Impacto económico del dengue y del dengue hemorrágico en el Estado de Zulia, Venezuela, 1997-2003

Áñez, Germán; Balza, Rene; Valero, Nereida; Larreal, Yraima

doi:10.1590/s1020-49892006000500004

Cited by 39 publications

(39 citation statements)

References 14 publications

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“…Out of the 17 publications, 9 covered the cost of dengue illness with differing degrees of evidence regarding their primary data collection: Cambodia [14], Cuba [15,16], Venezuela [17], Panama [18], Australia [19], Thailand [20], Americas & Asia [21] and Puerto Rico [22]. Total cost of dengue illness for Cambodia [14] ranged from 3.3 million US$ to 14.4 million US$ depending on the year considered (2007–2008) and the cost of dengue cases ranged from 27 US$ to 75 US$, including direct and indirect costs.…”

Section: Resultsmentioning

confidence: 99%

“…In Panama the 2005 outbreak induced total costs of 16.9 million US$ (5.2 US$ per capita) including direct and indirect costs and government spending on dengue control efforts [18]. A publication on the cost of dengue illness between 1997–2003 in Venezuela reported total costs of 1.4 million US$ [17] for that period. The first study form 1977, of cost of dengue illness in Puerto Rico estimated total costs to vary between 6 to 15.6 million US$ [22] depending on the attack rate of mosquitoes.…”

Section: Resultsmentioning

confidence: 99%

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Cost of dengue outbreaks: literature review and country case studies

et al. 2013

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BackgroundDengue disease surveillance and vector surveillance are presumed to detect dengue outbreaks at an early stage and to save – through early response activities – resources, and reduce the social and economic impact of outbreaks on individuals, health systems and economies. The aim of this study is to unveil evidence on the cost of dengue outbreaks.MethodsEconomic evidence on dengue outbreaks was gathered by conducting a literature review and collecting information on the costs of recent dengue outbreaks in 4 countries: Peru, Dominican Republic, Vietnam, and Indonesia. The literature review distinguished between costs of dengue illness including cost of dengue outbreaks, cost of interventions and cost-effectiveness of interventions.ResultsSeventeen publications on cost of dengue showed a large range of costs from 0.2 Million US$ in Venezuela to 135.2 Million US$ in Brazil. However, these figures were not standardized to make them comparable. Furthermore, dengue outbreak costs are calculated differently across the publications, and cost of dengue illness is used interchangeably with cost of dengue outbreaks. Only one paper from Australia analysed the resources saved through active dengue surveillance. Costs of vector control interventions have been reported in 4 studies, indicating that the costs of such interventions are lower than those of actual outbreaks. Nine papers focussed on the cost-effectiveness of dengue vaccines or dengue vector control; they do not provide any direct information on cost of dengue outbreaks, but their modelling methodologies could guide future research on cost-effectiveness of national surveillance systems.The country case studies – conducted in very different geographic and health system settings - unveiled rough estimates for 2011 outbreak costs of: 12 million US$ in Vietnam, 6.75 million US$ in Indonesia, 4.5 million US$ in Peru and 2.8 million US$ in Dominican Republic (all in 2012 US$). The proportions of the different cost components (vector control; surveillance; information, education and communication; direct medical and indirect costs), as percentage of total costs, differed across the respective countries. Resources used for dengue disease control and treatment were country specific.ConclusionsThe evidence so far collected further confirms the methodological challenges in this field: 1) to define technically dengue outbreaks (what do we measure?) and 2) to measure accurately the costs in prospective field studies (how do we measure?). Currently, consensus on the technical definition of an outbreak is sought through the International Research Consortium on Dengue Risk Assessment, Management and Surveillance (IDAMS). Best practice guidelines should be further developed, also to improve the quality and comparability of cost study findings. Modelling the costs of dengue outbreaks and validating these models through field studies should guide further research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Cost of dengue outbreaks: literature review and country case studies

et al. 2013

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show abstract

“…La tasa de letalidad durante el período analizado fue baja, menos del 0,1%, similar a la letalidad en América latina, Valdés et al (12) La gran variabilidad observada en el costo por la atención hospitalaria puede deberse a que el valor de los insumos y servicios en cada país depende de variables económicas intrínsecas, a los elementos considerados para el cálculo, y si el paciente es atendido en sistemas públicos, privados o de seguridad.…”

Section: Discussionunclassified

“…Este indicador ha demostrado que el dengue tuvo un gran impacto en Puerto Rico y Myanmar, tanto en períodos epidémicos como interepidémicos, especialmente por sus costos indirectos relacionados con el ausentismo escolar y laboral debidos a la enfermedad. Otro indicador usado en algunos estudios es el QALY (calidad de vida (11,12).…”

Section: Discussionunclassified