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[...]when adding those numbers and analysing them by income level, the burden clearly lies in low and middle-income countries (LMIC) (figure). [...]underlying causes of secondary epilepsy, such as meningitis, head trauma, or neurocysticercosis are far more common in LMIC than in high-income countries. Since its first iteration in 1990, the GBD study, in an enormous effort, has been eager to include every potential source of information to estimate prevalence, incidence, deaths, and DALYs for hundreds of diseases worldwide, resorting to scientific literature, surveys, registries, and administrative and insurance records.