Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries

Objectives: To examine the international trends for nontuberculous mycobacterial-associated mortality rates, as nontuberculous mycobacterial infections are becoming increasingly prevalent and pose a significant public health challenge, especially in older populations. Methods: This retrospective obs...

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Main Authors: Ko Harada, Quynh Thi Vu, Yoshito Nishimura, Tatsuaki Takeda, Hirofumi Hamano, Yusuke Minato, Yoshito Zamami, Toshihiro Koyama, Hideharu Hagiya
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:International Journal of Infectious Diseases
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Online Access:http://www.sciencedirect.com/science/article/pii/S1201971225001560
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author Ko Harada
Quynh Thi Vu
Yoshito Nishimura
Tatsuaki Takeda
Hirofumi Hamano
Yusuke Minato
Yoshito Zamami
Toshihiro Koyama
Hideharu Hagiya
author_facet Ko Harada
Quynh Thi Vu
Yoshito Nishimura
Tatsuaki Takeda
Hirofumi Hamano
Yusuke Minato
Yoshito Zamami
Toshihiro Koyama
Hideharu Hagiya
author_sort Ko Harada
collection DOAJ
description Objectives: To examine the international trends for nontuberculous mycobacterial-associated mortality rates, as nontuberculous mycobacterial infections are becoming increasingly prevalent and pose a significant public health challenge, especially in older populations. Methods: This retrospective observational study used data from the World Health Organization mortality database, which included patients with nontuberculous mycobacterial infection in 83 countries. We stratified the data by sex, age, and geographic region and calculated crude and age-standardized mortality rates to estimate long-term mortality trends. Results: In total, 42,182 nontuberculous mycobacterial infection-associated deaths (58.1% in women) were reported in 83 countries between 2000 and 2022. The locally weighted regression model estimation for the nontuberculous mycobacterial infection-associated mortality rate more than doubled—from 0.36 deaths per 1000,000 individuals in 2000 to 0.77 deaths per 1000,000 individuals in 2022. Eighty-six percent of nontuberculous mycobacterial infection-associated deaths occurred in people aged ≥65 years. The mortality rate was the highest in the Western Pacific Region. Conclusion: This study highlights the impact of emerging nontuberculous mycobacterial diseases and the importance of targeted interventions for managing and reducing mortality, particularly in vulnerable older populations. Further studies are warranted to determine the factors contributing to geographical disparity and treatment options.
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spelling doaj-art-297b59aaf0a643cda49653d24f35c5f12025-08-20T02:59:57ZengElsevierInternational Journal of Infectious Diseases1201-97122025-09-0115810793210.1016/j.ijid.2025.107932Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countriesKo Harada0Quynh Thi Vu1Yoshito Nishimura2Tatsuaki Takeda3Hirofumi Hamano4Yusuke Minato5Yoshito Zamami6Toshihiro Koyama7Hideharu Hagiya8Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Health Data Science, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, JapanDivision of Hematology/Oncology, Mayo Clinic, Rochester, MN, USADepartment of Education and Research Centre for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Okayama University, Okayama, JapanDepartment of Pharmacy, Okayama University Hospital, Okayama, JapanCenter for Infectious Disease Research, Fujita Health University, Aichi, JapanDepartment of Pharmacy, Okayama University Hospital, Okayama, JapanDepartment of Health Data Science, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan; Corresponding author: Toshihiro Koyama, Department of Health Data Science, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 7008558, Japan.Department of Infectious Diseases, Okayama University Hospital, Okayama, JapanObjectives: To examine the international trends for nontuberculous mycobacterial-associated mortality rates, as nontuberculous mycobacterial infections are becoming increasingly prevalent and pose a significant public health challenge, especially in older populations. Methods: This retrospective observational study used data from the World Health Organization mortality database, which included patients with nontuberculous mycobacterial infection in 83 countries. We stratified the data by sex, age, and geographic region and calculated crude and age-standardized mortality rates to estimate long-term mortality trends. Results: In total, 42,182 nontuberculous mycobacterial infection-associated deaths (58.1% in women) were reported in 83 countries between 2000 and 2022. The locally weighted regression model estimation for the nontuberculous mycobacterial infection-associated mortality rate more than doubled—from 0.36 deaths per 1000,000 individuals in 2000 to 0.77 deaths per 1000,000 individuals in 2022. Eighty-six percent of nontuberculous mycobacterial infection-associated deaths occurred in people aged ≥65 years. The mortality rate was the highest in the Western Pacific Region. Conclusion: This study highlights the impact of emerging nontuberculous mycobacterial diseases and the importance of targeted interventions for managing and reducing mortality, particularly in vulnerable older populations. Further studies are warranted to determine the factors contributing to geographical disparity and treatment options.http://www.sciencedirect.com/science/article/pii/S1201971225001560Population surveillanceMortalityNontuberculous mycobacterial infections
spellingShingle Ko Harada
Quynh Thi Vu
Yoshito Nishimura
Tatsuaki Takeda
Hirofumi Hamano
Yusuke Minato
Yoshito Zamami
Toshihiro Koyama
Hideharu Hagiya
Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
International Journal of Infectious Diseases
Population surveillance
Mortality
Nontuberculous mycobacterial infections
title Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
title_full Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
title_fullStr Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
title_full_unstemmed Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
title_short Trends in nontuberculous mycobacterial disease mortality based on 2000-2022 data from 83 countries
title_sort trends in nontuberculous mycobacterial disease mortality based on 2000 2022 data from 83 countries
topic Population surveillance
Mortality
Nontuberculous mycobacterial infections
url http://www.sciencedirect.com/science/article/pii/S1201971225001560
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