BURDEN OF DISEASE

DEFINITIONS



QALYs
European Quality of
Life with Five Domains
(EQ-5D)
 How to calculate BOD?


 Uses of DALYs

➢
 FORMULA
DALY = YLD + YLL
YLD (Years lived with disability): measures
the years of what could have been a healthy YLL (Years of life lost): years of life lost due to
life that was instead spent in states of less premature mortality
than full health.

YLD = I x DW x L YLL = N x L

I = number of incident cases N = number of deaths

DW = disability weight L = standard life
L = average duration of the case expectancy at age of
until remission or death (years) death in years
 CAUSE-SEQUELAE



 DW: A factor that reflects the
severity of health loss from a
condition on a scale from 0
FORMULA (perfect health) to 1
(equivalent to death)

Morbidity = Disability Weight x

Duration of disability

DALY = DA + LY
= Morbidity + Mortality

Mortality = Life Expectancy –

Age of Death
Life expectancy at birth in Vietnam
https://www.healthdata.org/vietnam
Life Table in Vietnam 2019
Ví dụ 1
Ví dụ 2
 • Quantify health
• Bigger is better
QALY
• “0” is equivalent to death; “1” represents perfect
health

• Quantify burden
• Smaller is better
DALY
• “0” represents perfect health; “1” equates to death
The burden of disease
in Vietnam
 https://www.healthdata.org/vietnam

Global health estimates: Leading causes of DALYs (who.int)

Females Males

https://www.healthdata.org/vietnam
BOD in Vietnam 2019 https://vizhub.healthdata.org/gbd-results/
Remarkable Causes/Risk
factors
 Air pollution

•
 Bullying and childhood sexual abuse

•
 Depressive disorders

•
 Cancers