Estimating the burden of disease and the economic cost attributable to chikungunya, Andhra Pradesh, India, 2005-2006
Autor(es): Seyler T, Hutin Y, Ramanchandran V, Ramakrishnan R, Manickam P, Murhekar M
Resumo: To estimate the burden - cost of chikungunya in India, we searched for cases of fever - joint pain in the village of Mallela, -hra Pradesh, - collected information on the demography, signs, symptoms, healthcare utilization - expenditure associated with the disease. We estimated the burden of the disease using disability-adjusted life years (DALYs). We estimated direct - indirect costs - made projections for the district - state using surveillance data corrected for under-reporting. On average, from December 2005 to April 2006, each of the 242 cases in the village led to a burden of 0.0272 DALYs (95% CI 0.0224-0.0319) - a cost of US$37.50 (95% CI 30.6-44.3). Overall, chikungunya in Mallela led to 6.57 DALYs - a loss of US$9100. Out-of-pocket direct medical costs accounted for 68% of the total. From January to December 2006 the burden for Kadapa district was 160 DALYs (cost: US$290 000). Over the same period the burden for -hra Pradesh was 6600 DALYs (cost: US$12 400 000). While the burden was moderate, costs were high - mostly out of pocket.
Palavras-Chave: Chikungunya virus; Disease outbreak; Disability-adjusted life years; Economic costs; Rational drug therapy; India
Imprenta: Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 104, n. 2, p. 133-138, 2010
Identificador do objeto digital: 10.1016/j.trstmh.2009.07.014
Descritores: Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Epidemiology
Data de publicação: 2010
