Covid-19 disability-adjusted life years in maharashtra state of india

Abstract

Background and objective: The world is experiencing a pandemic of corona virus disease. In India maximum cases and deaths are seen in the state of Maharashtra. Objective of the study was to calculate disability adjusted life years (DALY) of COVID-19 to quantify burden of COVID-19 in Maharashtra state of India. Material & methodology: In this observational study, using the methodology given by WHO, DALY is composed of years lived with disability (YLDs) and years of life lost due to premature mortality/death (YLLs). We used data of confirmed cases and deaths due to covid19 between March to August 2020, taken from Government of Maharashtra. Results: The total DALY for COVID-19 was 549468.62 (490.74 of DALYs per 100000 population). YLDs and YLLs constituted 19.75% and 80.25% of the DALYs, respectively. The relative contribution of YLDs and YLLs varied by age. Maximum DALYs was seen in the age group of 51-60 years of age. There were 108510 YLDs and 440958 YLLs attributed to COVID 19 in the state of Maharashtra. Maximum burden of YLDs of 22798 was seen in the age group 31-40years which constitutes 21 % of total YLDs. Maximum burden of YLL of 129975.2 is contributed by age group 51- 60 years of age which is 29% of the total YLL. Interpretation and conclusion: Most of the disease burden from COVID-19 in Maharashtra is derived from YLL; this indicates the state needs to focus on reducing the mortality due to covid19 especially in the older age group.