Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa

This paper provides a comprehensive estimate of the societal costs of Taenia solium cysticercosis for the Eastern Cape Province (ECP), South Africa, as an objective measure of its impact in this endemic area. Epidemiological data on the prevalence of epilepsy, proportion of epilepsy cases due to neu...

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Main Authors: Carabin, H., Krecek, R.C., Cowan, L.D., Michael, L., Foyaca-Sibat, H., Nash, T., Willingham, Arve Lee
Format: Journal Article
Language:Inglés
Published: Wiley 2006
Subjects:
Online Access:https://hdl.handle.net/10568/29790
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author Carabin, H.
Krecek, R.C.
Cowan, L.D.
Michael, L.
Foyaca-Sibat, H.
Nash, T.
Willingham, Arve Lee
author_browse Carabin, H.
Cowan, L.D.
Foyaca-Sibat, H.
Krecek, R.C.
Michael, L.
Nash, T.
Willingham, Arve Lee
author_facet Carabin, H.
Krecek, R.C.
Cowan, L.D.
Michael, L.
Foyaca-Sibat, H.
Nash, T.
Willingham, Arve Lee
author_sort Carabin, H.
collection Repository of Agricultural Research Outputs (CGSpace)
description This paper provides a comprehensive estimate of the societal costs of Taenia solium cysticercosis for the Eastern Cape Province (ECP), South Africa, as an objective measure of its impact in this endemic area. Epidemiological data on the prevalence of epilepsy, proportion of epilepsy cases due to neurocysticercosis (NCC) and consequences of cysticercosis were gathered from published and unpublished sources. Economical data were mostly obtained from governmental sources. Three methods were used for estimating productivity losses. Monte Carlo sampling was used to represent the uncertainty of the estimates with 95% Credible Intervals (95% CI). The estimation is for 1 year using a societal approach. All costs are reported in 2004 US$. Results Overall, there were an estimated 34 662 (95% CI: 17 167–54 068) NCC-associated cases of epilepsy in ECP in 2004. The overall monetary burden (in million of US$) was estimated to vary from US$18.6 (95% CI: US$9.0–32.9) to US$34.2 (95% CI: US$12.8–70.0) depending on the method used to estimate productivity losses. The agricultural sector contributed an average of $5.0 million. The prevalence of epilepsy, proportion of productivity reduction and the proportion of epilepsy cases attributable to NCC had the largest impact on the overall estimates. This preliminary estimate suggests that T. solium cysticercosis results in considerable monetary costs to a region that is already economically constrained. Because this infection is preventable, these results could guide stakeholders in deciding where to invest scarce health and agricultural resources in their countries.
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spelling CGSpace297902024-01-17T12:58:34Z Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa Carabin, H. Krecek, R.C. Cowan, L.D. Michael, L. Foyaca-Sibat, H. Nash, T. Willingham, Arve Lee taenia solium cysticercosis costs mankind productivity losses economic indicators time epilepsy economic analysis social costs infectious diseases parasitology This paper provides a comprehensive estimate of the societal costs of Taenia solium cysticercosis for the Eastern Cape Province (ECP), South Africa, as an objective measure of its impact in this endemic area. Epidemiological data on the prevalence of epilepsy, proportion of epilepsy cases due to neurocysticercosis (NCC) and consequences of cysticercosis were gathered from published and unpublished sources. Economical data were mostly obtained from governmental sources. Three methods were used for estimating productivity losses. Monte Carlo sampling was used to represent the uncertainty of the estimates with 95% Credible Intervals (95% CI). The estimation is for 1 year using a societal approach. All costs are reported in 2004 US$. Results Overall, there were an estimated 34 662 (95% CI: 17 167–54 068) NCC-associated cases of epilepsy in ECP in 2004. The overall monetary burden (in million of US$) was estimated to vary from US$18.6 (95% CI: US$9.0–32.9) to US$34.2 (95% CI: US$12.8–70.0) depending on the method used to estimate productivity losses. The agricultural sector contributed an average of $5.0 million. The prevalence of epilepsy, proportion of productivity reduction and the proportion of epilepsy cases attributable to NCC had the largest impact on the overall estimates. This preliminary estimate suggests that T. solium cysticercosis results in considerable monetary costs to a region that is already economically constrained. Because this infection is preventable, these results could guide stakeholders in deciding where to invest scarce health and agricultural resources in their countries. 2006-06 2013-06-11T09:24:54Z 2013-06-11T09:24:54Z Journal Article https://hdl.handle.net/10568/29790 en Limited Access Wiley Tropical Medicine & International Health;11(6): 906-916
spellingShingle taenia solium
cysticercosis
costs
mankind
productivity
losses
economic indicators
time
epilepsy
economic analysis
social costs
infectious diseases
parasitology
Carabin, H.
Krecek, R.C.
Cowan, L.D.
Michael, L.
Foyaca-Sibat, H.
Nash, T.
Willingham, Arve Lee
Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title_full Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title_fullStr Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title_full_unstemmed Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title_short Estimation of the cost of Taenia solium cysticercosis in eastern Cape Province, South Africa
title_sort estimation of the cost of taenia solium cysticercosis in eastern cape province south africa
topic taenia solium
cysticercosis
costs
mankind
productivity
losses
economic indicators
time
epilepsy
economic analysis
social costs
infectious diseases
parasitology
url https://hdl.handle.net/10568/29790
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