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Title: Cost of illness due to typhoid fever in Pemba, Zanzibar, East Africa
Authors: Arthorn Riewpaiboon
Moritz Piatti
Benedikt Ley
Jacqueline Deen
Kamala Thriemer
Lorenz von Seidlein
Mohammad SalehJiddawi
Clara Jana Lui Busch
Wolfgang H. Schmied
Said Mohammed Ali
Gi Deok Pak
Leon R. Ochiai
Mahesh K. Puri
Na Yoon Chang
Thomas F. Wierzba
John D. Clemens
Mahidol University
Ministry of Health Zanzibar
International Vaccine Institute, Seoul
Universitat Wien
Menzies School of Health Research
Public Health Laboratory (Pemba) - Ivo de Carneri
Keywords: Agricultural and Biological Sciences;Environmental Science;Medicine
Issue Date: 1-Jan-2014
Citation: Journal of Health, Population and Nutrition. Vol.32, No.3 (2014), 377-385
Abstract: © International Centre For Diarrhoeal, Disease Research, Bangladesh. The aim of this study was to estimate the economic burden of typhoid fever in Pemba, Zanzibar, East Africa. This study was an incidence-based cost-of-illness analysis from a societal perspective. It covered new episodes of blood culture-confirmed typhoid fever in patients presenting at the outpatient or inpatient departments of three district hospitals between May 2010 and December 2010. Cost of illness was the sum of direct costs and costs for productivity loss. Direct costs covered treatment, travel, and meals. Productivity costs were loss of income by patients and caregivers. The analysis included 17 episodes. The mean age of the patients, was 23 years (range=5-65, median=22). Thirty-five percent were inpatients, with a mean of 4.75 days of hospital stay (range=3-7, median=4.50). The mean cost for treatment alone during hospital care was US$ 21.97 at 2010 prices (US$ 1=1,430.50 Tanzanian Shilling-TSH). The average societal cost was US$ 154.47 per typhoid episode. The major expenditure was productivity cost due to lost wages of US$ 128.02 (83%). Our results contribute to the further economic evaluation of typhoid fever vaccination in Zanzibar and other sub-Saharan African countries.
ISSN: 20721315
Appears in Collections:Scopus 2011-2015

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