Planning-grade DALY framework using public county health data · 2026
Disability-Adjusted Life Years · Michigan LE 78.6 · sorted by burden
Interactive charts use Michigan LE planning standard. Hero stats reflect primary (frontier LE + remission-adj = 13,493 DALYs). Use MH prevalence toggle above to apply remission adjustment.
Abbreviations: DALY = disability-adjusted life year · YLL = years of life lost (premature death) · YLD = years lived with disability · MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes
Expected cases with both conditions simultaneously · independence model · Isabella County n=64,565 · hover cell for DW product & DALY correction
DM+COPD highest pair (403 expected co-occurring cases). Used in v10 comorbidity correction: multiplicative DW model (DWnet = 1−∏(1−DWi)) reduces total YLD by 5.1% (CF=0.949), −281 DALYs (correlated scenario; range 3.4–8.5%). Top DALY-correction pairs: Cancer+SUD (−22.7), MH+SUD (−21.6), MH+Cancer (−20.7).
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.
Deaths per 100,000 · MDHHS 2020 pre-pandemic baseline
% of population · Multiple sources 2020–2025
Annual productivity loss · DALYs × $62K GDP per capita (human-capital method, Michigan LE) · sorted by burden
Cancer (~$167M/yr) and substance use (~$156M/yr) carry the largest measurable economic burden — together roughly half the county's productivity loss. Each averted DALY ≈ $62,000 in recovered productivity, the ROI basis for grant budgets. Excludes direct medical costs. Reactive to the LE & MH 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
Two methodological approaches - use controls above to switch
Change controls above to recalculate · Michigan LE 78.6 yrs · No discounting or age-weighting (standard DALY convention)
| Condition (ICD-10) | Prevalence | Mort. Rate | Deaths/yr | Remaining LE | YLL (MI) | YLL (GBD) | DW | YLD | DALYs | Data Quality |
|---|
† Poverty: MDHHS 2020 PCNA 26.5% below 100% FPL; Census ACS 5-yr 2024: 21.9%; QuickFacts 2020–24: 19.0% - different ACS products, years, and student-population treatment. Not directly comparable. ‡ HRSA HPSA ratio is FTE-weighted for Central Michigan Service Area - not a simple county headcount against 64,565 residents. Full methodology notes →
CDC PLACES 29.8% adult prevalence (lifetime-diagnosed). Remission-adjusted active burden: 7,792 cases / 1,672 DALYs → #4 under primary standard. Under MI LE without remission adjustment, MH is #1 (2,713 DALYs). Under primary (frontier LE + remission-adj): Cancer #1, CVD #2, SUD #3. Mental health access crisis remains regardless: HRSA ratio 176,938:1 — 18.9× worse than state average. → interventions
Primary (frontier LE + MH remission-adj): Cancer #1 (3,996), CVD #2 (3,289), SUD #3 (2,436), MH #4 (1,672). Total primary burden: 13,493 DALYs (95% UI 12,266–14,803). Planning sensitivity (MI LE): 9,388 DALYs. Monte Carlo n=10,000 propagates uncertainty from mortality (Poisson), prevalence (beta), and disability weights (±15–25%).
114 deaths/year at mean age 67 (22.1 yrs remaining under frontier LE 89.1). 7.7% county prevalence. YLL 2,519 + YLD 1,122. Mortality rate 175.1/100k - 8.7% above Michigan. → interventions
Kills at age ~44 (45.1 yrs remaining under frontier LE 89.1) - highest YLL per death of any condition. YLL 1,263 + YLD 1,171. 28 deaths/year. NAS rate 583/100k births. Maternal tobacco 22% = 3.4× US avg. → interventions
59.4 vs Michigan 39.9/100k - largest relative gap. Associated with hypertension, poverty-related access barriers, limited neurology. Each prevented death: ~$10.5M societal cost (VSL). → interventions
19–26% poverty by source. 45.5% below 200% FPL. Food insecurity 16.4% vs MI 13.7%. Obesity 43.1% vs MI 36.7%. Structural driver behind all elevated health indicators.
HIV prevalence lower (65.2 vs 163.1/100k). Eviction rate 1.5% vs state 3.3%. Child blood lead lower (1.4% vs 3.1%). Annual checkup rate 77.6% reflects the university student health access.
Prioritized by DALY impact · See AI implementation roadmap →
Mental health, SUD · adults ≥18 with MH/SUD · evidence mixed for severe mental illness; use local evaluation before scaling
Cancer · 7.7% prevalence · 114 deaths/yr · Stage-shift intervention at age ~67
SUD, NAS · Pregnant women with OUD · NAS rate 583/100k births · 28 deaths/yr age 44
IHD, stroke · Adults ≥40 with hypertension · 32.1% county hypertension prevalence · priority: below 200% FPL
COPD, CVD, cancer · Priority: pregnant women (22% tobacco rate) · 18.6% adult smoking rate
Need this for your county?
Age-adjusted CDC PLACES estimates · All y-axes start at 0 · Gaps = no county-level estimate that year · Hover for 95% CI
Source: CDC PLACES 2020, 2022, 2023, 2025 releases (data years 2017–2023). BRFSS-based model estimates, FIPS 26073. View all 16 indicators →