01597nas a2200325   4500000000100000008004100001260000900042653001000051653002100061653002600082653002600108653002900134653001100163653000900174653001400183653003100197653001700228100001200245700001400257700001300271700001500284700001400299700001200313700001500325245007200340300001100412490000700423520082700430022001401257       1986                            d  c198610aAdult10aChild, Preschool10aCost-Benefit Analysis10aEpidemiologic Methods10aHealth Status Indicators10aHumans10aMali10aMorbidity10aPreventive Health Services10aRural Health1 aDuflo B1 aBalique H1 aRanque P1 aDiallo A N1 aBrucker G1 aAlavi H1 aPrescott N00a[Estimation of the impact of the principal diseases in rural Mali].  a405-180 v343 a<p>The authors assess the health impact of major diseases in the circles of Kita, Bafoulabé and Kenieba (Western Mali) by measuring, for each of them, the number of healthy days of life lost through illness, disability and death. Malaria, birth diseases, infant gastro-enteritis and pneumopathies, measles, malnutrition and hemoglobinopathies account for 58.1% of healthy life lost due to all studied diseases. Parasitic diseases (except malaria), tuberculosis, leprosy are less important than usually said; on the contrary, the impact of hepatic, cardiovascular, and eyes diseases is great. In developing countries assessing the number of healthy days lost by the community due to different diseases is usefull to choose the health priorities and to compare the cost/effectiveness ratio of different health programs.</p>  a0398-7620