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2.3.2              Each disease consists of a conceptual model of health loss
                         Severity                which depicts the major sources of health loss caused by
               Distribution and                  different severity levels and stages of a disease. In most
             Disability Weights                  cases, the major sources of health loss, also called the
                                                 sequelae, were based on GBD 2013.


                                                 The disability weight (DW) for each sequela was obtained
                                                 from the GBD 2013 (Salomon et al., 2015). Where necessary
                                                 or limited by data availability, composite and/or combined
                                                 disability weights (CDW) were used based on disability
                                                 weights for 235 unique health states in the Global Burden
                                                 of Disease 2013 study. CDW were calculated according to the
                                                 following formula:


                                                                  CDW = 1- ( S (1 — DWx) Ly )


                                                 Where,
                                                 x:  The sequence of disability weights in Global Burden of
                                                    Disease
                                                 y:  The sequence multiplied for every sequence listed





                              2.3.3              Years Lost due to Disability (YLD) was calculated based on
                               YLD               this two-formula depending on data sources obtain:
                    calculations
                                                 If the data source obtains had incidence and duration period;


                                                          YLD(c,s,a,t) = I(c,s,a,t) x DW(c,s,a) x L(c,s,a,t)


                                                 Where:
                                                 P(c,s,a,t)   =   number of prevalence for cause; c, age; a, and
                                                               gender; s, in year; t
                                                 DW (c,s,a)  =   disability weight for cause; c, age; a and gender;
                                                               s
                                                 L(c,s,a,t)   =   average duration of the case until remission or
                                                               death (years)


                                                 If the data only had prevalence;


                                                               YLD(c,s,a,t) = P(c,s,a,t) x DW(c,s,a)


                                                 P(c,s,a,t)   =   number of incident cases for cause; c, age; a,
                                                               and gender; s
                                                 DW (c,s,a)  =   disability weight for cause; c, age; a and gender;
                                                               s




              8    Malaysian Burden Of Disease And Injury Study 2015-2017
                   CENTRE FOR BURDEN OF DISEASE RESEARCH, INSTITUTE FOR PUBLIC HEALTH
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