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Chunk #77 — Discussion

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A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.
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Our findings on the burden of micronutrients are also substantially smaller than those in the previous comparative risk assessment for 2000 and in estimates for 2004 by Black and colleagues10 in The Lancet's Maternal and Child Undernutrition Series. For example, Black and colleagues estimated 668 000 deaths caused by vitamin A deficiency in 2004; we estimated a quarter (168 000 deaths) for 2005; for zinc deficiency, the differences are similarly large (453 000 vs 120 000). These differences stem from many sources. First, the estimates of Black and colleagues were based on 10·3 million child deaths worldwide, itself based on WHO estimates of global child deaths for 2004. This estimate is substantially larger than those reported by UNICEF176 and the Institute for Health Metrics and Evaluation177 at the time of Black and colleagues' publication.