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Table 10 Health burden: disability adjusted life years (DALYs) before and after iron fortification of wheat flour and condiments by age-group using lower share of anemia attributed to iron deficiency

From: Reducing the burden of iron deficiency anemia in Cote D’Ivoire through fortification

 

Pre-school children

School-aged children

Adults

Total

Discounted health burden

‘000 DALYs

After condiment and flour fortification (mean (95% CI))

47.8 [36.9: 60.5]

29.2 [16.3: 45.7]

46.8 [27.9: 70.4]

123.8 [86: 170.3]

After flour and before condiment fortification (mean (95% CI))

50.3 [39: 63.6]

31.5 [17.7: 49.3]

50.1 [30: 75.3]

131.9 [91.8: 181.5]

Before flour fortification (mean (95% CI))

52.6 [40.9: 66.5]

34.2 [19.2: 53.4]

54 [32.4: 81.1]

140.9 [98: 193.8]

Absolute change attributable to flour fortification (mean)

2.3

2.7

3.9

9

Absolute change attributable to condiment fortification (mean)

2.5

2.3

3.3

8.1

% change

Reduction attributable to flour fortification

4.37%

7.89%

7.22%

6.39%

Reduction attributable to condiment fortification

4.97%

7.30%

6.59%

6.14%

  1. 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 from 0.5 to 4 years old; school age children from 5 to 14 years old; adults men and women from 15 to 64 years old
  2. Using the attribution of anemia to iron deficiency of 25% for pre-school age children and 30% for school age children, 37% for women and 18% for men by Petry et al. [5]