Table 4 reports all-cause deaths and DALYs attributable to all risk factors considered here from 2006 to 2016, including detail on attributable deaths and DALYs by risk-outcome pair (appendix 2 p 1865) contains results for every location. Globally, 32·8 million (31·9 million to 33·7 million) deaths were attributable to all risk factors in 2016, a significant increase since 2006 of 2·9% (1·1–4·8); however, age-standardised attributable death rate declined from 2006 to 2016 by 18·7% (17·3–20·0). By contrast, total DALYs attributable to all risks decreased by 8·6% (6·6–10·7) since 2006, and age-standardised DALY rate attributable to all risks decreased by 21·7% (20·0–23·3). Among Level 1 risks, the largest decreases in age-standardised death rates were observed for environmental and occupational risks (24·3% [22·5–26·0]), followed by behavioural risks (21·5% [19·8–23·3]), and metabolic risks (11·9% [9·9–13·5]). Similarly, there were significant decreases in age-standardised DALY rates for all three Level 1 risk factors, although the magnitude of decrease was larger for DALY rates than death rates. In the year 2016, behavioural risk factors accounted for the largest number of deaths (21·8 million [20·5 million to