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Productivity losses from injury in China

¹ Department of International Health, Johns Hopkins University Bloomberg School of Public Health
² China National Center for Health Information and Statistics, Ministry of Health of China
³ Emergency Medicine, Johns Hopkins University School of Medicine

Correspondence to:
Professor Timothy D Baker, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA;
tbaker{at}jhsph.edu

Objective: To examine the productivity losses and costs of injury and disease in China using an improved approach.

Methods: Potentially productive years of life lost (PPYLL) were calculated for injury and four major disease groups (respiratory, cardiovascular, infectious, neoplastic).

Data sources: The mortality data are from the 1999 National Health Statistics Report and the morbidity data from the 1998 Second National Health Service Survey Report.

Results: Injuries caused an annual PPYLL of 12.6 million years, more than for any disease group. The estimated annual economic cost of injury is equivalent to US$12.5 billion, almost four times the total public health services budget of China. Motor vehicle fatalities accounted for 25% of the total PPYLL from all injury deaths.

Conclusion: Injury control and prevention programs merit priority to reflect the social and economic burden of injury in China.

Keywords: potentially productive years of life lost; productivity loss; China

Abbreviations: DALYs, disability adjusted years of life lost; PPYLL, potentially productive years of life lost; QALYs, quality adjusted life years; YPLL, years of potential life lost

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