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Costs of Illness Due to Endemic Cholera

Citation

Poulos, Christine; Riewpaiboon, Arthorn; Stewart, John F.; Clemens, John D.; Guh, Soyeon; Agtini, Magdarina; Sur, Dipika; Islam, Z.; Lucas, Marcelino; & Whittington, Dale, et al. (2012). Costs of Illness Due to Endemic Cholera. Epidemiology & Infection, 140(3), 500-509. PMCID: PMC3824392

Abstract

Economic analyses of cholera immunization programmes require estimates of the costs of cholera. The Diseases of the Most Impoverished programme measured the public, provider, and patient costs of culture-confirmed cholera in four study sites with endemic cholera using a combination of hospital- and community-based studies. Families with culture-proven cases were surveyed at home 7 and 14 days after confirmation of illness. Public costs were measured at local health facilities using a micro-costing methodology. Hospital-based studies found that the costs of severe cholera were US$32 and US$47 in Matlab and Beira. Community-based studies in North Jakarta and Kolkata found that cholera cases cost between US$28 and US$206, depending on hospitalization. Patients' cost of illness as a percentage of average monthly income were 21% and 65% for hospitalized cases in Kolkata and North Jakarta, respectively. This burden on families is not captured by studies that adopt a provider perspective.

URL

http://dx.doi.org/10.1017/S0950268811000513

Reference Type

Journal Article

Year Published

2012

Journal Title

Epidemiology & Infection

Author(s)

Poulos, Christine
Riewpaiboon, Arthorn
Stewart, John F.
Clemens, John D.
Guh, Soyeon
Agtini, Magdarina
Sur, Dipika
Islam, Z.
Lucas, Marcelino
Whittington, Dale
the DOMI Cholera COI Study Group,

PMCID

PMC3824392