In Mexico, 9% have type 2 DM 4 and 13% of the population (<40 years of age) have early-onset of type 2 DM. In Mexico, a high prevalence of CVD risk factors has been observed in the adult Mexican population, which could explain the higher frequency of total disability from CVD diseases and diabetes seen in our study. 3 The number of people with disabilities is increasing due to population growth, ageing, emergence of chronic diseases and medical advances that preserve and prolong life, creating overwhelming demands for health and rehabilitation services.ĭiabetes, hypercholesterolemia, systemic arterial hypertension, smoking and obesity are considered to be traditional risk factors for cardiovascular disease (CVD). The Global Burden of Disease (GBD) studies done in 2010 found the main contributors to global years lived with disability (YLD) were mental and behavioral disorders, musculoskeletal disorders, and diabetes. Males had a significantly higher frequency of disability due to secondary to chronic diabetes mellitus (DM) (16.7 vs. Females had a significantly higher frequency of disability for rheumatic diseases (13.2 vs. The main causes of disability are shown in table I. The average age (±SD) at the time of the disability report was 47.0 (☗.0) years and 379 (60.7%) were women. The causes of disability among health care personnel were matched in a 2:1 ratio with the first 416 TPD reports of workers insured with the IMSS by gender and age (±5 years). We included all (n= 208) cases of TPD reported in IMSS health care personnel issued from Januto December 31, 2011. 1 According to Article 119 of the IMSS' Law, TPD exists when the insured person suffers a total disability that results in a 50% loss of regular monthly income and that inability results from a non-professional illness or accident. Disease and non-occupational accidents causing disability are also important in the scheme of social security. However, another important reality that accompanies any pension system is that not all members reach retirement in an optimal state of health.

Worldwide, pensions usually only refer to retirement pensions. To the editor: With the present study, we show the causes of total and permanent disability (TPD) in health care personnel and a group of insured workers affiliated with the Mexican Social Security Institute (IMSS) in the state of Baja California, Mexico, during the period from 2005 to 2011. Causes of total and permanent disability in middle-aged adult workers affiliated with the Mexican Social Security Institute in Baja California, Mexico

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