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PubMed: 40799778 DOI: 10.1093/ofid/ofaf433

Economic Burden of TB Deaths in India (2021): A Retrospective Cross-sectional Study.

Open Forum Infect Dis 12(8):ofaf433

Authors: Karikalan Nagarajan, Malaisamy Muniyandi, Venkateshprabhu Janagaraj, Karthick Chelvanayagam, Stephen Arangba, Senthil Sellappan, Mahalingam Vasantha

Affiliations

  • Department of Socio-Behavioural Research, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
  • Department of Health Economics, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
  • Division of Human Resources, ICMR-Head Quarters, New Delhi, India.
  • Department of Statistics, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.

Abstract

Background

We aimed to estimat the economic burden of TB deaths in terms of gross domestic product (GDP) across Indian states, regions, and different demographic groups.

Methodology

Using the Human Capital Approach, we estimated the non-health GDP losses due to TB deaths in India for 2021 at subnational level. The total monetary value for the years of life lost due to TB deaths was calculated.

Results

In 2021, 0.393 million TB deaths occurred in India, which would reduce the non-health GDP by US9.1 billion. North, West, South, and North Eastern states of India incurred 33.5%, 25.6%, 18.5%, and 9.3% of that economic loss respectively. Each TB death resulted in non-health GDP loss of US23 161. The economic burden was highest among youngr males (20.5%) followed by males aged >75 years (17.3%). The economic cost was minimal among male adolescents and youth accounting for 3.4%.

Conclusions

Finndings underscore the urgent need for concerted multisectoral efforts, sustained investments and strategies to reduce TB deaths, and mitigate the resulting economic losses at sub-national level.

MeSH

Financial Stress, Mortality, Cross-Sectional Studies, Gross Domestic Product, Tuberculosis