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. 2020 Jul 23;103(3):1191–1197. doi: 10.4269/ajtmh.20-0546

Table 3.

Comparison of predicted DALYs lost from COVID-19 if the national detectable infection rate reaches 20%*, and potential response vulnerabilities over 6 months, based on assumptions as listed

Cause Basis of prediction Excess DALYs lost Notes
COVID-19 20% incidence 405,100 20% total detectable incidence nationally
HIV/AIDS Missed new diagnoses and loss to follow-up 475,319 Standard HIV DALYs. Missed new treatment initiation based on March 2020 vs. 2019 6-month average, and assumed 20% loss to follow-up reverting to 1990 HIV mortality rate
Malaria WHO scenario 1 257,780 No ITN campaigns, continuous ITN distributions reduced by 25%
WHO scenario 4 509,393 No ITN campaigns, access to effective antimalarial treatment reduced by 25%
WHO scenario 9 2,427,769 No ITN campaigns, both continuous ITN distributions and access to effective antimalarial treatment reduced by 75%
Maternal mortality March 2020 mortality rate 31,343 March 2020 rate vs. 2019 6-month average

DALYs = disability-adjusted life years; ITN = insecticide-treated net.

*

Mortality for detectable infection rate based on incidence recorded in China,33 and including only diagnosed and recorded infections.

Uganda 2020 data. See Results.

WHO.18,31