Carga de enfermedad por COVID-19 en el departamento de Nariño, Colombia, 2020-2021

Objectives. To estimate the burden of disease of COVID-19 in the department of Nariño, Colombia, based on the disability-adjusted life years (DALYs) between March 2020 and August 2021. Materials and methods. The description and characterization of COVID-19 cases reported between March 2020 and August 2021 was made according to age groups, sex, ethnicity, municipalities of residence and subregions of Nariño by using information from the national surveillance system SIVIGILA. Crude and cumulative mortality rates for COVID-19 were estimated for the previously described variables. Years lost due to premature death (YLL) and years lived with disability (YLD) were calculated. Total DALYs were estimated by adding YLL + YLD. These were calculated by sex, ethnicity, age group and subregions of Nariño. Relative risks were estimated from rate ratios (RR) and 95% confidence intervals for the study variables. Results. The highest morbidity, mortality and DALY rates occurred between February and September 2021, in men, in those older than 70 years, in the Afro-descendant ethnic minority group and in the Central, Obando and Juanambú subregions. The burden of disease of COVID-19 in Nariño during the study period is attributed to the YLL, which explain more than 97% of it. Conclusions. This is one of the first studies on burden of disease at the regional level, carried out in Colombia, that employs a standardized methodology for COVID-19. This measurement would generate estimates that would allow targeting resources in an intersectoral manner, mitigating the damage to specific populations and geographic areas, especially the most vulnerable ones.