Dutch DALYs: the 2024 update of the Dutch Burden of disease study

Abstract The Dutch National Institute for Public Health and the Environment (RIVM) updated the Dutch Burden of Disease study, Dutch DALYs. For over 120 diseases and 100 risk factors, the years of life lost (YLL), years lost due to disability (YLD), and disability-adjusted life years (DALYs) have been revised. This study, part of the 2024 Public Health Foresight project, is a key resource for policymakers, providing insights into morbidity, mortality, and overall population health trends. The update uses new methodologies and data, including revised disability weights, severity distributions, and death data up to 2022. Projections for disease burden and prevalence from 2022-2050 were also made, along with updates on exposure data and relative risks for risk factors. One notable finding is the burden attributable to mental health issues, such as depression and anxiety, which has risen sharply in recent years, particularly among younger populations. Additionally, the update emphasizes the role of environmental determinants, such as air pollution and climate change, in influencing health outcomes. The inclusion of COVID-19 reflects the pandemic's ongoing effects, revealing its complex interplay with pre-existing conditions and the healthcare system. This updated burden of disease study provides valuable insights into how health trends are evolving in the Netherlands, offering actionable evidence for the prioritization of prevention efforts, healthcare resource allocation, and policy interventions. RIVM's work highlights the importance of integrated frameworks and multi-sector collaboration to address complex health challenges effectively. As the Dutch healthcare system grapples with an aging population and emerging health threats, this updated study serves as a critical guide for improving public health and equity in the years ahead.