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Disease burden due to COVID-19 in Taiwan: Disability-adjusted life years (DALYs) with implication of Monte Carlo simulations.
Tsai, Hsin-Chieh; Yang, Ying-Fei; Pan, Pei-Juan; Chen, Szu-Chieh.
  • Tsai HC; Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan.
  • Yang YF; Department of Bioenvironmental Systems Engineering, National Taiwan University, Taipei 10617, Taiwan.
  • Pan PJ; Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan.
  • Chen SC; Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan; Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan. Electronic address: scchen@csmu.edu.tw.
J Infect Public Health ; 16(6): 884-892, 2023 Jun.
Article in English | MEDLINE | ID: covidwho-2304927
ABSTRACT

BACKGROUND:

The novel coronavirus disease 2019 (COVID-19) has affected a large number of countries. Informing the public and decision makers of the COVID-19's economic burdens is essential for understanding the real pandemic impact.

METHODS:

COVID-19 premature mortality and disability impact in Taiwan was analyzed using the Taiwan National Infectious Disease Statistics System (TNIDSS) by estimating the sex/age-specific years of life lost through death (YLLs), the number of years lived with disability (YLDs), and the disability-adjusted life years (DALYs) from January 2020 to November 2021.

RESULTS:

Taiwan recorded 1004.13 DALYs (95% CI 1002.75-1005.61) per 100,000 population for COVID-19, with YLLs accounting for 99.5% (95% CI 99.3%99.6%) of all DALYs, with males suffering more from the disease than females. For population aged ≥ 70 years, the disease burdens of YLDs and YLLs were 0.1% and 99.9%, respectively. Furthermore, we found that duration of disease in critical state contributed 63.9% of the variance in DALY estimations.

CONCLUSIONS:

The nationwide estimation of DALYs in Taiwan provides insights into the demographic distributions and key epidemiological parameter for DALYs. The essentiality of enforcing protective precautions when needed is also implicated. The higher YLLs percentage in DALYs also revealed the fact of high confirmed death rates in Taiwan. To reduce infection risks and disease, it is crucial to maintain moderate social distancing, border control, hygiene measures, and increase vaccine coverage levels.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Disability-Adjusted Life Years Type of study: Observational study / Prognostic study Topics: Vaccines Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Infect Public Health Journal subject: Communicable Diseases / Public Health Year: 2023 Document Type: Article Affiliation country: J.jiph.2023.03.028

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Disability-Adjusted Life Years Type of study: Observational study / Prognostic study Topics: Vaccines Limits: Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Infect Public Health Journal subject: Communicable Diseases / Public Health Year: 2023 Document Type: Article Affiliation country: J.jiph.2023.03.028