Report 4 figures and tables: Economic Burden of Illness in Canada, 2005–2008

Report 4: EBIC Value of Lost Production due to Premature Mortality, 2004-2008

Figures and Tables

Table 12: Mortality Costs by Diagnostic Category, Canada, 2005-2008
($'000,000 Current Dollars)
Diagnostic Category 2008 Cost % of 2008 Cost 2007 Cost % of 2007 Cost 2006 Cost % of 2006 Cost 2005 Cost % of 2005 Cost 2004 Cost % of 2004 Cost
Footnote:
1The International Classification of Diseases (ICD) codes in this diagnostic category are not valid cause-of-death codes.
Note: Any discrepancies may be due to rounding.
Certain Infectious and Parasitic Diseases 13.0 2.9 12.9 2.9 12.9 2.9 13.0 3.0 11.3 2.8
Respiratory Infections 5.1 1.1 4.8 1.1 4.4 1.0 4.5 1.0 3.7 0.9
Maternal Conditions 0.2 0.0 0.1 0.0 0.2 0.0 0.2 0.0 0.1 0.0
Perinatal Conditions 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Nutritional Deficiencies 0.3 0.1 0.2 0.0 0.3 0.1 0.3 0.1 0.2 0.0
Malignant Neoplasms 166.0 36.6 163.5 37.0 159.8 36.2 155.5 36.0 145.8 36.3
Other Neoplasms 1.8 0.4 1.9 0.4 2.1 0.5 2.1 0.5 1.9 0.5
Diabetes Mellitus 12.3 2.7 11.5 2.6 11.9 2.7 11.7 2.7 11.1 2.8
Endocrine Disorders 6.3 1.4 6.0 1.4 5.6 1.3 6.0 1.4 5.2 1.3
Neuropsychiatric Conditions 19.1 4.2 18.5 4.2 19.5 4.4 17.9 4.2 16.7 4.1
Sense Organ Diseases 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Cardiovascular Diseases 92.4 20.4 90.4 20.5 90.5 20.5 89.8 20.8 84.8 21.1
Respiratory Diseases 11.3 2.5 11.1 2.5 10.4 2.4 10.3 2.4 9.2 2.3
Digestive Diseases 24.5 5.4 23.7 5.4 20.8 4.7 20.9 4.8 19.0 4.7
Genitourinary Diseases 3.8 0.8 3.5 0.8 3.5 0.8 3.3 0.8 3.0 0.8
Skin Diseases 0.4 0.1 0.4 0.1 0.4 0.1 0.3 0.1 0.3 0.1
Musculoskeletal Diseases 2.5 0.5 2.1 0.5 2.3 0.5 2.0 0.5 1.6 0.4
Congenital Anomalies 2.9 0.6 2.5 0.6 2.7 0.6 2.6 0.6 2.4 0.6
Oral Conditions 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Injuries 84.6 18.6 81.2 18.4 81.2 18.4 82.8 19.2 75.5 18.8
Symptoms, Signs and Ill-Defined Conditions 7.5 1.6 7.4 1.7 12.4 2.8 8.3 1.9 9.5 2.4
Factors Influencing Health and Contact with Health ServicesTable 12 - Footnote 1
Total EBIC Mortality Costs 454.0 100.0 441.7 100.0 440.8 100.0 431.5 100.0 401.5 100.0
Unattributable Mortality Costs 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Total Mortality Costs 454.0 100.0 441.7 100.0 440.8 100.0 431.5 100.0 401.5 100.0

Table 13: Mortality Costs by Diagnostic Category and Sex, Canada, 2008
($'000,000 Current Dollars)
Diagnostic Category 2008 Male Cost % of Total Cost 2008 Female Cost % of Total Cost Total Cost
Footnotes:
1The International Classification of Diseases (ICD) codes in this diagnostic category are not valid cause-of-death codes.
Note: Any discrepancies may be due to rounding.
Certain Infectious and Parasitic Diseases 10.3 79.2 2.7 20.8 13.0
Respiratory Infections 3.6 71.1 1.5 28.9 5.1
Maternal Conditions  -  - 0.2 100.0 0.2
Perinatal Conditions 0.0 50.6 0.0 49.4 0.1
Nutritional Deficiencies 0.1 52.6 0.1 47.4 0.3
Malignant Neoplasms 106.2 64.0 59.8 36.0 166.0
Other Neoplasms 1.2 67.3 0.6 32.7 1.8
Diabetes Mellitus 9.5 77.6 2.7 22.4 12.3
Endocrine Disorders 4.7 74.9 1.6 25.1 6.3
Neuropsychiatric Conditions 14.2 74.3 4.9 25.7 19.1
Sense Organ Diseases 0.0 62.4 0.0 37.6 0.0
Cardiovascular Diseases 77.2 83.5 15.3 16.5 92.4
Respiratory Diseases 7.6 67.6 3.7 32.4 11.3
Digestive Diseases 19.1 78.0 5.4 22.0 24.5
Genitourinary Diseases 2.6 69.7 1.1 30.3 3.8
Skin Diseases 0.3 72.5 0.1 27.5 0.4
Musculoskeletal Diseases 1.4 54.4 1.1 45.6 2.5
Congenital Anomalies 1.9 65.1 1.0 34.9 2.9
Oral Conditions 0.0 63.5 0.0 36.5 0.0
Injuries 70.0 82.8 14.6 17.2 84.6
Symptoms, Signs and Ill-Defined Conditions 5.9 78.8 1.6 21.2 7.5
Factors Influencing Health and Contact with Health Services - - - - -
Total EBIC Mortality CostsTable 13 - Footnote 1 336.0 74.0 118.0 26.0 454.0

Table 14: EBIC 2004-2008 National Mortality Costs
($'000,000 2010 Constant Dollars)
Year Cost
2008 463.5
2007 461.5
2006 470.7
2005 469.8
2004 446.8

Figure 20: Mortality Costs by Age Group, Canada, 2008

Figure 20

Note: Any discrepancies may be due to rounding

Text Equivalent - Figure 20
Age Group Mortality Costs
(in millions)
Percentage of Total Mortality Costs
15-34 years 28.9 6.3
35-54 years 235.2 51.7
55-64 years 190.7 41.9

Enlarge Figure 20

Figure 21: Mortality Cost Distribution by Diagnostic Category and Age Group, Canada, 2008

Figure 21

Notes: ‘Other Diagnostic Categories’ include the costs from all other EBIC diagnostic categories not individually displayed in the figure.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 21
Diagnostic Category Percentage of Costs Attributed to Age Group 15-34 years Percentage of Costs Attributed to Age Group 35-54 years Percentage of Costs Attributed to Age Group 55-64 years
Malignant Neoplasms
($166.0 million)
2.0 46.3 51.7
Cardiovascular Diseases
($92.4 million)
1.8 48.9 49.3
Injuries
($84.6 million)
21.0 63.2 15.8
Digestive Diseases
($24.5 million)
2.3 55.7 42.1
Neuropsychiatric Conditions
($19.1 million)
6.1 55.4 38.5
Other Diagnostic Categories
($68.2 million)
6.4 52.3 41.3

Enlarge Figure 21

Appendix 1: Mathematical Representation of the Mortality Cost Methods

Value of lost production in province p in year t due to the premature deaths of all individuals of sex j age group k caused by an illness/injury in diagnostic category d

Vj,k,d,p,t = (Li,j,k,d,p,t * ((Ej,k,p,t)/12) * ERj,k,p,t)

Sigma i

where,

j = female, male (sex)

k = 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, 45-49 years, 50-54 years, 55-59 years, 60-64 years

d = EBIC diagnostic categories

p = NL, QC, NS, PE, NB, ON, MB, SK, AB, BC, NU, NT, YT

t = 2004, 2005, 2006, 2007, 2008

i = 1, 2, 3, .............................., n

n is the number of deaths that occurred in the province p in the period starting (Fpt - 0.5) months before January of year t to the end of year t.

Fp,t is the friction period in province p in year t.

Ej,k,p,t is the average annual earnings of sex j age group k in province p in year t.

ERj,k,p,t is the annual average employment rate of sex j age group k in province p in year t.

Li,j,k,d,p,t is the period of lost production in province p in year t due to the death of individual i of sex j age group k caused by diagnostic category d.

Li,j,k,d,p,t = a if the death occurred (Fp,t - a) months before January of year t , where a is the period of lost production in year t.

Li,j,k,d,p,t = (Fp,t - b) if the death occurred (Fp,t - b) months before January of year t +1, where b is the period of lost production in t+1.

a = 0.5, 1, 1.5, ………………..,(Fp,t - 0.5)

Appendix 2: Hypothetical Examples of the Mortality Cost Methods

Calculation of the value of lost production in 2005 for BC

The friction period for BC in the year 2005 is 4 months. Therefore, all deaths that occurred in the period September 16, 2004, to December 15, 2005, must be considered. For each death, the value of lost production is calculated, as follows:

For a 35-year-old male who died on September 16, 2004

The period of lost production is 0.5 months. The average monthly earnings of a 35- to 44-year-old male in BC for 2005 is $4,355. The average employment rate of a 35- to 39-year-old male in BC for 2005 is 89.6%

So, the value of lost production due to this death

= period of lost production * average monthly earnings of a 35- to 44-year-old male in BC in 2005 * average annual employment rate of a 35- to 39-year-old male in BC in 2005

= 0.5 * $4,355*0.896 = $1,951.04

For a 35-year-old male who died on January 1, 2005

The period of lost production is 4 months. The average monthly earnings of a 35- to 44-year-old male in BC for 2005 is $4,355. The average employment rate of a 35- to 39-year-old male in BC for 2005 is 89.6%

So, the value of lost production due to this death

= period of lost production * average monthly earnings of a 35- to 44-year-old male in BC in 2005 * average annual employment rate of a 35- to 39-year-old male in BC in 2005

= 4 * $4,355*0.896 = $15,608.35

For a 35-year-old male who died on September 16, 2005

The period of lost production is 3.5 months. The average monthly earnings of a 35- to 44-year-old male in BC for 2005 is $4,355. The average employment rate of a 35- to 39-year-old male in BC for 2005 is 89.6%

So, the value of lost production due to this death

= period of lost production * average monthly earnings of a 35- to 44-year-old male in BC in 2005 * average annual employment rate of a 35- to 39-year-old male in BC in 2005

= 3.5 * $4,355*0.896 = $13,657.28

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