TY - JOUR
T1 - Cost of illness due to typhoid fever in Pemba, Zanzibar, East Africa
AU - Riewpaiboon, Arthorn
AU - Piatti, Moritz
AU - Ley, Benedikt
AU - Deen, Jacqueline
AU - Ley-Thriemer, Kamala
AU - Von Seidlein, Lorenz
AU - SalehJiddawi, Mohammad
AU - Busch, Clara
AU - Schmied, Wolfgang
AU - Ali, Said
AU - Pak, GiDeok
AU - Ochiai, Leon
AU - Puri, Mahesh K
AU - Chang, Na Yoon
AU - Wierzba, Thomas
AU - Clemens, John
PY - 2014/9/3
Y1 - 2014/9/3
N2 - 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.
AB - 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.
M3 - Article
C2 - PubMed:25395900
SN - 1606-0997
VL - 32
SP - 377
EP - 385
JO - Journal of Health, Population and Nutrition
JF - Journal of Health, Population and Nutrition
IS - 3
ER -