Figure 3 shows the leading 30 risk factors at Level 3 of the hierarchy and the median change in DALYs between 1990, 2006, and 2016. In terms of rates, among the top ten leading risks in 1990, child growth failure, unsafe sanitation, and unsafe water have experienced the largest declines over the period of 1990–2016. While these three risks have remained in the top 30 in 2016 for men, their ranks have fallen by several places to 9th (child growth failure), 21st (unsafe sanitation), and 16th (unsafe water). For women, their ranks have fallen to 5th (child growth failure), 16th (unsafe sanitation), and 13th (unsafe water). Between 1990 and 2006, median age-standardised DALY rates decreased by 46·7% (42·1–51·1) for men and 49·0% (45·0–53·0) for women, and in the most recent period child growth failure demonstrated further declines by 43·8% (36·9–49·8) for men and 48·7% (42·3–54·6) for women.
