scholarly journals Increased Provision of Bioavailable Mg through Vegetables Could Significantly Reduce the Growing Health and Economic Burden Caused by Mg Malnutrition

Foods ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 2513
Author(s):  
Dunyi Liu ◽  
Ming Lu ◽  
Prakash Lakshmanan ◽  
Ziyi Hu ◽  
Xinping Chen

Magnesium (Mg) is an essential mineral nutrient for human health and its deficiency associated with many diseases, including stroke, heart failure, and type 2 diabetes. Vegetables are an important source of dietary Mg for humans. In this study, we quantified vegetable Mg content by a global meat analysis, analyzed human health, and economic impact caused by Mg deficiency. Results revealed that vegetable Mg content showed a large variation with an average value of 19.3 mg 100 g−1 FW. Variation in per capita vegetable-Mg supply in different continents is largely ascribed to continental difference in the amount and the type of vegetables produced. The health and economic loss attributed to Mg deficiency are estimated to be 1.91 million disability-adjusted life years (DALYs) and 15.8 billion dollars (0.14% of GDP), respectively. A scenario analysis indicated that the increasing vegetable production (increased by 8.9% and 20.7% relative to 2017 in 2030 and 2050) and vegetable Mg content (increased by 22% through biofortification) could significantly reduce DALYs (1.24 million years) and economic burden (0.09% of GDP). This study could guide a major re-balance of production practices, species cultivated, and Mg biofortification to provide sufficient vegetable Mg for better human Mg nutrition.

2019 ◽  
Vol 24 (6) ◽  
pp. 823-829 ◽  
Author(s):  
Minha Hong ◽  
Bomi Park ◽  
Sang Min Lee ◽  
Geon Ho Bahn ◽  
Moon Jung Kim ◽  
...  

Objective: We investigated the economic burden and disability-adjusted life years (DALYs) for attention deficit/hyperactivity disorder (ADHD) in the Republic of Korea. Method: Using the National Health Insurance Service claims data for the population aged 19 years or younger, a prevalence-based approach was used to calculate the DALYs of ADHD. Direct medical costs, direct nonmedical costs, and indirect costs resulting from ADHD were estimated to calculate the economic burden of ADHD. Results: A total of 69,353 people in Korea were diagnosed with ADHD in 2012. The burden of ADHD as measured by the prevalence-based approach was 32,605 DALYs. The total economic burden of ADHD was US$47.55 million, which accounted for approximately 0.004% of Korean GDP (gross domestic product) in 2012. Conclusion: Our findings shed light on the considerable burden of ADHD, emphasizing the need for policies that can encourage ADHD treatment and enhance compliance.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Onder Altuntas

Purpose This study aims to present the impact of using leaded avgas in piston-prop aircraft, in Turkey. Design/methodology/approach Increasing air traffic directly increases the total amount of consumed aviation fuels (kerosene or avgas). The number of aircraft and traffic that will increase soon will further increase fuel consumption. For this reason, aircraft power generation methods (long term) must be changed or the fuel must be improved (short term). The avgas used in piston-prop aircraft is known to contain lead and as a result, the production or consumption of avgas has adverse effects on human health, the ecosystem quality and resources. Findings The overall human health impact, ecosystem quality impact and resource impact in Turkey were determined to be 2.83 disability-adjusted life years, 1.21 × 10−04 species.yr and $138, respectively. According to the results, although the normalized total effect of Turkey was calculated as 208.18 nkg, 43.89% of the total was observed in the Marmara region. Originality/value The originality is the use of real-time values for all calculations. For the purpose of showing the most impacted or damaged regions in Turkey via a life cycle analysis, a new definition, the normalized total effect in nkg, is defined in this study.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049619
Author(s):  
Denny John ◽  
M S Narassima ◽  
Jaideep Menon ◽  
Jammy Guru Rajesh ◽  
Amitava Banerjee

ObjectivesFrom the beginning of the COVID-19 pandemic, clinical practice and research globally have centred on the prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the economy and stressed healthcare systems worldwide. The present study estimates disability-adjusted life years (DALYs), years of potential productive life lost (YPPLL) and cost of productivity lost (CPL) due to premature mortality and absenteeism secondary to COVID-19 in the state of Kerala, India.SettingDetails on sociodemographics, incidence, death, quarantine, recovery time, etc were derived from public sources and the Collective for Open Data Distribution-Keralam. The working proportion for 5-year age–gender cohorts and the corresponding life expectancy were obtained from the 2011 Census of India.Primary and secondary outcome measuresThe impact of the disease was computed through model-based analysis on various age–gender cohorts. Sensitivity analysis was conducted by adjusting six variables across 21 scenarios. We present two estimates, one until 15 November 2020 and later updated to 10 June 2021.ResultsSeverity of infection and mortality were higher among the older cohorts, with men being more susceptible than women in most subgroups. DALYs for males and females were 15 954.5 and 8638.4 until 15 November 2020, and 83 853.0 and 56 628.3 until 10 June 2021. The corresponding YPPLL were 1323.57 and 612.31 until 15 November 2020, and 6993.04 and 3811.57 until 10 June 2021, and the CPL (premature mortality) were 263 780 579.94 and 41 836 001.82 until 15 November 2020, and 1 419 557 903.76 and 278 275 495.29 until 10 June 2021.ConclusionsMost of the COVID-19 burden was contributed by years of life lost. Losses due to YPPLL were reduced as the impact of COVID-19 infection was lesser among the productive cohorts. The CPL values for individuals aged 40–49 years old were the highest. These estimates provide the data necessary for policymakers to work on reducing the economic burden of COVID-19 in Kerala.


2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Adolfo Vásquez-Trujillo ◽  
Doris Cardona-Arango ◽  
Angela María Segura-Cardona ◽  
Gabriel Jaime Parra-Henao

Abstract: In Colombia, dengue is a disease of great impact due to its morbidity and mortality, however, studies on the effects of the economic burden at the local level are scarce. Therefore, our study sought to describe the economic burden of dengue epidemics between 2010 and 2016 in the State of Meta, Colombia. A longitudinal study was performed using information from the records of the epidemiological information system (Sistema Nacional de Vigilancia en Salud Pública - SIVIGILA), and the indicator of disability-adjusted life years (DALYs) was determined as an estimator of the burden of dengue. To assess the economic impact, two assessment scenarios were considered (minimum range and maximum range), which allowed the estimate of the effects of the years of life lost (YLLs). Mortality cases presented heterogeneity in the age groups, mainly affecting groups under 15 years and over 65 years, with YLLs raging between 158.58 and 300.38. In total, 2010 showed the highest medical care costs of the study period, with USD 664,123 for women and USD 740,221 for men. In the epidemic years (2010, 2012-2015) between 91,072.3 and 184,175.1 DALYs were lost per million inhabitants, which generated social burden costs higher than the USD 669.6 million. In conclusion, dengue can be considered a disease of high cost at the local level, economically affecting the General Social Security System in Health and social welfare.


2021 ◽  
Author(s):  
Denny John ◽  
Narassima MS ◽  
Jaideep C Menon ◽  
Guru Rajesh Jammy ◽  
Amitava Banerjee

Abstract Background: From the beginning of the COVID-19 pandemic, clinical practice and research, globally, have centered on prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the global economy and stressed the health care systems worldwide.Methods: The present study estimates Disability-Adjusted Life Years (DALYs), Years of Potential Productive Life Lost (YPPLL) and Cost of Productivity Lost (CPL) due to premature mortality and absenteeism, secondary to COVID-19 in Kerala state, India. Details on sociodemography, incidence, death, quarantine, per capita income etc were dervived from various public sources. 5-year age-gender population, working population in each age-gender cohort and corresponding life expectancies were obtained from Census of India 2011. Data on incidence and recovery time were dervied from CODD-K. Details of deaths were extracted from government sources and CODD-K. The impact of disease on various age-gender cohorts has been analyzed. Sensitivity Analysis has been conducted by adjusting six variables with a total of 21 scenarios.Results: Severity of infection and mortality were higher among older sub-group of patients, and male were more susceptible than female in most of the age groups. DALYs for the baseline scenario was 15,924.24 and 8,669.32 for male and female respectively. Total YPPLL for male and female cohorts were estimated to be 1323.57 and 612.31 respectively. People of 40-49 years age constituted 51.34% and 41.76% of the total CPL values (for premature mortality) of males and females respectively.Conclusion: Most of the disease burden from COVID-19 was contributed by YLL. Losses due to YPPLL was reduced as the impact of COVID-19 infection was relatively lesser among the productive age groups. CPL values for people aged from 40-49 years were the highest. These estimates put emphasis that the decision-makers should focus and make efforts on reducing the economic burden for the longer impact of COVID-19 in Kerala state.


2020 ◽  
Vol 114 (4) ◽  
pp. 284-292 ◽  
Author(s):  
Kebede Deribe ◽  
Nebiyu Negussu ◽  
Melanie J Newport ◽  
Gail Davey ◽  
Hugo C Turner

Abstract Background Podoconiosis is one of the leading causes of lymphoedema-related morbidity in low-income settings, but little is known about the scale of its health and economic impact. This information is required to inform control programme planning and policy. In this study, we estimated the health and economic burden of podoconiosis in Ethiopia. Methods We developed a model to estimate the health burden attributed to podoconiosis in terms of the number of disability-adjusted life years (DALYs) and the economic burden. We estimated the economic burden by quantifying the treatment and morbidity-management costs incurred by the healthcare system in managing clinical cases, patients' out-of-pocket costs and their productivity costs. Results In 2017, there were 1.5 million cases of podoconiosis in Ethiopia, which corresponds to 172 073 DALYs or 182 per 100 000 people. The total economic burden of podoconiosis in Ethiopia is estimated to be US$213.2 million annually and 91.1% of this resulted from productivity costs. The average economic burden per podoconiosis case was US$136.9. Conclusions The national cost of podoconiosis is formidable. If control measures are scaled up and the morbidity burden reduced, this will lead to Ethiopia saving millions of dollars. Our estimates provide important benchmark economic costs to programme planners, policymakers and donors for resource allocation and priority setting.


2015 ◽  
Vol 9 (02) ◽  
pp. 128-135 ◽  
Author(s):  
Fatimah S Alhamlan ◽  
Ahmed Ali Al-Qahtani ◽  
Mohammed N. Ahmed Al-Ahdal

The effect of human activities on water resources has expanded dramatically during the past few decades, leading to the spread of waterborne microbial pathogens. The total global health impact of human infectious diseases associated with pathogenic microorganisms from land-based wastewater pollution was estimated to be approximately three million disability-adjusted life years (DALY), with an estimated economic loss of nearly 12 billion US dollars per year. Although clean water is essential for healthy living, it is not equally granted to all humans. Indeed, people who live in developing countries are challenged every day by an inadequate supply of clean water. Polluted water can lead to health crises that in turn spread waterborne pathogens. Taking measures to assess the water quality can prevent these potential risks. Thus, a pressing need has emerged in developing countries for comprehensive and accurate assessments of water quality. This review presents current and emerging advanced techniques for assessing water quality that can be adopted by authorities in developing countries.


2021 ◽  
Author(s):  
Denny John ◽  
Narassima MS ◽  
Jaideep C Menon ◽  
Guru Rajesh Jammy ◽  
Amitava Banerjee

Abstract Objectives: From the beginning of the COVID-19 pandemic, clinical practice and research, globally, have centered on the prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the economy and stressed the health care systems worldwide. The present study estimates Disability-Adjusted Life Years (DALYs), Years of Potential Productive Life Lost (YPPLL), and Cost of Productivity Lost (CPL) due to premature mortality and absenteeism, secondary to COVID-19 in Kerala state, India. Setting: Details on sociodemography, incidence, death, quarantine, recovery time, etc were derived from public sources and CODD-K for Kerala. The working proportion for 5-year age-gender cohorts and corresponding life expectancy were obtained from the Census of India 2011. Primary and secondary outcome measures: The impact of disease on various age-gender cohorts have been analyzed. Sensitivity Analysis has been conducted by adjusting six variables across 21 scenarios. In addition, the estimates have been updated till June 10, 2021. Results: Severity of infection and mortality were higher among the older cohorts, with males being more susceptible than females in most sub-groups. The DALYs for males and females were 15954.5 and 8638.4 till November 15, 2020, and 83853.0 and 56628.3 till June 10, 2021. The corresponding YPPLL were 1323.57 and 612.31 till November 15, 2020, and 6993.04 and 3811.57 till June 10, 2021. CPL (premature mortality) for males and females were 263780579.94 and 41836001.82 till November 15, 2020, and 1419557903.76 and 278275495.29 till June 10, 2021. Conclusions: Most of the COVID-19 disease burden was contributed by YLL. Losses due to YPPLL were reduced as the impact of COVID-19 infection was relatively lesser among productive cohorts. CPL values for 40-49 year-olds were the highest. . These estimates provide the figures and data necessary to policymakers to work on, in order to reduce the economic burden of COVID-19 in Kerala.


2021 ◽  
Vol 9 ◽  
Author(s):  
Mohamed Aboulghate ◽  
Aliaa Elaghoury ◽  
Ibrahim Elebrashy ◽  
Nabil Elkafrawy ◽  
Galal Elshishiney ◽  
...  

Objective: Estimating the burden of obesity to society is an essential step in setting priorities and raising awareness. We aimed to assess the clinical, humanistic and economic burden of obesity for adults in Egypt.Methods: We used the population attributable fraction concept to estimate the burden. A non-systematic review was conducted to estimate the prevalence of obesity and its comorbidities in addition to the obesity attributable fraction. Patient numbers, direct healthcare costs, disability adjusted life years (DALYs) and attributable mortality were estimated.Results: Obesity is a major contributor to the development of diabetes mellitus, hypertension, obstructive sleep apnea and fatty liver, in addition to several serious diseases. The estimated annual deaths due to obesity was about 115 thousand (19.08% of the total estimated deaths in 2020). DALYs attributable to obesity may have reached 4 million in 2020.The economic burden imposed by obesity is around 62 Billion Egyptian pounds annually. This value is the cost of treating diseases attributable to obesity in adults.Conclusions: Diseases attributable to obesity create a huge economic, humanistic, and clinical burden in Egypt. Reducing obesity could help dramatically decrease the catastrophic health effect of these diseases which in turn decreases mortality and DALYs lost.


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