Abstract
Objective of the study was to develop a method of assessment and forecasting of socio-economic damage inflicted by the outbreaks of infectious diseases using DALY index by the example of Crimean hemorrhagic fever. WHO expert-designed DALY index was adapted for use in the territory of the Russian Federation with due account of GDP values and age distribution among the population. Put forward was a scheme for prognostication of a possible social damage caused by infectious disease outbreak, expressed in the aggregate number of wasted years of productive life and economic loss resulted from GDP decrement. The method developed can be used for forecasting of socio-economic damage inflicted by the outbreaks of infectious diseases and evaluation of effectiveness as regards anti-epidemic and therapeutic interventions. Carried out has been assessment of economic and social losses which resulted from outbreaks of Crimean hemorrhagic fever in the Southern Federal District of Russia inclusive of the data on morbidity rates over the period of 1999-2010. Major economic damage is factored by the labor forces loss consequent to fatal cases of infection. Such a method of prognostication based on DALY index has been implemented in the territory of the Russian Federation for the first time ever.
Highlights
Forecasting of the Socio-Economic Damage Resulting from Outbreaks of Infectious Diseases, by the Example of Crimean Hemorrhagic Fever
Objective of the study was to develop a method of assessment and forecasting of socio-economic damage inflicted by the outbreaks of infectious diseases using DALY index by the example of Crimean hemorrhagic fever
WHO expert-designed DALY index was adapted for use in the territory of the Russian Federation with due account of GDP values and age distribution among the population
Summary
Потерянные годы полноценной жизни вследствие гибели оценивали с помощью индекса ID (индекс DALY), имеющего размерность (человек/лет). Специалистами ВОЗ разработан индекс DALY (Disability-Adjusted Life Years), который дает возможность рассчитать потери полноценных лет жизни вследствие временной нетрудоспособности, инвалидности или преждевременной смерти. Величина социально-экономического ущерба вследствие болезни, рассчитанная в зависимости от возраста человека, оценивается количеством утраченных полноценных лет жизни и снижением валового внутреннего продукта (ВВП) в результате преждевременной смерти человека, потери трудоспособности во время болезни и последующей инвалидизации [6, 7, 9]. Для определения количества лет жизни, утрачиваемых в результате одного случая болезни или смерти, использовали данные о средних сроках дожития, рассчитанных относительно показателей ожидаемой продолжительности жизни жителей РФ при рождении, с пятилетним возрастным интервалом (таблица).
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