During follow up, 11 307 7 0 participants died, 9329 5 7 participants had cardiovascular disease, 5151 3 2 participants had a cancer, 4386 2 7 participants had injuries requiring hospital admission, 2911 1 8 participants had pneumonia, and 1830 1 1 participants had chronic obstructive pulmonary disease COPD . ...However, incident cancers, injuries, COPD, and pneumonia were most common in HICs and least common in LICs. Overall mortality rates in LICs 13 3 deaths per 1000 person years were double those in MICs 6 9 deaths per 1000 person years and four times higher than in HICs 3 4 deaths per 1000 person years . ...