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Title: Preliminary estimate of immediate cost of chikungunya and dengue to Gujarat, India.
Authors: Murtola, Tiina M
Vasan, SS
Puwar, Tapasvi I
Govil, Dipti
Field, Robert W
Gong, Hong-Fei
Bhavsar-Vyas, Ami
Suaya, Jose A
Howard, Marion
Shepard, Donald S
Kohli, Vijay Kumar
Prajapati, PB
Singh, Amarjit
Mavalankar, Dileep V
Issue Date: Dec-2010
Publisher: WHO Regional Office for South-East Asia.
Place of publication: New Delhi
Language: English
Abstract: This study aims to provide a preliminary estimate of the immediate cost of chikungunya and dengue to household in the Indian state of Gujarat. Combining nine earlier studies and data from interviews, we analysed the costs of non-fatal illness and of intervention programmes; building a more comprehensive picture of the immediate cost of these Aedes aegypti mosquito-borne diseases to Gujarat. The “RUHA matrix” was used to estimate the cost of illness by combining the shares of reported (R) and unreported (U) hospitalized (H) and ambulatory (A) cases of chikungunya and dengue with ambulatory and hospitalization costs per case and the number of reported cases. Using Monte Carlo sensitivity analysis, the immediate cost to households incurred on account of chikungunya and dengue to Gujarat was estimated to be 3.8 (range 1.6–9.1) billion Indian rupees (INR) per annum (US$ 90 million, range US$ 38 and US$ 217 million). It is hoped that this preliminary estimate will trigger more refined studies on cost of illness as well as cost-effectiveness of vaccines and other interventions to combat these neglected tropical diseases.
Description: Murtola TM, Vasan SS, Puwar TI, Govil D, Field RW, Gong HF, Bhavsar-Vyas A, Suaya JA, Howard M, Shepard DS, Kohli VK, Prajapati PB, Singh A, Mavalankar DV. Preliminary estimate of immediate cost of chikungunya and dengue to Gujarat, India. Dengue Bulletin. 2010 Dec; 34: 32-38.
Keywords: Dengue
Health Care Costs
Burden of Illness
immediate Cost
Monte Carlo Analysis
RUHA Matrix
ISSN: 0250-8362
Appears in Collections:Dengue Bulletin

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