Nagarajan Karikalan, Muniyandi Malaisamy, Janagaraj Venkateshprabhu, Chelvanayagam Karthick, Arangba Stephen, Sellappan Senthil, Vasantha Mahalingam
Department of Socio-Behavioural Research, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Department of Health Economics, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Open Forum Infect Dis. 2025 Jul 21;12(8):ofaf433. doi: 10.1093/ofid/ofaf433. eCollection 2025 Aug.
We aimed to estimat the economic burden of TB deaths in terms of gross domestic product (GDP) across Indian states, regions, and different demographic groups.
Using the Human Capital Approach, we estimated the non-health GDP losses due to TB deaths in India for 2021 at subnational level. The total monetary value for the years of life lost due to TB deaths was calculated.
In 2021, 0.393 million TB deaths occurred in India, which would reduce the non-health GDP by US$9.1 billion. North, West, South, and North Eastern states of India incurred 33.5%, 25.6%, 18.5%, and 9.3% of that economic loss respectively. Each TB death resulted in non-health GDP loss of US$23 161. The economic burden was highest among youngr males (20.5%) followed by males aged >75 years (17.3%). The economic cost was minimal among male adolescents and youth accounting for 3.4%.
Finndings underscore the urgent need for concerted multisectoral efforts, sustained investments and strategies to reduce TB deaths, and mitigate the resulting economic losses at sub-national level.
我们旨在估算印度各邦、地区及不同人口群体中结核病死亡造成的国内生产总值（GDP）方面的经济负担。
采用人力资本法，我们在次国家层面估算了2021年印度因结核病死亡造成的非健康领域GDP损失。计算了因结核病死亡导致的寿命损失年数的总货币价值。
2021年，印度有39.3万例结核病死亡，这将使非健康领域GDP减少91亿美元。印度北部、西部、南部和东北部各邦分别承担了该经济损失的33.5%、25.6%、18.5%和9.3%。每例结核病死亡导致非健康领域GDP损失23161美元。经济负担在年轻男性中最高（20.5%），其次是75岁以上男性（17.3%）。男性青少年和青年中的经济成本最低，占3.4%。
研究结果强调迫切需要多部门协同努力、持续投资并制定战略以减少结核病死亡，并在次国家层面减轻由此造成的经济损失。
