Table 6.

Health burden: disability adjusted life years (DALYs) before and after iron fortification of wheat flour and condiments by age-group

	Pre-school children	School-aged children	Adults	Total
Discounted health burden
‘000 DALYs
After condiment and flour fortification (mean (95% CI))	121.9 [92.4: 157.8]	43.8 [25.3: 66.5]	49.1 [29.2: 74]	214.7 [156.7: 286.2]
After flour and before condiment fortification (mean (95% CI))	128.3 [97.5: 165.8]	47.3 [27.4: 71.7]	52.6 [31.4: 79.2]	228.1 [166.7: 304]
Before flour fortification (mean [95%CI])	134.2 [102.4: 173.2]	51.3 [29.9: 77.8]	56.6 [34: 85.1)	242.1 [177.1: 322.8]
Absolute change attributable to flour fortification (mean)	5.9	4.1	4.1	14
Absolute change attributable to condiment fortification (mean)	6.4	3.5	3.5	13.4
% change
Reduction attributable to flour fortification	4.4%	7.9%	7.2%	5.8%
Reduction attributable to condiment fortification	4.9%	7.3%	6.7%	5.9%
Undiscounted health burden
‘000 DALYs
After condiment and flour fortification (mean (95% CI))	205.4 [153.3: 267.4]	43.8 [25.3: 66.5]	49.1 [29.2: 74]	298.2 [224: 384.7]
After flour and before condiment fortification [mean (95% CI))	216.4 [161.9: 281.6]	47.3 [27.4: 71.7]	52.6 [31.4: 79.2]	316.3 [237.9: 407.1]
Before flour fortification (mean (95% CI))	226.5 [169.7: 294.1]	51.3 [29.9: 77.8]	56.6 [34: 85.1]	334.4 [251.7: 430.7]
Absolute change attributable to flour fortification (mean)	10	4.1	4.1	18.2
Absolute change attributable to condiment fortification (mean)	11.1	3.5	3.5	18
% change
Reduction attributable to flour fortification	4.4%	7.9%	7.2%	5.4%
Reduction attributable to condiment fortification	5.1%	7.3%	6.7%	5.7%

DALYs disability adjusted life years, CI confidence interval. This refers to constructed 95% confidence intervals as calculated in the probabilistic sensitivity analysis. Pre-school children: 0.5 to 4 years; school age children: 5 to 14 years; adult men and women: 15 to 64 years