharan Africa 38·2 (36·3 to 40·4) 37·8 (34·8 to 40·6) 44·7 (42·4 to 47·0) 6·5 (3·8 to 9·1) * * Significant change during this time period. −0·4 (−3·0 to 2·2) 7·0 (3·8 to 10·1) * * Significant change during this time period. 0·61 (0·34 to 0·84) * * Significant change during this time period. −0·11 (−0·81 to 0·55) 1·06 (0·58 to 1·56) * * Significant change during this time period.

Botswana 36·5 (30·6 to 43·0) 39·7 (22·3 to 55·7) 51·5 (40·8 to 69·2) 15·0 (3·5 to 32·8) * * Significant change during this time period. 3·2 (−11·5 to 17·2) 11·8 (−8·6 to 34·7) 1·31 (0·32 to 2·57) * * Significant change during this time period. 0·54 (−4·08 to 3·84) 1·79 (−1·07 to 5·36)

Lesotho 30·3 (25·9 to 35·5) 29·2 (23·0 to 38·0) 32·0 (24·6 to 40·3) 1·6 (−6·2 to 10·0) −1·2 (−7·8 to 7·5) 2·8 (−6·1 to 12·2) 0·19 (−0·81 to 1·17) −0·46 (−2·73 to 2·36) 0·59 (−1·18 to 2·52)

Namibia 27·5 (24·6 to 31·1) 32·2 (24·1 to 43·3) 44·6 (36·4 to 56·2) 17·1 (9·4 to 27·7) * * Significant change during this time period. 4·7 (−2·9 to 15·7) 12·4 (3·2 to 20·9) * * Significant change during this time period. 1·84 (1·14 to 2·71) * * Significant change during this time period. 1·45 (−1·08 to 4·60) 2·09 (0·49 to 3·62) * * Significant change during this time period.

South Africa 40·1 (38·0 to 42·3) 40·9 (38·2 to 43·8) 49·7 (47·2 to 52·4) 9·6 (6·6 to 12·7) * * Significant change during this time period. 0·8 (−2·3 to 3·9) 8·8 (5·4 to 12·1) * * Significant change during this time period. 0·83 (0·57 to 1·08) * * Significant change during this time period. 0·19 (−0·56 to 0·95) 1·23 (0·75 to 1·70) * * Significant change during this time period.

Swaziland 32·0 (27·3 to 37·0) 34·4 (22·6 to 43·6) 40·5 (30·4 to 52·2) 8·5 (−1·2 to 18·4) 2·4 (−11·1 to 13·5) 6·1 (−9·6 to 20·6) 0·88 (−0·14 to 1·78) 0·59 (−3·91 to 3·86) 1·06 (−1·64 to 3·73)

Zimbabwe 37·3 (31·2 to 48·0) 31·4 (22·6 to 39·7) 31·2 (25·8 to 37·0) −6·1 (−17·7 to 1·0) −5·9 (−12·0 to 0·0) −0·2 (−9·5 to 9·2) −0·68 (−1·81 to 0·11) −1·81 (−3·80 to 0·01) 0·02 (−1·79 to 2·04)

Western sub–Saharan Africa 22·4 (20·3 to 24·4) 24·8 (22·4 to 27·2) 34·3 (31·9 to 36·7) 11·9 (9·2 to 14·6) * * Significant change during this time period. 2·4 (0·1 to 4·9) * * Significant change during this time period. 9·5 (6·5 to 12·6) * * Significant change during this time period. 1·64 (1·26 to 2·04) * * Significant change during this time period. 1·03 (0·05 to 2·04) * * Significant change during this time period. 2·02 (1·35 to 2·74) * * Significant change during this time period.

Benin 19·7 (16·9 to 22·7) 22·7 (19·7 to 26·0) 30·8 (27·8 to 34·0) 11·2 (7·2 to 15·2) * * Significant change during this time period. 3·1 (−0·1 to 6·4) 8·1 (4·3 to 11·9) * * Significant change during this time period. 1·74 (1·09 to 2·38) * * Significant change during this time period. 1·45 (−0·06 to 3·08) 1·92 (0·98 to 2·82) * * Significant change during this time period.

Burkina Faso 16·4 (13·4 to 20·3) 21·9 (18·7 to 25·6) 30·1 (27·0 to 33·3) 13·7 (9·2 to 17·6) * * Significant change during this time period. 5·6 (2·1 to 9·0) * * Significant change during this time period. 8·2 (4·2 to 12·1) * * Significant change during this time period. 2·36 (1·46 to 3·10) * * Significant change during this time period. 2·96 (1·07 to 4·76) * * Significant change during this time period. 1·99 (0·99 to 3·02) * * Significant change during this time period.

Cameroon 23·4 (20·6 to 26·8) 23·8 (19·7 to 28·1) 31·9 (26·9 to 37·5) 8·5 (3·3 to 14·3) * * Significant change during this time period. 0·4 (−3·8 to 4·5) 8·2 (2·9 to 13·3) * * Significant change during this time period. 1·19 (0·49 to 1·92) * * Significant change during this time period. 0·13 (−1·73 to 1·88) 1·85 (0·69 to 3·00) * * Significant change during this time period.

Cape Verde 38·1 (35·4 to 41·2) 41·4 (37·0 to 46·1) 54·8 (51·2 to 58·9) 16·7 (12·5 to 21·2) * * Significant change during this time period. 3·3 (−1·3 to 7·8) 13·4 (7·6 to 19·5) * * Significant change during this time period. 1·40 (1·03 to 1·76) * * Significant change during this time period. 0·81 (−0·34 to 1·91) 1·76 (0·99 to 2·61) * * Significant change during this time period.

Chad 18·3 (15·6 to 21·4) 18·2 (15·3 to 21·5) 25·4 (21·9 to 29·0) 7·1 (2·8 to 11·6) * * Significant change during this time period. −0·1 (−3·5 to 3·3) 7·2 (3·2 to 11·1) * * Significant change during this time period. 1·27 (0·49 to 2·05) * * Significant change during this time period. −0·05 (−1·92 to 1·81) 2·09 (0·93 to 3·27) * * Significant change during this time period.

Côte d'Ivoire 19·9 (17·3 to 22·6) 20·7 (17·1 to 24·3) 27·3 (24·2 to 31·1) 7·5 (3·3 to 11·1) * * Significant change during this time period. 0·8 (−2·5 to 4·3) 6·7 (2·5 to 10·8) * * Significant change during this time period. 1·23 (0·56 to 1·83) * * Significant change during this time period. 0·37 (−1·29 to 2·05) 1·76 (0·61 to 2·95) * * Significant change during this time period.

Ghana 25·6 (22·5 to 28·9) 29·6 (26·2 to 33·5) 39·3 (36·0 to 43·4) 13·6 (9·1 to 18·4) * * Significant change during this time period. 4·0 (0·1 to 8·0) * * Significant change during this time period. 9·7 (5·1 to 14·1) * * Significant change during this time period. 1·64 (1·08 to 2·25) * * Significant change during this time period. 1·45 (0·04 to 2·82) * * Significant change during this time period. 1·77 (0·93 to 2·62) * * Significant change during this time period.

Guinea 17·1 (14·3 to 20·3) 20·1 (17·2 to 23·0) 26·4 (22·6 to 30·2) 9·2 (4·5 to 14·2) * * Significant change during this time period. 2·9 (−0·6 to 6·3) 6·3 (2·2 to 10·8) * * Significant change during this time period. 1·66 (0·80 to 2·54) * * Significant change during this time period. 1·58 (−0·31 to 3·49) 1·71 (0·62 to 2·85) * * Significant change during this time period.

Guinea–Bissau 12·8 (10·0 to 16·0) 15·7 (12·7 to 19·0) 23·4 (20·2 to 26·8) 10·6 (5·9 to 14·9) * * Significant change during this time period. 2·9 (−0·6 to 6·7) 7·7 (3·6 to 11·9) * * Significant change during this time period. 2·34 (1·25 to 3·36) * * Significant change during this time period. 2·03 (−0·40 to 4·67) 2·53 (1·17 to 3·97) * * Significant change during this time period.

Liberia 20·5 (17·6 to 23·6) 23·2 (19·8 to 26·8) 32·2 (29·3 to 35·4) 11·7 (8·0 to 15·5) * * Significant change during this time period. 2·8 (−0·7 to 6·6) 8·9 (4·9 to 13·0) * * Significant change during this time period. 1·74 (1·15 to 2·36) * * Significant change during this time period. 1·26 (−0·31 to 2·98) 2·04 (1·09 to 3·07) * * Significant change during this time period.

Mali 16·7 (13·7 to 20·5) 23·7 (20·4 to 27·2) 34·9 (29·9 to 40·1) 18·2 (12·6 to 23·8) * * Significant change during this time period. 7·0 (2·9 to 10·6) * * Significant change during this time period. 11·2 (5·8 to 16·7) * * Significant change during this time period. 2·85 (1·97 to 3·68) * * Significant change during this time period. 3·53 (1·38 to 5·44) * * Significant change during this time period. 2·43 (1·30 to 3·59) * * Significant change during this time period.

Mauritania 24·0 (20·8 to 27·5) 29·7 (25·9 to 36·2) 40·6 (35·0 to 47·5) 16·6 (10·7 to 23·7) * * Significant change during this time period. 5·7 (1·8 to 11·5) * * Significant change during this time period. 10·9 (4·9 to 17·2) * * Significant change during this time period. 2·02 (1·35 to 2·70) * * Significant change during this time period. 2·13 (0·68 to 3·91) * * Significant change during this time period. 1·95 (0·86 to 2·98) * * Significant change during this time period.

Niger 15·6 (12·6 to 19·3) 19·1 (16·0 to 22·3) 28·4 (23·9 to 33·1) 12·8 (7·2 to 18·1) * * Significant change during this time period. 3·5 (−0·1 to 7·4) 9·3 (3·8 to 14·7) * * Significant change during this time period. 2·30 (1·27 to 3·24) * * Significant change during this time period. 2·02 (−0·06 to 4·21) 2·48 (1·06 to 3·87) * * Significant change during this time period.

Nigeria 27·5 (23·4 to 31·6) 29·8 (24·9 to 35·3) 41·9 (37·2 to 47·3) 14·4 (8·7 to 20·4) * * Significant change during this time period. 2·3 (−2·6 to 7·7) 12·1 (5·5 to 19·0) * * Significant change during this time period. 1·62 (0·97 to 2·35) * * Significant change during this time period. 0·80 (−0·92 to 2·66) 2·14 (0·93 to 3·38) * * Significant change during this time period.

São Tomé and Principe 25·9 (22·4 to 29·7) 30·0 (25·7 to 40·5) 39·3 (34·9 to 44·4) 13·4 (8·2 to 19·2) * * Significant change during this time period. 4·2 (−0·1 to 13·3) 9·3 (−0·4 to 14·9) 1·61 (0·97 to 2·28) * * Significant change during this time period. 1·46 (−0·05 to 4·06) 1·71 (−0·06 to 2·74)

Senegal 22·4 (19·8 to 25·1) 24·5 (22·0 to 27·3) 31·1 (28·3 to 33·8) 8·6 (5·3 to 11·9) * * Significant change during this time period. 2·0 (−0·8 to 5·1) 6·6 (3·4 to 9·7) * * Significant change during this time period. 1·26 (0·75 to 1·77) * * Significant change during this time period. 0·87 (−0·33 to 2·21) 1·49 (0·73 to 2·21) * * Significant change during this time period.

Sierra Leone 20·8 (17·4 to 24·6) 22·1 (19·0 to 25·5) 31·0 (27·4 to 34·5) 10·1 (5·7 to 14·5) * * Significant change during this time period. 1·3 (−2·0 to 4·6) 8·8 (4·3 to 12·8) * * Significant change during this time period. 1·53 (0·84 to 2·22) * * Significant change during this time period. 0·60 (−0·94 to 2·25) 2·11 (1·05 to 3·10) * * Significant change during this time period.

The Gambia 27·4 (23·9 to 30·9) 29·9 (26·5 to 33·4) 35·7 (32·3 to 39·3) 8·3 (4·1 to 12·9) * * Significant change during this time period. 2·5 (−0·7 to 5·6) 5·8 (1·9 to 9·6) * * Significant change during this time period. 1·02 (0·50 to 1·58) * * Significant change during this time period. 0·87 (−0·24 to 2·02) 1·12 (0·38 to 1·82) * * Significant change during this time period.