Results presented in this section are based on the general demographic estimates of mortality level and population, and causes of death in the state. Epidemiological estimates of incidence, age at onset, and duration are taken from the Global Burden of Disease study 1996 (Murray and Lopez, 1996) for the India region. The disability weights are based on VAS results from the community survey of health state valuations in Kondakkal village in Andhra Pradesh (APHSV99-VAS weights). Methodology of the health state valuation study was described in Chapter Four. Details regarding estimations of disability weights for all health states using the results for indicator conditions from the community survey and the GBD96 system of disability weights were given in Chapter Five.

The overall rate of disease burden is higher at 537 DALY / 1000 population compared to 277 DALY / 1000 population according to the estimate using expert rated disability weights. The rate of estimated burden is 560 DALYs / 1000 population in rural areas and 474 DALYs / 1000 population in urban areas. This is expected, since the community ratings of disability weights has been higher than the expert rated disability weights. The share of disease burden in rural areas is slightly less at 76% with a corresponding increase in share of disease burden in urban areas at 24%. The change in rural urban distribution of disease burden is because the rural burden is largely due to premature mortality and the urban disease burden is largely due to degenerative and non communicable diseases. Since the community rated disability weights are higher than the expert rated weights, the years lived with disability due to degenerative and non communicable disease in the urban areas get emphasised. Hence share of urban disease burden increases by 3% with a corresponding decrease in share of disease burden in rural areas.