Olivera Mario J, Palencia-Sánchez Francisco, Riaño-Casallas Martha
Grupo de Parasitología, Instituto Nacional de Salud, Bogotá 111321, D.C., Colombia.
Programme in Health Economics, Pontificia Universidad Javeriana, Bogotá 110231, D.C., Colombia.
Trop Med Infect Dis. 2021 Jan 27;6(1):17. doi: 10.3390/tropicalmed6010017.
Economic burden due to premature mortality has a negative impact not only in health systems but also in wider society. The aim of this study was to estimate the potential years of work lost (PYWL) and the productivity costs of premature mortality due to Chagas disease in Colombia from 2010 to 2017.
National data on mortality (underlying cause of death) were obtained from the National Administrative Department of Statistics in Colombia between 2010 and 2017, in which Chagas disease was mentioned on the death certificate as an underlying or associated cause of death. Chagas disease as a cause of death corresponded to category B57 (Chagas disease) including all subcategories (B57.0 to B57.5), according to the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The electronic database contains the number of deaths from all causes by sex and 5-year age group. Economic data, including wages, unemployment rates, labor force participation rates and gross domestic product, were derived from the Bank of the Republic of Colombia. The human capital approach was applied to estimate both the PYWL and present value of lifetime income lost due to premature deaths. A discount rate of 3% was applied and results are presented in 2017 US dollars (USD).
There were 1261 deaths in the study, of which, 60% occurred in males. Premature deaths from Chagas resulted in 48,621 PYWL and a cost of USD 29 million in the present value of lifetime income forgone.
The productivity costs of premature mortality due to Chagas disease are significant. These results provide an economic measure of the Chagas burden which can help policy makers allocate resources to continue with early detection programs.
过早死亡造成的经济负担不仅对卫生系统有负面影响，对更广泛的社会也有负面影响。本研究的目的是估计2010年至2017年哥伦比亚恰加斯病导致的潜在工作损失年数（PYWL）和过早死亡的生产力成本。
从哥伦比亚国家统计局获取2010年至2017年期间关于死亡率（根本死因）的全国数据，其中死亡证明上提及恰加斯病为根本或相关死因。根据《国际疾病和相关健康问题统计分类第十次修订本》（ICD - 10），恰加斯病作为死因对应B57类（恰加斯病），包括所有子类别（B57.0至B57.5）。电子数据库包含按性别和5岁年龄组划分的所有死因的死亡人数。经济数据，包括工资、失业率、劳动力参与率和国内生产总值，均来自哥伦比亚共和国银行。采用人力资本方法来估计PYWL和因过早死亡而损失的终身收入的现值。应用3%的贴现率，并以2017年美元（USD）呈现结果。
该研究中有1261例死亡，其中60%发生在男性中。恰加斯病导致的过早死亡造成了48,621个PYWL，以及终身收入损失现值达2900万美元的成本。
恰加斯病导致的过早死亡的生产力成本巨大。这些结果提供了恰加斯病负担的经济衡量指标，有助于政策制定者分配资源以继续开展早期检测项目。
