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
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Footnote:
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| Diagnostic Category | 2008 Male Cost | % of Total Cost | 2008 Female Cost | % of Total Cost | Total Cost |
|---|---|---|---|---|---|
| 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 |
Footnotes:
|
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| 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
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 |
Figure 21: Mortality Cost Distribution by Diagnostic Category and Age Group, Canada, 2008
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 |
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)
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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