Echinococcosis in Tunisia: a cost analysis
- 1 April 2005
- journal article
- Published by Oxford University Press (OUP) in Transactions of the Royal Society of Tropical Medicine and Hygiene
- Vol. 99 (4), 268-278
- https://doi.org/10.1016/j.trstmh.2004.06.011
Abstract
Echinococcus granulosus infection is a preventable zoonosis of human and veterinary public health importance in Tunisia. We aimed to comprehensively quantify human and animal echinococcosis losses in Tunisia. Itemized cost menus were developed for the health of both domestic animals and humans, and for productivity monetary losses. The incidence and prevalence of the disease in all species were obtained from national and personal reports. The domestic animal and human costs of echinococcosis in Tunisia were estimated using age-stratified rates and losses, productivity losses (including those not formally employed) and Monte Carlo sampling to represent the uncertainty inherent in some epidemiological and economic values. Echinococcosis in Tunisia causes significant direct and indirect losses in both humans and animals of approximately US dollars 10-19 million annually. These estimates are based on numerous methodological improvements over previous studies and are of considerable consequence relative to Tunisia's US dollars 21.2 billion gross domestic product. A cost-benefit analysis of control programmes using the methodological advances presented here and regional comparison to other endemic diseases is warranted. These may provide information to assist policy decision-makers in prioritizing the allocation of scarce resources.Keywords
This publication has 12 references indexed in Scilit:
- USE OF DISABILITY ADJUSTED LIFE YEARS IN THE ESTIMATION OF THE DISEASE BURDEN OF ECHINOCOCCOSIS FOR A HIGH ENDEMIC REGION OF THE TIBETAN PLATEAUThe American Journal of Tropical Medicine and Hygiene, 2004
- Economic effects of echinococcosisActa Tropica, 2002
- Estimating the economic effects of cystic echinococcosis. Part 3: Jordan, a developing country with lower-middle incomePathogens and Global Health, 2001
- Estimating the economic effects of cystic echinococcosis. Part 2: an endemic region in the United Kingdom, a wealthy, industrialized economyPathogens and Global Health, 2001
- Estimating the economic effects of cystic echinococcosis: Uruguay, a developing country with upper-middle income.Pathogens and Global Health, 2000
- Echinococcus granulosus larvae in the livers of sheep in Tunisia: the effects of host agePathogens and Global Health, 1999
- Echotomographic and serological population-based study of hydatidosis in Central TunisiaActa Tropica, 1991
- Australasian contributions to an understanding of the epidemiology and control of hydatid disease caused by Echinococcus granulosus—past, present and futureInternational Journal for Parasitology, 1990
- ECHOTOMOGRAPHIC EVIDENCE FOR A HIGHLY ENDEMIC FOCUS OF HYDATIDOSIS IN CENTRAL TUNISIAThe Lancet, 1987
- Probabilistic Sensitivity Analysis Using Monte Carlo SimulationMedical Decision Making, 1985