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Concepts & theories

DALY (Disability-adjusted life year)

DEDALY (Behinderungsbereinigtes Lebensjahr)

The Disability-Adjusted Life Year (DALY) is the cornerstone metric of the Global Burden of Disease framework, expressing population health loss as the sum of Years of Life Lost from premature mortality (YLL) plus Years Lived with Disability (YLD). One DALY equals one year of healthy life lost. YLL is calculated as the number of deaths multiplied by the standard remaining life expectancy at the age of death; YLD multiplies prevalence of a condition by a disability weight (0 to 1) reflecting severity. Originally developed by Murray and Lopez at Harvard in 1996 in collaboration with WHO and the World Bank, DALYs now drive global health prioritisation. GBD 2019 estimated approximately 2.5 billion DALYs worldwide, with cardiovascular disease, neonatal disorders, and cancers leading the burden.

Sources

  1. Murray CJL, Lopez AD. (1996). The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. *Harvard School of Public Health on behalf of WHO and World Bank, Cambridge MA*
  2. Vos T, Lim SS, Abbafati C, et al.. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. *The Lancet*doi:10.1016/S0140-6736(20)30925-9
  3. GBD 2019 Viewpoint Collaborators. (2020). Five insights from the Global Burden of Disease Study 2019. *The Lancet*doi:10.1016/S0140-6736(20)31404-5