Understanding epidemiological transition in urban population of Maharashtra


  • Bal Kishan Gulati Scientist C National Institute of Medical Statistics, ICMR, Medical Enclave Ansari Nagar New Delhi-110029
  • Arvind Pandey Director National Institute of Medical Statistics ICMR, Medical Enclave Ansari Nagar New Delhi-110029




Causes of death, Mortality, Leading cause, MCCD, Epidemiological transition


Background: Change in causes of death pattern is a reflection of epidemiological transition in which infectious and parasitic diseases shift to chronic and degenerative diseases of adulthood. Cause of death trend and pattern is important for future health policy planning.

Methods: This study attempts to measure mortality trends by different causes of death for urban Maharashtra by using MCCD data for 1990-2010 by calculating proportion of major cause of death to total deaths by age and sex for all these years.

Results: Results reveal that there has been shift in the structure of mortality by cause. Diseases of circulatory system were the leading causes of death accounting for about 31% share of all medically certified deaths which is well above the national average of about 30%. Similarly, the proportion of deaths due to certain conditions originating in the perinatal period appears to be low in the state (3.9%) compared to national average (7%). The proportions of deaths due to certain infectious and parasitic diseases and disease of the respiratory system appear to be very high (15.7% and 12.1% respectively) compared to national average (13.1% and 9.5% respectively).

Conclusions: It was found that socio-economically developed and demographically advanced urban Maharashtra bears the double burden of disease specific mortality.


Metrics Loading ...


Porta MA. Dictionary of Epidemiology. Oxford University Press. 2008;10-11.

Omran AR. The epidemiologic transition. A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly. 1971;49(4):509-38.

Omran AR. The epidemiologic transition theory revisited thirty years later. World Health Statistics Quarterly. 1998;51(2-4):99-119.

Radkar A, Kanitkar T, Talwalkar M. Epidemiological transition in urban Maharashtra. Economic and Political Weekly. 2010;44(39):23-7.

Reddy KS. Prevention and control of non-communicable diseases: status and strategies. Working Paper 104, Indian Council for Research on International Economic Relations, 2003.

Gowariker V. Demographic Transition in India. Economic and Political Weekly. 1994;29(49):3106-8.

James KS. India's demographic change: opportunities and challenges. Science. 2011;333(6042):576-80.

Goli S, Arokiasamy P. Trends in health and health inequalities among major states of India: assessing progress through convergence models. Health Economics, Policy and Law. 2014;9(2):143-68.

Registrar General of India. Compendium of India’s Fertility and Mortality Indicators 1971-2007 based on the Sample Registration System (SRS), Office of Registrar General, Ministry of Home Affairs, Government of India, New Delhi, India, 2009.

Registrar General of India. Sample Registration System Statistical Report 2010, Report No.1 of 2012, Office of Registrar General, Ministry of Home Affairs, Government of India, New Delhi, India, 2012.

Visaria L. Mortality trends and the health transition in Twenty-First Century India-Population, Economy, Human Development, and the Environment, T. Dyson, R. Cassen, and L. Visaria, Eds. Oxford University Press, New Delhi, India. 2004:32-36.

Registrar General of India. SRS Analytical Studies Report No. 1 of 2012. SRS Based Abridged Life Tables 2003-07 to 2009-13. Ministry of Home Affairs, Government of India, New Delhi, India, 2012.

Palloni A. Review of data source and methods for the assessments of trends, age patterns and differentials of mortality in the third world, in John Cleland and Allan G. Hill (eds.). The health transition: Methods and measures. Health Transition Center, the Australian National University, 1991.

Reddy KS. Cardiovascular diseases in India, World Health Statistics Quarterly. 1993;46(2):101-7.

Bhat PN Mari. Mortality from accident and violence in India and China. Research Report 91-06-1. Centre for Population Analysis and Policy, University of Minnesota, USA, 1991.

Bhat PN Mari. Age misreporting and its impact on adult mortality estimates in South Asia. Demography India. 1995;24(1):59-80.

Registrar General of India. Medical Certification of Cause of Death Reports, 1990 to 2010, Office of the Registrar General, India, Ministry of Home Affairs, Government of India, New Delhi, India (various years).

Ministry of Home Affairs, India. Registration of births and deaths Act, 1969. New Delhi, 1969.

Registrar General of India. Medical Certification of Cause of Death. Ministry of Home Affairs, Government of India, 1995.

Koli R, Goli S and Doshi R. Epidemiological transition in urban population of Maharashtra. Advances in Epidemiology 2014 (http://dx.doi.org/10.1155/2014/328102).

Gulliford M. Commentary: epidemiological transition and socioeconomic inequalities in blood pressure in Jamaica. International Journal of Epidemiology. 2003;32(3):408-9.

Huynen MMTE, Vollebregt L, Martens P, Benavides BM. The epidemiologic transition in Peru. The American Journal of Public Health. 2005;17(1):51-9.

Karar ZA, Alam N, Streatfield P. Epidemiological transition in rural Bangladesh, 1986–2006. Global Health Action. 2009;2.

Lozano R, Naghavi M, Foreman K. Global and regional mortality from 235 causes of death from 20 age groups in 1990 and 2010: a systematic analyses for the Global Burden of Disease study. The Lancet. 2012;380:2095-128.






Original Research Articles