Cost and burden of dengue and chikungunya from the Americas to Asia.
AbstractThe ten studies in this special issue document the substantial and growing burden of dengue in the Americas, Africa and Asia, and the burden of a chikungunya outbreak in India. Luiz Tadeu Moraes Figuedo’s paper on dengue in Brazil confirms the country’s worsening trend from 1999–2009, where cases rose at 6.2% per year and dengue deaths at 12.0% per year. Carmen Perez and co-workers, reporting on dengue vector control in Puerto Rico, found that 83% of the costs (US$ 1.97 per person per year) were funded by the lowest and often the least financed level of government: municipalities. Examining dengue cases imported into France, Guy LaRuche documented the alarming increase in cases originating from Cote d’Ivoire from only one case in 2006–07 to six cases in 2008. Using modeling and Monte Carlo simulations, Tiina Murtola and co-authors estimated the “immediate” cost of chikungunya and dengue in India at US$ 1.48 billion (range US$ 0.64 billion to US$ 3.60 billion). Tapasvi Puwar and co-workers, reporting on a 2006 household survey in Ahmedabad, found that only 23% of chikungunya cases sought care in public facilities, so that under-reporting must be considerable. Extending the analysis of this chikungunyua outbreak, Dileep Mavalankar and co-authors placed its economic cost at US$ 8.6-US$ 17.3 million. Ami T. Bhavsar and co-authors, studying dengue cases hospitalized at a private hospital in Surat, India, found that the economic cost of a case averaged US$ 585.57 (US$ 439.44 for direct medical costs and US$ 146.13 for indirect costs). Lee Han Lim and coworkers, estimated the “immediate” cost of dengue to Malaysia and Thailand at US$ 133 to $135 million, respectively. Sukhontha Kongsin and co-authors found that on a per capita basis, costs of dengue in Thailand in 2005 averaged US$ 3.55, of which 28% was due to vector control and 72% due to dengue illness. Examining the burden of dengue on households in Cambodia, Jose A Suaya and co-authors found that and 53% needed to sell household property to fund dengue treatment. Effective methods to prevent the disease would, therefore, result in important economic benefits in many tropical countries.
Shepard, Donald S. (2010). Cost and burden of dengue and chikungunya from the Americas to Asia.. WHO Regional Office for South-East Asia.. http://www.who.int/iris/handle/10665/170991