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. 2010 Aug 31:10:521.
doi: 10.1186/1471-2458-10-521.

Cost and disease burden of dengue in Cambodia

Julien Beauté  1 , Sirenda Vong
Affiliations

Cost and disease burden of dengue in Cambodia

Julien Beauté et al. BMC Public Health. .

Abstract

Background: Dengue is endemic in Cambodia (pop. estimates 14.4 million), a country with poor health and economic indicators. Disease burden estimates help decision makers in setting priorities. Using recent estimates of dengue incidence in Cambodia, we estimated the cost of dengue and its burden using disability adjusted life years (DALYs).

Methods: Recent population-based cohort data were used to calculate direct and productive costs, and DALYs. Health seeking behaviors were taken into account in cost estimates. Specific age group incidence estimates were used in DALYs calculation.

Results: The mean cost per dengue case varied from US$36 - $75 over 2006-2008 respectively, resulting in an overall annual cost from US$3,327,284 in 2008 to US$14,429,513 during a large epidemic in 2007. Patients sustain the highest share of costs by paying an average of 78% of total costs and 63% of direct medical costs. DALY rates per 100,000 individuals ranged from 24.3 to 100.6 in 2007-2008 with 80% on average due to premature mortality.

Conclusion: Our analysis confirmed the high societal and individual family burden of dengue. Total costs represented between 0.03 and 0.17% of Gross Domestic Product. Health seeking behavior has a major impact on costs. The more accurate estimate used in this study will better allow decision makers to account for dengue costs particularly among the poor when balancing the benefits of introducing a potentially effective dengue vaccine.

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Figures

Figure 1
Figure 1
Proportion of total costs born by families, government and other stakeholders.
Figure 2
Figure 2
Proportion of direct medical costs born by families, government and other stakeholders.
See this image and copyright information in PMC

References

    1. Halstead SB. Dengue. Imperial College Press; 2008.
    1. The global burden of disease 2004 update. World Health Organization; 2008.
    1. Lopez AD, Project DCP. Global burden of disease and risk factors. World Bank Publications; 2006.
    1. Anderson K, Chunsuttiwat S, Nisalak A, Mammen M, Libraty D, Rothman A. et al.Burden of symptomatic dengue infection in children at primary school in Thailand: a prospective study. Lancet. 2007;369(9571):1452–9. doi: 10.1016/S0140-6736(07)60671-0. - DOI - PubMed
    1. Clark D, Mammen M, Nisalak A, Puthimethee V, Endy T. Economic impact of dengue fever/dengue hemorrhagic fever in Thailand at the family and population levels. Am J Trop Med Hyg. 2005;72(6):786–91. - PubMed

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