Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis
Objectives From the beginning of the COVID-19 pandemic, clinical practice and research globally have centred on the prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the economy and stressed healthcare systems worldwide. The present study estimates disabi...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-08-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/8/e049619.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846127820725551104 |
|---|---|
| author | Amitava Banerjee Jaideep Menon Denny John M S Narassima Jammy Guru Rajesh |
| author_facet | Amitava Banerjee Jaideep Menon Denny John M S Narassima Jammy Guru Rajesh |
| author_sort | Amitava Banerjee |
| collection | DOAJ |
| description | Objectives From the beginning of the COVID-19 pandemic, clinical practice and research globally have centred on the prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the economy and stressed healthcare systems worldwide. The present study estimates disability-adjusted life years (DALYs), years of potential productive life lost (YPPLL) and cost of productivity lost (CPL) due to premature mortality and absenteeism secondary to COVID-19 in the state of Kerala, India.Setting Details on sociodemographics, incidence, death, quarantine, recovery time, etc were derived from public sources and the Collective for Open Data Distribution-Keralam. The working proportion for 5-year age–gender cohorts and the corresponding life expectancy were obtained from the 2011 Census of India.Primary and secondary outcome measures The impact of the disease was computed through model-based analysis on various age–gender cohorts. Sensitivity analysis was conducted by adjusting six variables across 21 scenarios. We present two estimates, one until 15 November 2020 and later updated to 10 June 2021.Results Severity of infection and mortality were higher among the older cohorts, with men being more susceptible than women in most subgroups. DALYs for males and females were 15 954.5 and 8638.4 until 15 November 2020, and 83 853.0 and 56 628.3 until 10 June 2021. The corresponding YPPLL were 1323.57 and 612.31 until 15 November 2020, and 6993.04 and 3811.57 until 10 June 2021, and the CPL (premature mortality) were 263 780 579.94 and 41 836 001.82 until 15 November 2020, and 1 419 557 903.76 and 278 275 495.29 until 10 June 2021.Conclusions Most of the COVID-19 burden was contributed by years of life lost. Losses due to YPPLL were reduced as the impact of COVID-19 infection was lesser among the productive cohorts. The CPL values for individuals aged 40–49 years old were the highest. These estimates provide the data necessary for policymakers to work on reducing the economic burden of COVID-19 in Kerala. |
| format | Article |
| id | doaj-art-7a93010218b548f492f73e6998121136 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-7a93010218b548f492f73e69981211362024-12-11T08:25:08ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-049619Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysisAmitava Banerjee0Jaideep Menon1Denny John2M S Narassima3Jammy Guru Rajesh45 Health Data Research UK, London, United KingdomDepartment of Cardiology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, IndiaFaculty of Life and Allied Health Sciences, MS Ramaiah University of Applied Sciences, Bengaluru, Karnataka, IndiaGreat Lakes Institute of Management, Chennai, Tamil Nadu, IndiaSociety for Health Allied Research and Education India (SHARE INDIA), Telangana, IndiaObjectives From the beginning of the COVID-19 pandemic, clinical practice and research globally have centred on the prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the economy and stressed healthcare systems worldwide. The present study estimates disability-adjusted life years (DALYs), years of potential productive life lost (YPPLL) and cost of productivity lost (CPL) due to premature mortality and absenteeism secondary to COVID-19 in the state of Kerala, India.Setting Details on sociodemographics, incidence, death, quarantine, recovery time, etc were derived from public sources and the Collective for Open Data Distribution-Keralam. The working proportion for 5-year age–gender cohorts and the corresponding life expectancy were obtained from the 2011 Census of India.Primary and secondary outcome measures The impact of the disease was computed through model-based analysis on various age–gender cohorts. Sensitivity analysis was conducted by adjusting six variables across 21 scenarios. We present two estimates, one until 15 November 2020 and later updated to 10 June 2021.Results Severity of infection and mortality were higher among the older cohorts, with men being more susceptible than women in most subgroups. DALYs for males and females were 15 954.5 and 8638.4 until 15 November 2020, and 83 853.0 and 56 628.3 until 10 June 2021. The corresponding YPPLL were 1323.57 and 612.31 until 15 November 2020, and 6993.04 and 3811.57 until 10 June 2021, and the CPL (premature mortality) were 263 780 579.94 and 41 836 001.82 until 15 November 2020, and 1 419 557 903.76 and 278 275 495.29 until 10 June 2021.Conclusions Most of the COVID-19 burden was contributed by years of life lost. Losses due to YPPLL were reduced as the impact of COVID-19 infection was lesser among the productive cohorts. The CPL values for individuals aged 40–49 years old were the highest. These estimates provide the data necessary for policymakers to work on reducing the economic burden of COVID-19 in Kerala.https://bmjopen.bmj.com/content/11/8/e049619.full |
| spellingShingle | Amitava Banerjee Jaideep Menon Denny John M S Narassima Jammy Guru Rajesh Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis BMJ Open |
| title | Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis |
| title_full | Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis |
| title_fullStr | Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis |
| title_full_unstemmed | Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis |
| title_short | Estimation of the economic burden of COVID-19 using disability-adjusted life years (DALYs) and productivity losses in Kerala, India: a model-based analysis |
| title_sort | estimation of the economic burden of covid 19 using disability adjusted life years dalys and productivity losses in kerala india a model based analysis |
| url | https://bmjopen.bmj.com/content/11/8/e049619.full |
| work_keys_str_mv | AT amitavabanerjee estimationoftheeconomicburdenofcovid19usingdisabilityadjustedlifeyearsdalysandproductivitylossesinkeralaindiaamodelbasedanalysis AT jaideepmenon estimationoftheeconomicburdenofcovid19usingdisabilityadjustedlifeyearsdalysandproductivitylossesinkeralaindiaamodelbasedanalysis AT dennyjohn estimationoftheeconomicburdenofcovid19usingdisabilityadjustedlifeyearsdalysandproductivitylossesinkeralaindiaamodelbasedanalysis AT msnarassima estimationoftheeconomicburdenofcovid19usingdisabilityadjustedlifeyearsdalysandproductivitylossesinkeralaindiaamodelbasedanalysis AT jammygururajesh estimationoftheeconomicburdenofcovid19usingdisabilityadjustedlifeyearsdalysandproductivitylossesinkeralaindiaamodelbasedanalysis |