DALYs to sixth in 2016 with 105·7 million (94·2 million to 117·8 million) DALYs. For deaths, it is among the top ten ranked risk factors in 195 countries and territories, including India and China, where it was in third and fourth place, respectively. Also of note is that updated satellite data indicate increased ambient air pollution in 2015–16 in West Africa that is driven by wind-blown dust from the Sahara. This effect has profound effect on disease burden in this region, as intense particulate matter with an aerodynamic diameter smaller than 2·5 μm (PM2·5) events affect Africa's densest region.
