tetano
Editor, Senior Moderator
Euro Surveill. 2018 Apr;23(16). doi: 10.2807/1560-7917.ES.2018.23.16.17-00454.
[h=1]Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013.[/h] Cassini A[SUP]1,[/SUP][SUP]2[/SUP], Colzani E[SUP]2[/SUP], Pini A[SUP]2[/SUP], Mangen MJ[SUP]3,[/SUP][SUP]1[/SUP], Plass D[SUP]4[/SUP], McDonald SA[SUP]3[/SUP], Maringhini G[SUP]2[/SUP], van Lier A[SUP]3[/SUP], Haagsma JA[SUP]5[/SUP], Havelaar AH[SUP]6,[/SUP][SUP]3[/SUP], Kramarz P[SUP]2[/SUP], Kretzschmar ME[SUP]3,[/SUP][SUP]1[/SUP], On Behalf Of The BCoDE Consortium[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Background and aimsThe Burden of Communicable Diseases in Europe (BCoDE) study aimed to calculate disability-adjusted life years (DALYs) for 31 selected diseases in the European Union (EU) and European Economic Area (EEA). Methods: DALYs were estimated using an incidence-based and pathogen-based approach. Incidence was estimated through assessment of data availability and quality, and a correction was applied for under-estimation. Calculation of DALYs was performed with the BCoDE software toolkit without applying time discounting and age-weighting. Results: We estimated that one in 14 inhabitants experienced an infectious disease episode for a total burden of 1.38 million DALYs (95% uncertainty interval (UI): 1.25-1.5) between 2009 and 2013; 76% of which was related to the acute phase of the infection and its short-term complications. Influenza had the highest burden (30% of the total burden), followed by tuberculosis, human immunodeficiency virus (HIV) infection/AIDS and invasive pneumococcal disease (IPD). Men had the highest burden measured in DALYs (60% of the total), adults 65 years of age and over had 24% and children less than 5 years of age had 11%. Age group-specific burden showed that infants (less than 1 year of age) and elderly people (80 years of age and over) experienced the highest burden. Conclusions: These results provide baseline estimates for evaluating infectious disease prevention and control strategies. The study promotes an evidence-based approach to describing population health and assessing surveillance data availability and quality, and provides information for the planning and prioritisation of limited resources in infectious disease prevention and control.
[h=4]KEYWORDS:[/h] HIV/AIDS, tuberculosis; burden of communicable diseases in Europe; disability-adjusted life years; infectious disease surveillance; influenza; prioritisation in public health; public health policy
PMID: 29692315 DOI: 10.2807/1560-7917.ES.2018.23.16.17-00454
[h=1]Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013.[/h] Cassini A[SUP]1,[/SUP][SUP]2[/SUP], Colzani E[SUP]2[/SUP], Pini A[SUP]2[/SUP], Mangen MJ[SUP]3,[/SUP][SUP]1[/SUP], Plass D[SUP]4[/SUP], McDonald SA[SUP]3[/SUP], Maringhini G[SUP]2[/SUP], van Lier A[SUP]3[/SUP], Haagsma JA[SUP]5[/SUP], Havelaar AH[SUP]6,[/SUP][SUP]3[/SUP], Kramarz P[SUP]2[/SUP], Kretzschmar ME[SUP]3,[/SUP][SUP]1[/SUP], On Behalf Of The BCoDE Consortium[SUP]7[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Background and aimsThe Burden of Communicable Diseases in Europe (BCoDE) study aimed to calculate disability-adjusted life years (DALYs) for 31 selected diseases in the European Union (EU) and European Economic Area (EEA). Methods: DALYs were estimated using an incidence-based and pathogen-based approach. Incidence was estimated through assessment of data availability and quality, and a correction was applied for under-estimation. Calculation of DALYs was performed with the BCoDE software toolkit without applying time discounting and age-weighting. Results: We estimated that one in 14 inhabitants experienced an infectious disease episode for a total burden of 1.38 million DALYs (95% uncertainty interval (UI): 1.25-1.5) between 2009 and 2013; 76% of which was related to the acute phase of the infection and its short-term complications. Influenza had the highest burden (30% of the total burden), followed by tuberculosis, human immunodeficiency virus (HIV) infection/AIDS and invasive pneumococcal disease (IPD). Men had the highest burden measured in DALYs (60% of the total), adults 65 years of age and over had 24% and children less than 5 years of age had 11%. Age group-specific burden showed that infants (less than 1 year of age) and elderly people (80 years of age and over) experienced the highest burden. Conclusions: These results provide baseline estimates for evaluating infectious disease prevention and control strategies. The study promotes an evidence-based approach to describing population health and assessing surveillance data availability and quality, and provides information for the planning and prioritisation of limited resources in infectious disease prevention and control.
[h=4]KEYWORDS:[/h] HIV/AIDS, tuberculosis; burden of communicable diseases in Europe; disability-adjusted life years; infectious disease surveillance; influenza; prioritisation in public health; public health policy
PMID: 29692315 DOI: 10.2807/1560-7917.ES.2018.23.16.17-00454