Use of Multiple Data Sources to Estimate the Economic Cost of Dengue Illness in Malaysia
Use of Multiple Data Sources to Estimate the Economic Cost of Dengue Illness in Malaysia
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DOI：
10.4269/ajtmh.2012.12-0019
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发表时间：
2012-11-01
影响因子：
3.3
通讯作者：
Ng, Chiu Wan
中科院分区：
文献类型：
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作者：
Shepard, Donald S.;Undurraga, Eduardo A.;Ng, Chiu Wan
登革热是世界上许多热带和亚热带地区的重大负担。我们估计了马来西亚登革热疾病的经济负担。确定卫生政策优先事项需要有关经济负担的信息，但由于数据不完整，很难准确估计。我们通过合并多个数据源来完善我们的估计，包括广泛的文献综述、与专家的讨论、对来自卫生和监测系统的数据的回顾以及德尔菲过程的实施，克服了这一限制。由于马来西亚有一个被动的监测系统，登革热病例的数量被低估了。使用对登革热病例总数的调整估计，我们估计登革热疾病的经济负担为每年5600万美元（马来西亚林吉特1.96亿令吉），人均约为2.03美元（马来西亚林吉特7.14）。如果我们将与登革热预防和控制、登革热监测和登革热长期后遗症相关的费用包括在内，登革热的总体经济负担将更高。
Dengue represents a substantial burden in many tropical and sub-tropical regions of the world. We estimated the economic burden of dengue illness in Malaysia. Information about economic burden is needed for setting health policy priorities, but accurate estimation is difficult because of incomplete data. We overcame this limitation by merging multiple data sources to refine our estimates, including an extensive literature review, discussion with experts, review of data from health and surveillance systems, and implementation of a Delphi process. Because Malaysia has a passive surveillance system, the number of dengue cases is under-reported. Using an adjusted estimate of total dengue cases, we estimated an economic burden of dengue illness of US$56 million (Malaysian Ringgit MYR196 million) per year, which is approximately US$2.03 (Malaysian Ringgit 7.14) per capita. The overall economic burden of dengue would be even higher if we included costs associated with dengue prevention and control, dengue surveillance, and long-term sequelae of dengue.