Population 41,368 · Agricultural rural economy · Planning-grade DALY estimates · June 2026
Disability-Adjusted Life Years · Michigan LE 78.6 · ranked by burden
Interactive — use LE standard and MH prevalence toggles above to recalculate.
Abbreviations: DALY = disability-adjusted life year · YLL = years of life lost · YLD = years lived with disability · MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes
Expected co-occurrence per 10,000 adults · independence model · Gratiot County n=41,368 · hover cell for DW product & DALY correction
DM+MH highest co-occurrence pair (312 per 10,000 adults). Independence-model planning estimate (prevalence × prevalence × 10,000). Highest DALY-correction pairs: Cancer+MH (−9.8), SUD+MH (−9.0), COPD+MH (−6.8).
Abbreviations: MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes · DW = disability weight · DALY = disability-adjusted life year
One-page county summary
A polished one-page PDF summary for public health leaders, grant writers, and community stakeholders. Includes top burden drivers, planning-grade DALY estimates, and practical implications.
Planning-grade estimate. Not a peer-reviewed study or official GBD estimate.
% of population · CDC PLACES 2025 & ACS 2024 · Gratiot vs Michigan
Annual productivity loss · DALYs × $62K GDP per capita (human-capital method)
Cancer (~$112M/yr), SUD (~$99M/yr), and MH (~$99M/yr) are Gratiot's costliest conditions. Each averted DALY ≈ $62,000 recovered productivity — the ROI basis for HRSA, SAMHSA, and MDHHS grant applications. Reactive to the toggles above.
Abbreviations: MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes · DALY = disability-adjusted life year
Human Capital + Value of Statistical Life approaches · Gratiot County pop. 41,368
Michigan LE 78.6 yrs · No discounting (WHO standard) · Population 41,368
| Condition | Prevalence | Prevalent Cases | Deaths/yr (est.) | Mean Age at Death | YLL | DW | YLD | DALYs | Data Source |
|---|
Prevalence from CDC PLACES 2025 (BRFSS 2023–24) county-level estimates. Mortality from CDC WONDER 2020–22 3-year pooled × rural adjustment factor. YLL and YLD are planning-grade estimates. * MH YLD uses active disease prevalence (13.5% = 26.9% × 0.50 remission factor) when remission-adjusted mode is selected.
Cancer is Gratiot County's #1 disease burden driver with 1,812 DALYs/yr and an estimated 83 deaths annually. The cancer mortality rate (~201/100k) is substantially elevated above the Michigan state average (155/100k) — among the highest of any county in this analysis set. Agricultural chemical exposure (pesticides, herbicides), proximity to industrial corridors, and rural care access barriers likely contribute. Cancer screening outreach targeting agricultural workers is the highest-priority intervention.
Substance use disorders (1,594 DALYs) and mental health conditions (1,593 DALYs) are essentially tied for second and third place. SUD kills at a mean age of 44 — maximizing years of life lost per death. Depression prevalence (26.9%) is above the Michigan average. Rural isolation, agricultural worker stress, and limited mental health infrastructure combine to sustain both burdens. The Mid-Michigan District Health Department (MMDHD) covers Gratiot alongside five other counties, limiting capacity per capita.
Cardiovascular disease ranks 4th with 937 DALYs/yr, but accounts for 114 of the 296 estimated deaths — the largest single cause of death. Hypertension prevalence (35.8%) and obesity (36.7%) are the dominant modifiable risk factors. Unlike Clare County, Gratiot does not have the extreme poverty burden, but agricultural workers — often uninsured or on Medicaid — face access barriers to preventive cardiac care and medications.
Gratiot County hosts the Central Michigan Correctional Facility (Carson City), a major state prison. Incarcerated populations are typically excluded from CDC PLACES prevalence estimates (which use household surveys), meaning the true community health burden — especially for SUD, MH, and infectious disease — is likely higher than reported. Agricultural workers, often seasonal or undocumented, similarly face barriers to inclusion in health surveys, especially for uninsured status (8.2% PLACES vs likely higher true prevalence).
Prioritized by DALY impact and Gratiot County context · Agricultural economy + MMDHD grant leverage
Cancer · 1,812 DALYs · 83 deaths/yr · Mobile colorectal, lung, and breast screening programs targeting agricultural workers; bilingual outreach for Spanish-speaking farmworkers; partnership with MMDHD for HRSA Rural Health grant application
SUD · 1,594 DALYs · 24 deaths/yr · Naloxone community distribution, Medication for Opioid Use Disorder (MOUD) at Gratiot Medical Center and FQHC sites; SAMHSA Rural SUD grant eligible
MH · 1,593 DALYs · 26.9% depression prevalence · MMDHD telehealth behavioral health program; crisis stabilization unit for rural MH emergencies; MDHHS Community Mental Health partnership for Gratiot County CMH
CVD · 937 DALYs · 35.8% hypertension · Blood pressure control program at FQHC and pharmacy sites; Medicaid-billable heart health screenings for agricultural workers; AHA Rural & Underserved grant eligible
SUD + MH + Infectious Disease · Central Michigan Correctional Facility partnership with MDOC for Medicaid enrollment at release, naloxone kit distribution, MH care coordination — addresses the hidden burden excluded from PLACES estimates
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