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Quick Facts: Economic and Health Burden of Chronic
||Direct Cost/Indirect Cost
affects 1 in 5, or 46 million, US adults, making it one of the most
common chronic conditions. Over 40%, or nearly 19 million, adults with
arthritis are limited in their activities because of their arthritis. By
2030, nearly 67 million (25%) of US adults will have doctor-diagnosed
arthritis. In addition, adults with arthritis-attributable activity
limitation are projected to increase from 16.9 million (7.9%) to 25
million (9.3% of the US adult population) by 2030.
||From 1979-1998, the annual number of arthritis and
other related rheumatic conditions (AORC) deaths rose from 5,537 to
9,367. In 1998, the crude death rate from AORC was 3.48 per 100,000
|The total costs attributable to arthritis and other
rheumatic conditions (AORC) in the United States in 2003 was
approximately $128 billion ($80.8 billion in medical care expenditures
and $47 billion in earnings losses). This equaled 1.2% of the 2003 U.S.
gross domestic product.
|About 1.3 million people in the U.S. are diagnosed with cancer each
||Cancer is the second leading cause of death in the United States.
In 2004, an estimated 553,000 people died of cancer.
|NIH estimates that the overall costs for cancer in the
year 2007 at 219 billion: of this amount, $89 billion for direct medical
costs and $130 billion for indirect costs such as lost productivity.
|More than 23.6 million Americans have diabetes, and about 5.7
million don’t know that they have the disease.
||Diabetes is the seventh leading cause of death. Over 200,000 people
die each year of diabetes-related complications.
||The estimated economic cost of diabetes in 2007 was $174 billion. Of
this amount, $116 billion was due to direct medical costs and $58
billion to indirect costs such as lost workdays, restricted activity,
and disability due to diabetes.
Heart Disease and Stroke
|More than 80 million Americans currently live with a cardiovascular
||More than 870,000 Americans die of heart disease and stroke each
year, which is about 2,400 people dying every day.
||The cost of heart disease and stroke in the United States in 2008 is
projected to be more than $448 billion including direct and indirect
In 2005-2006 more than 34% of adults aged 20 years or older, were obese.
Over 125 million or 17.1% of children and adolescents 2-19 years of
age are overweight.
|The latest study from CDC scientists estimates that about 112,000
deaths are associated with obesity each year in the United States.
||Direct health costs attributable to obesity have been estimated at
$52 billion in 1995 and $75 billion in 2003.
Among children and
adolescents, annual hospital costs related to overweight and obesity
more than tripled over the past two decades.
|An estimated 45.3 million adults in the United States smoke
cigarettes even though this single behavior will result in death or
disability for half of all regular users.
||Tobacco use is responsible for approximately 438,000 deaths each
||The economic burden of tobacco use is enormous: more than $96
billion in medical expenditures and another $97 billion in indirect
For information on the specific chronic diseases and their health and
economic impact, please refer to the following:
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Date last reviewed:
Page last reviewed: April 8, 2008
Page last modified: September 22, 2008
Content source: National Center for
Chronic Disease Prevention and Health Promotion