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Table 6 Health burden: disability adjusted life years (DALYs) before and after iron fortification of wheat flour and condiments by age-group

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

 Pre-school childrenSchool-aged childrenAdultsTotal
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)5.94.14.114
Absolute change attributable to condiment fortification (mean)6.43.53.513.4
% change
Reduction attributable to flour fortification4.4%7.9%7.2%5.8%
Reduction attributable to condiment fortification4.9%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)104.14.118.2
Absolute change attributable to condiment fortification (mean)11.13.53.518
% change
Reduction attributable to flour fortification4.4%7.9%7.2%5.4%
Reduction attributable to condiment fortification5.1%7.3%6.7%5.7%
  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: 0.5 to 4 years; school age children: 5 to 14 years; adult men and women: 15 to 64 years