Bogotá, Colombia – If you’ve ever suffered from a migraine, you know it’s not “just a headache.” Migraines are debilitating, draining, and often leave you unable to function, let alone work. But here’s the part that might surprise you: migraines aren’t just affecting the people who endure them—they’re quietly causing a ripple effect that’s hitting Colombia’s economy hard.
Let’s break it down. With an estimated 5 million Colombians experiencing migraines, this condition is now recognized as the leading cause of workplace disability in the country. For both employees and employers, the economic impact is massive. And yet, as significant as this issue is, it often flies under the radar.
The Economic Burden of Migraines: By the Numbers
Migraine sufferers in Colombia are missing an average of 19.5 workdays per year. That’s nearly a full month of lost productivity. But it gets worse: many workers feel forced to push through the pain, showing up to work even when they’re incapacitated by a migraine. This phenomenon, known as “presentismo” (presenteeism), is far more damaging to productivity than absenteeism. Imagine trying to function during a work meeting while your head is pounding and every light feels like a spotlight in your eyes—it’s not surprising that productivity plummets.
In fact, a 2022 study commissioned by FIFARMA (Federación Latinoamericana de la Industria Farmacéutica) and carried out by the WifOR Institute revealed that the socioeconomic cost of migraines in Colombia represented a staggering 1.1% of the country’s GDP. That’s about $4 billion USD—a figure equivalent to the total annual output of some small countries.
Why Migraine is a Silent Saboteur of Productivity
So why are migraines, a condition that doesn’t get much media attention, costing Colombia so much? The answer lies in how this health issue intersects with the workforce. Migraines disproportionately affect people in their prime working years—especially women aged 20 to 40, where prevalence rates range between 13% and 17.5%. These are individuals who should be at the height of their productivity, but frequent migraines severely limit their ability to contribute to the economy.
It’s not just about headaches, either. The symptoms of migraines go far beyond pain, often including nausea, sensitivity to light and sound, and even cognitive impairment. Many workers find themselves retreating to dark rooms, unable to function, much less be productive.
What’s Driving the Migraine Epidemic in Colombia?
According to the WifOR study, lifestyle factors are a significant contributor to the increasing rates of migraines. High body mass index (BMI), smoking, and low physical activity levels are all risk factors that can trigger migraines. Moreover, a lack of access to education and healthcare means that many cases go undiagnosed or untreated, making the situation worse.
For too long, migraines have been brushed off as minor or episodic health issues, something to “tough out” rather than a serious condition that requires medical attention. This attitude has contributed to the underdiagnosis of the condition, leaving many people suffering in silence and further compounding the economic costs.
What’s Being Done—and What Needs to Happen Next
At this point, you’re probably wondering what can be done to alleviate this growing crisis. According to Diego Hernández, Senior Researcher at WifOR Institute, addressing migraines will require a multi-faceted approach that includes both healthcare and economic policy interventions.
To reduce the burden of migraines, the government needs to view healthcare spending as an investment, not a cost. Public health programs that address the root causes of migraines—like obesity and lack of physical activity—are crucial. But it’s not just about prevention. Better access to diagnosis and treatment could significantly reduce both absenteeism and presenteeism, improving not only the lives of individuals but also the overall productivity of the workforce.
At a macro level, investing in healthcare could provide a high return for the economy. Healthy workers mean better productivity and less strain on social services, creating a positive feedback loop that benefits everyone. In this sense, healthcare isn’t just about treating symptoms—it’s about driving economic growth.
How Companies Can Help Employees Manage Migraines
But governments can’t solve this problem alone. Employers also need to take steps to support their workers who suffer from migraines. Flexible work schedules, better lighting in office spaces, and access to quiet rooms where employees can recover are small adjustments that could make a big difference.
Creating an environment where workers feel comfortable disclosing their condition is also key. Stigma often prevents employees from asking for the accommodations they need. Companies that foster open conversations about health—especially about invisible illnesses like migraines—will not only retain top talent but also improve overall productivity.
The Human Cost of Migraine Is Too High to Ignore
When we talk about economic losses, it’s easy to get lost in the numbers. But behind those statistics are real people—millions of Colombians who are struggling to lead normal, productive lives in the face of a debilitating condition.
For these individuals, it’s not just about missing work or losing income. It’s about missing out on life’s moments, the ones that matter most. And that’s something we can’t afford to ignore any longer.
As a society, we need to acknowledge the impact of migraines and take proactive steps—whether through public health initiatives, corporate policy changes, or better healthcare access—to reduce their burden. Only then can we truly begin to address the human and economic toll of this silent epidemic.