Hello. I apologize for the late reply. I was moving over the weekend. I am looking at the IHME DALY by cause data (my calculations here) but these do not seem to take into account the long-term effects of the diseases. For example, deworming and vitamin A supplementation may have positive long-term effects in terms of schooling and economic gains that may far outweigh the direct short-term QALY losses. From there the upper estimate of 5. Simple malaria I would presume one that does not require immediate medical attention but one that still may result in severe condition if untreated (CDC). For the life-threatening conditions, my rationale was also that children treated with severe acute malnutrition are younger than average-age patients and that persons who survive 5 years live on average longer than life expectancy.
Also, the QALY estimates are not taking into account the effects of preventive measures—e. g. almost 90,000 persons informed on STIs and the response to a cholera outbreak (training and material provided) - before the intervention, 5 persons died, after no other deaths occurred.
On that note, I would actually appreciate if anyone could provide more credible estimates, taking into account the effectiveness and long-term consequences of the treatment. I am sure that REO would welcome such cooperation, also for capacity building reasons.
Hello. I apologize for the late reply. I was moving over the weekend. I am looking at the IHME DALY by cause data (my calculations here) but these do not seem to take into account the long-term effects of the diseases. For example, deworming and vitamin A supplementation may have positive long-term effects in terms of schooling and economic gains that may far outweigh the direct short-term QALY losses. From there the upper estimate of 5. Simple malaria I would presume one that does not require immediate medical attention but one that still may result in severe condition if untreated (CDC). For the life-threatening conditions, my rationale was also that children treated with severe acute malnutrition are younger than average-age patients and that persons who survive 5 years live on average longer than life expectancy.
Also, the QALY estimates are not taking into account the effects of preventive measures—e. g. almost 90,000 persons informed on STIs and the response to a cholera outbreak (training and material provided) - before the intervention, 5 persons died, after no other deaths occurred.
On that note, I would actually appreciate if anyone could provide more credible estimates, taking into account the effectiveness and long-term consequences of the treatment. I am sure that REO would welcome such cooperation, also for capacity building reasons.