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Epilepsy is a chronic non-communicable disease affecting more than 50 million people worldwide [1]. It has been recognized that people with epilepsy (PWE) are at increased risk of death [2,3] with an overall standardised mortality ratio (SMR) of 1.7-6.5 [3–13]. However, the mortality rates of PWE varies among countries, with SMR in Europe and America ranging from 1.7 to 3.1 [3,5–8] while in Asia and Africa, it ranges from 2.5-6.5 [9–13].