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Abstract

Using hazard function approach in estimating the health and economic burden of COVID-19 in Delhi, India- in terms of Disability adjusted life years (DALYs) and Productivity loss

Sanya Aggarwal*, Sangeeta Chakravarty and Gurprit Grover

Introduction: The world is facing a challenge of coping with the significant burden of disease on economy and health. This study aims to examine the health and economic impact of COVID-19 disease on years of life lost due to disability, years of life lost due to premature mortality, Disability Adjusted Life Years and productivity lost due to premature mortality and absenteeism in Delhi, India.

Method: Data related to COVID-19 cases, deaths and recovery is taken from the period of 2nd March 2020 to 30th April 2022. The hazard function modelling approach is explored to estimate the median duration of illness. Life expectancy in the absence of COVID-19 is estimated from abridged life table. Sensitivity analysis has also been conducted by adjusting variables.

Results: A total of 448341.7 DALYs were lost due COVID-19 consisting of 425435.6 YLLs and 22906.4 YLDs. The rate of DALYs lost per thousand cases was 239 years with maximum rate of 651 DALYs lost per thousand cases in age group of 60 and above. The cumulative CPL lost due to absenteeism was ?2,402,398,478 and due to death was ?41,453,109,045.

Conclusion: The severity of the disease was highest in the older age group and during the later period, the burden of illness due to disability increased in the age group of 15-30. The study is crucial for policy makers and nation as a whole to understand the various strengths and limitation of the system in order to build better system to protect patients against future threat of disease.

Published Date: 2023-11-22; Received Date: 2023-10-10