Estimating the burden of disease and the economic cost attributable to chikungunya, Colombia, 2014

Autor(es): Cardona-Ospina Jaime A, Villamil-Gómez Wilmer E, Jimenez-Canizales Carlos E, Castañeda-Hernández Diana M, Rodríguez-Morales Alfonso J


Resumo: Chikungunya (CHIK) virus disease is expected to be a considerable cause of disability - economic burden in Latin America given its chronic sequelae, particularly its chronic inflammatory rheumatism. There have been no previous studies assessing CHIK costs - disability in Latin America. We calculated incidence rates for CHIK during the 2014 outbreak in Colombia using epidemiological data provided by the Colombian National Institute of Health, using demographic data from the National Administrative Department of Statistics. The burden of disease was estimated through disability adjusted life years (DALYs) lost - the costs were estimated based on the national recommendations for CHIK acute - chronic phase attention. There were a total of 106 592 cases, with incidence rates ranging from 0 to 1837.3 cases/100 000 population in different departments. An estimate was made of total DALYs lost of 40.44 to 45.14 lost/100 000 population. The 2014 outbreak estimated costs were at least US$73.6 million. Our estimates raise concerns about the effects of continued CHIK spread in Colombia - other Latin-American countries. The lack of transmission control for this disease - potential for spread means that there will be significant acute - chronic disability - related costs in the short - long term for Latin American health care systems.


Palavras-Chave: Burden of illness; Chikungunya; Colombia; Disability; Illness cost; Latin America


Imprenta: Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 109, n. 12, p. 793-802, 2015


Identificador do Objeto Digital: 10.1093/trstmh/trv094


Descritores: Chikungunya virus - Infectious diseases ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Transmission ; Chikungunya virus - Public health


Data de Publicação: 2015