Total economic cost and burden of dengue in Nicaragua: 1996-2010.

TitleTotal economic cost and burden of dengue in Nicaragua: 1996-2010.
Publication TypeJournal Article
Year of Publication2012
AuthorsWettstein ZS, Fleming M, Chang AY, Copenhaver DJ, Wateska AR, Bartsch SM, Lee BY, Kulkarni RP
JournalAm J Trop Med Hyg
Volume87
Issue4
Pagination616-22
Date Published2012 Oct
ISSN1476-1645
KeywordsCost of Illness, Dengue, Disability Evaluation, Health Care Costs, Humans, Nicaragua, Quality-Adjusted Life Years, Severe Dengue
Abstract

The burden of dengue in Nicaragua has been steadily rising during the last three decades; however, there have been few efforts to quantify the burden (measured in disability-adjusted life years [DALYs]) and cost to society. Using primary data from the Nicaraguan Ministry of Health (MINSA), the total cost and burden of dengue were calculated from 1996 to 2010. Total costs included both direct costs from medical expenditures and prevention activities and indirect costs from lost productivity. The annual disease burden ranged from 99 to 805 DALYs per million, with a majority associated with classic dengue fever. The total cost was estimated to be US$13.5 million/year (range: US$5.1-27.6 million). This analysis can help improve allocation of dengue control resources in Nicaragua and the region. As one of the most comprehensive analyses of its type to date in Nicaragua and Latin America, this study can serve as a model to determine the burden and cost of dengue.

DOI10.4269/ajtmh.2012.12-0146
Alternate JournalAm. J. Trop. Med. Hyg.
PubMed ID22890033
PubMed Central IDPMC3516309
Grant List1U54GM088491-01-09 / GM / NIGMS NIH HHS / United States
U54 GM088491 / GM / NIGMS NIH HHS / United States
Publication Categories: