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Disability-adjusted life years associated with COVID-19 in Brazil, 2020
Cleber Vinicius Brito Dos Santos1, Lara Esteves Coelho2, Guilherme Tegoni Goedert3
1Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
Plos One
|March 27, 2025
Summary
COVID-19 caused over 5.4 million disability-adjusted life years (DALYs) in Brazil during 2020, primarily from mortality. This burden ranked COVID-19 as the leading cause of disability, surpassing other diseases and injuries.
Area of Science:
- Public Health
- Epidemiology
- Global Health
Background:
- Quantified the national and state-level burden of COVID-19 in Brazil during 2020.
- Contrasted COVID-19's impact with other causes of disease and injury.
Purpose of the Study:
- To assess the full impact of COVID-19 on Brazil's population health in 2020.
- To compare the burden of COVID-19 with other leading causes of disease and injury.
Main Methods:
- Utilized national surveillance data for COVID-19 cases, hospitalizations, and deaths (Feb-Dec 2020).
- Calculated disability-adjusted life years (DALYs) using the COVID-19 consensus model, including long COVID and mortality.
- Compared COVID-19 DALYs with national estimates from the Global Burden of Disease study.
Main Results:
- COVID-19 resulted in 5,445,785 DALYs (2,603 DALYs/100,000), with mortality accounting for over 99% of the burden.
- Males represented a larger proportion of DALYs (59%) and DALYs per capita (63%).
- While populous states had high DALYs, Rio de Janeiro, Amapá, and Roraima showed higher DALYs per capita, indicating significant regional impact.
Conclusions:
- Brazil experienced the world's highest COVID-19 burden per capita.
- COVID-19 severely impacted Brazil's population health in 2020, suggesting insufficient mitigation strategies.
- The study underscores the critical need for effective public health interventions to manage infectious disease outbreaks.
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