Population 82,884 · Industrial economy · Planning-grade DALY estimates · June 2026
Disability-Adjusted Life Years · Michigan LE 78.6 · ranked by burden
Interactive — use LE standard and MH prevalence toggles above to recalculate.
Abbreviations: DALY = disability-adjusted life year · YLL = years of life lost · YLD = years lived with disability · MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes
Expected cases with both conditions simultaneously · independence model · Midland County n=82,884 · hover cell for DW product & DALY correction
DM+Cancer highest pair (364 expected co-occurring cases). Independence-model planning estimate (prevalence × prevalence × adult population), consistent with the Isabella methodology. Largest DALY-correction pairs: SUD+Cancer (−29.6), SUD+MH (−25.8), Cancer+MH (−24.3).
Abbreviations: MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes · DW = disability weight · DALY = disability-adjusted life year
% of population · State-rate proxies scaled to Midland demographics · ACS 2022
Annual productivity loss · DALYs × $62K GDP per capita (human-capital method)
Cancer (~$214M/yr), substance use (~$204M/yr), and mental health (~$201M/yr) are Midland's costliest conditions. Each averted DALY ≈ $62,000 recovered productivity — the ROI basis for employer and grant partnerships. Reactive to the toggles above.
Abbreviations: MH = mental health · SUD = substance use · CVD = cardiovascular disease · COPD = chronic obstructive pulmonary disease · DM = type-2 diabetes · DALY = disability-adjusted life year
Human Capital + Value of Statistical Life approaches · Midland County pop. 82,884
Michigan LE 78.6 yrs · No discounting (WHO standard) · Population 82,884
| Condition | Prevalence | Prevalent Cases | Deaths/yr (est.) | Mean Age at Death | YLL | DW | YLD | DALYs | Data Source |
|---|
Prevalence from CDC PLACES 2023 (BRFSS 2021–22) county-level estimates. Mortality from CDC WONDER 2020–22 3-year pooled. YLL and YLD are planning-grade estimates. * MH YLD uses active disease prevalence (14.1% = 28.1% × 0.50 remission factor) when remission-adjusted mode is selected.
Cancer is the #1 disease burden driver with 3,457 DALYs/yr and 167 estimated deaths annually. Per-capita cancer mortality (~160/100k) is nearly identical to the Michigan state average (161/100k), reflecting Midland's less-rural population with better healthcare access than counties like Clare. Despite overall lower mortality, the large population base (82,884) means the absolute burden is substantial. Cancer screening and early detection are high-priority interventions.
Mental health disorders rank second with 3,319 DALYs/yr — predominantly from disability (YLD: 2,735 raw, 1,368 remission-adjusted) rather than premature death. The 28.1% prevalence estimate (state proxy) is notable in Midland's context: the Dow Chemical industrial workforce faces specific occupational stress and potential chemical exposure burdens not fully captured in general prevalence data. Workplace-based mental health programs represent a key partnership opportunity.
Substance use disorders rank third with 3,101 DALYs/yr and 48 estimated annual deaths. The opioid mortality rate (~58/100k estimated) is lower than Clare County (~47/100k direct) when adjusted for population, but Midland's larger population base (82,884 vs 30,013) means the absolute number of deaths is substantially higher. SUD kills at a mean age of 44 — among the youngest of any condition — maximizing years of life lost per death.
Midland is home to Dow Chemical global headquarters. Higher median income ($62,000) and lower poverty (9.0% vs MI 15%) create a better health baseline than rural neighbors Isabella and Clare. However, the industrial workforce carries specific occupational health exposures — chemical, respiratory, and stress-related — that are not captured in the standard DALY framework. Dow's scale also presents a major corporate wellness and workplace health partnership opportunity.
Prioritized by DALY impact and Midland County context · Industrial economy + Dow Chemical partnership opportunities
Cancer · 3,457 DALYs · 167 deaths/yr · Expand colorectal, lung, and breast screening to at-risk industrial and chemical workforce segments; Dow Chemical and supplier employer partnerships for occupational screening programs
SUD · 3,267 DALYs · 7.3% prevalence · 48 deaths/yr · Naloxone community access, Medication for Opioid Use Disorder (MOUD) at primary care sites; binge drinking 19.0% is above state average (17.5%)
Mental Health · 3,231 DALYs · 27.2% prevalence · Employee Assistance Program expansion, stress/burnout reduction, occupational psychological safety initiatives; leverage Dow's scale for population-level impact
COPD · 1,150 DALYs · 6.3% prevalence · Industrial chemical exposure surveillance for Dow and downstream employers; spirometry screening for at-risk workers; smoking cessation integration (13.5% smokers)
Cancer · 3,457 DALYs · 7.7% prevalence · Establish PFAS-exposed worker registry and cancer incidence tracking; Dow legacy contamination may underestimate true cancer burden beyond PLACES estimates