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dc.contributor.authorSingh, Balbir Ben_AU
dc.contributor.authorDevleesschauwer, Brechten_AU
dc.contributor.authorKhatkar, Mehar Sen_AU
dc.contributor.authorLowerison, Marken_AU
dc.contributor.authorSingh, Baljiten_AU
dc.contributor.authorDhand, Navneet Ken_AU
dc.contributor.authorBarkema, Herman Wen_AU
dc.date.accessioned2021-09-16T22:00:41Z
dc.date.available2021-09-16T22:00:41Z
dc.date.issued2021
dc.identifier.urihttps://hdl.handle.net/2123/26124
dc.description.abstractCOVID-19 has affected all countries. Its containment represents a unique challenge for India due to a large population (>1.38 billion) across a wide range of population densities. Assessment of the COVID-19 disease burden is required to put the disease impact into context and support future pandemic policy development. Here, we present the national-level burden of COVID-19 in India in 2020 that accounts for differences across urban and rural regions and across age groups. Disability-adjusted life years (DALY) due to COVID-19 were estimated in the Indian population in 2020, comprised of years of life lost (YLL) and years lived with disability (YLD). Scenario analyses were conducted to account for excess deaths not recorded in the official data and for reported COVID-19 deaths. The direct impact of COVID-19 in 2020 in India was responsible for 14,106,060 (95% uncertainty interval [UI] 14,030,129–14,213,231) DALYs, consisting of 99.2% (95% UI 98.47–99.64%) YLLs and 0.80% (95% UI 0.36–1.53) YLDs. DALYs were higher in urban (56%; 95% UI 56–57%) than rural areas (44%; 95% UI 43.4–43.6) and in males (64%) than females (36%). In absolute terms, the highest DALYs occurred in the 51–60-year-old age group (28%) but the highest DALYs per 100,000 persons were estimated for the 71-80 year old age group (5,481; 95% UI 5,464–5,500 years). There were 4,823,791 (95% UI 4,760,908–4,924,307) DALYs after considering reported COVID-19 deaths only. The DALY estimations have direct and immediate implications not only for public policy in India, but also internationally given that India represents one sixth of the world’s population.en_AU
dc.language.isoenen_AU
dc.subjectCOVID-19en_AU
dc.subjectCoronavirusen_AU
dc.titleDisability-adjusted life years (DALYs) due to the direct health impact of COVID-19 in India, 2020en_AU
dc.typePreprinten_AU
dc.subject.asrc1117 Public Health and Health Servicesen_AU
dc.subject.asrc11 Medical and Health Sciencesen_AU
dc.identifier.doi10.1101/2021.08.20.21262326


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