Skip to main navigation menu Skip to main content Skip to site footer

Social Burden and Economic Cost Estimation of Fatal Injuries in Workers Affiliated to Social Security in Ecuador: a Shared Challenge in Public and Occupational Health

Estimación de la carga social y el costo económico de las lesiones mortales en trabajadores afiliados a la seguridad social en Ecuador: un desafío compartido en salud pública y ocupacional



Open | Download


Section
Research Article

How to Cite
1.
Gómez-García AR, Tsao Wu CH, Ruiz Barzola EN, Hacay Chang A. Social Burden and Economic Cost Estimation of Fatal Injuries in Workers Affiliated to Social Security in Ecuador: a Shared Challenge in Public and Occupational Health. Rev. Investig. Innov. Cienc. Salud [Internet]. 2025 Apr. 11 [cited 2025 Apr. 23];7(2). Available from: https://riics.info/index.php/RCMC/article/view/390

Dimensions
PlumX

Antonio Ramón Gómez-García,

1 Observatorio Ecuatoriano de Seguridad y Salud en el Trabajo; Guayaquil; Ecuador.

2 Universidad Espíritu Santo; Guayaquil; Ecuador.


Chen Han Tsao Wu,

Universidad Espíritu Santo; Guayaquil; Ecuador


Evelyn Nathaly Ruiz Barzola,

Universidad Espíritu Santo; Guayaquil; Ecuador.


Alywin Hacay Chang,

1 Observatorio Ecuatoriano de Seguridad y Salud en el Trabajo; Guayaquil; Ecuador.

2 Universidad Espíritu Santo; Guayaquil; Ecuador.


Introduction. Currently, there is limited knowledge on quantifying the labour and monetary losses due to work-related fatalities in developing countries.

Objective. To estimate the working years of potential life lost (WYPLLs) and economic losses (ELs) of workers affiliated to the social security system in Ecuador from 2014 to 2020.

Methodology. Administrative records of fatal injuries were provided by the General Insurance of Occupational Risks and data regarding workers and their wages were retrieved from the Statistical Employment Registry of Social Security. WYPLLs and ELs were calculated together to assess the impact on gross domestic product (%GDP) according to the place where the fatal accident occurred in men and women by age groups.

Results. During the study period, 123,121 accidents were recorded, of which 1,532 resulted in deaths (15-64 years). Consequently, 40,409 WYPLL were lost in the labor market, equivalent to 40.4 years per 1,000 workers. The ELs from premature worker deaths totaled 323.7 million USD, reducing GDP by –0.045%, with CFi exceeding WFi post-2016.

Conclusions. Policy adjustments should enhance occupational safety and address work-related travel fatalities, considering Ecuador's road safety challenges.


Article visits 59 | PDF visits 86


  1. Tompa E, Mofidi A, van den Heuvel S, van Bree T, Michaelsen F, Jung Y, et al. Economic burden of work injuries and diseases: a framework and application in five European Union countries. BMC Public Health [Internet]. 2021;21(1):49. doi: https://doi.org/10.1186/s12889-020-10050-7 DOI: https://doi.org/10.1186/s12889-020-10050-7
  2. Takala J, Hämäläinen P, Sauni R, Nygård CH, Gagliardi D, Neupane S. Global-, regional- and country-level estimates of the work-related burden of diseases and accidents in 2019. Scand J Work Environ Health [Internet]. 2024;50(2):73-82. doi: https://doi.org/10.5271/sjweh.4132 DOI: https://doi.org/10.5271/sjweh.4132
  3. Vision Zero Fund. Collective action for safer and healthier supply chains. Thematic brief n° 1. 2021 [Internet]. Geneva: International Labour Organization (ILO); 2021 Sep 1 [cited 2024 Oct 22]. 7 p. Available from: https://vzf.ilo.org/insights/collective-action-for-safer-and-healthier-supply-chains/
  4. Shiri R, Hiilamo A, Lallukka T. Indicators and determinants of the years of working life lost: a narrative review. Scand J Public Health [Internet]. 2021;49(6):666-74. doi: https://doi.org/10.1177/1403494821993669 DOI: https://doi.org/10.1177/1403494821993669
  5. Rubo M, Czuppon P. How should we speak about years of life lost (YLL) values? Eur J Epidemiol [Internet]. 2023;38(3):345-7. doi: https://doi.org/10.1007/s10654-023-00966-w DOI: https://doi.org/10.1007/s10654-023-00966-w
  6. Rumisha SF, George J, Bwana VM, Mboera LEG. Years of potential life lost and productivity costs due to premature mortality from six priority diseases in Tanzania, 2006-2015. PloS one [Internet]. 2020;15(6):e0234300. doi: https://doi.org/10.1371/journal.pone.0234300 DOI: https://doi.org/10.1371/journal.pone.0234300
  7. Hartikainen E, Solovieva S, Viikari-Juntura E, Leinonen T. Working life expectancy and working years lost among users of part- and full-time sickness absence in Finland. Scand J Work Environ Health [Internet]. 2023;49(1):23-32. doi: https://doi.org/10.5271/sjweh.4054 DOI: https://doi.org/10.5271/sjweh.4054
  8. Lilley R, Davie G, Horsburgh S, McNoe B, Driscoll T. Societal burden of work on injury deaths in New Zealand, 2005-14: An observational study. SSM Popul Health [Internet]. 2023;21:101353. doi: https://doi.org/10.1016/j.ssmph.2023.101353 DOI: https://doi.org/10.1016/j.ssmph.2023.101353
  9. Rusli Bin N. Rising trend of work-related commuting accidents, deaths, injuries and disabilities in developing countries: a case study of Malaysia. Ind Health [Internet]. 2014;52(4):275-7. doi: https://doi.org/10.2486/indhealth.52-275 DOI: https://doi.org/10.2486/indhealth.52-275
  10. Cunha AA, Corona RA, Silva DG, Fecury AA, Dias CAGM, Araújo MHM. Trend in the incidence of commuting accidents among workers in Brazil between 2009 and 2016. Rev Bras Med Trab [Internet]. 2019;17(4):490-8. doi: https://doi.org/10.5327/Z1679443520190439 DOI: https://doi.org/10.5327/Z1679443520190439
  11. Charbotel B, Martin JL, Chiron M. Work-related versus non-work-related road accidents, developments in the last decade in France. Accident Analysis & Prevention [Internet]. 2010;42(2):604-11. doi: https://doi.org/10.1016/j.aap.2009.10.006 DOI: https://doi.org/10.1016/j.aap.2009.10.006
  12. Gómez-García AR, Martínez-Jimbo D. Letalidad por desplazamientos domicilio–trabajo–domicilio en el Ecuador, 2014-2019 y 2020. Rev Asoc Esp Espec Med Trab [Internet]. 2022;31(2):189-97. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S3020-11602022000200006
  13. Xu Y, Chen M, Yang R, Wumaierjiang M, Huang S. Global, regional, and national burden of road injuries from 1990 to 2019. Int J Environ Res Public Health [Internet]. 2022;19(24):1-20. doi: https://doi.org/10.3390/ijerph192416479 DOI: https://doi.org/10.3390/ijerph192416479
  14. Gómez-García AR, Córdova Falconí KP, Merino-Salazar P, García-Arroyo J. Fatal work accidents in Ecuador from 2014 to 2020: How the age of the deceased worker relates to the accidents' temporal and geographical characteristics. Arch Environ Occup Health [Internet]. 2023;78(5):305-11. doi: https://doi.org/10.1080/19338244.2023.2196051 DOI: https://doi.org/10.1080/19338244.2023.2196051
  15. Gómez-García AR, Vega Chica ML, García-Arroyo JA. Relationship between the territorial distribution of labor inspectors and work accident injuries: clustering Ecuadorian provinces into four management scenarios. Saf Sci [Internet]. 2023;158:105956. doi: https://doi.org/10.1016/j.ssci.2022.105956 DOI: https://doi.org/10.1016/j.ssci.2022.105956
  16. Inoue Y, Nomura S, Nishiura C, Hori A, Yamamoto K, Nakagawa T, et al. Loss of working life years due to mortality, sickness absence, or ill-health retirement: a comprehensive approach to estimating disease burden in the workplace. J Epidemiol [Internet]. 2021;31(7):403-9. doi: https://doi.org/10.2188/jea.JE20190332 DOI: https://doi.org/10.2188/jea.JE20190332
  17. Benavides FG, Vives A, Zimmerman M, Silva-Peñaherrera M. Exceso de mortalidad en población en edad de trabajar en nueve países de Latinoamérica, año 2020. Rev Panam Salud Publica [Internet]. 2022;46:e75. doi: https://doi.org/10.26633/RPSP.2022.75 DOI: https://doi.org/10.26633/RPSP.2022.75
  18. Fort E, Connesson N, Brière J, Ndiaye A, Gadegbeku B, Charbotel B. Work-related Road traffic accidents: emergence of new modes of personal journey - analysis based on data from a register of road traffic accidents in France. Inj Prev [Internet]. 2024; ip-2023-045102. doi: https://doi.org/10.1136/ip-2023-045102 DOI: https://doi.org/10.1136/ip-2023-045102
  19. Oliva-Moreno J, Peña-Longobardo LM. Labour productivity loss caused by premature deaths associated with breast cancer: results from Spain over a 10-year period. Breast Cancer Res Treat [Internet]. 2018;172(3):571-6. https://doi.org/10.1007/s10549-018-4963-z DOI: https://doi.org/10.1007/s10549-018-4963-z
  20. Dreger Nery FS, Magalhães de Souza I, de Araújo EM, Fernandes de Oliveira N, Dreger Nery MG. Tendência temporal dos anos potenciais de vida perdidos por acidentes de trabalho fatais segundo raça/cor da pele na Bahia, 2000-2019. Rev Bras Saúde Ocup [Internet]. 2022;47:1-10. doi: https://doi.org/10.1590/2317-6369/18719pt2022v47e1 DOI: https://doi.org/10.1590/2317-6369/18719pt2022v47e1
  21. Toloza-Pérez YG, Mesa-Sierra J, Malagón-Rojas J, Niño-Barrero YF. Impacto de la implementación del Sistema de Gestión de Seguridad y Salud en el Trabajo sobre la mortalidad y años de vida potencialmente perdidos por accidentalidad laboral y ocupacional en Colombia, 2009-2021. Rev Fac Nac Salud Pública [Internet]. 2024;42:e352686. doi: https://doi.org/10.17533/udea.rfnsp.e352686 DOI: https://doi.org/10.17533/udea.rfnsp.e352686
  22. Joó T, Fadgyas-Freyler P, Vitrai J, Kollányi Z. [The social cost of ill health among the working-age population in 2019 in Hungary]. Orv Hetil [Internet]. 2024;165(3):110-20. doi: https://doi.org/10.1556/650.2024.32955 DOI: https://doi.org/10.1556/650.2024.32955
  23. Quinby L, Wettstein G. Are older workers capable of working longer? Center for Retirement Research [Internet]. 2021;21(12). doi: Available from: https://crr.bc.edu/wp-content/uploads/2021/07/IB_21-12.pdf
Sistema OJS 3.4.0.7 - Metabiblioteca |