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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Estimation of the cost of Taenia solium cysticercosis in Eastern Cape Province, South Africa
Tropical Medicine and International Health, Volume 11, No. 6, Year 2006
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Description
OBJECTIVES: To provide 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. METHODS: 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of epilepsy cases due to neurocysticercosis (NCC) and consequences of cysticercosis were gathered from published and unpublished sources.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. CONCLUSION: 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 Blackwell Publishing Ltd.
Authors & Co-Authors
Carabin, Hél̀ene
United States, Oklahoma City
University of Oklahoma Health Sciences Center
Krecek, Rosina Claudia
Saint Kitts and Nevis, Basseterre, st Kitts
Ross University School of Veterinary Medicine Saint Kitts and Nevis
South Africa, Johannesburg
University of Johannesburg
Cowan, Linda Demetry
United States, Oklahoma City
University of Oklahoma Health Sciences Center
Michael, Lynne Margaret
South Africa, Johannesburg
University of Johannesburg
Foyaca-Sibat, Humberto
South Africa
Walter Sisulu University
Nash, Theodore Elliott
United States, Bethesda
National Institute of Allergy and Infectious Diseases Niaid
Willingham, Arve Lee
Denmark, Frederiksberg
Det Natur- og Biovidenskabelige Fakultet
Kenya, Nairobi
International Livestock Research Institute Nairobi
Statistics
Citations: 128
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1111/j.1365-3156.2006.01627.x
ISSN:
13602276
e-ISSN:
13653156
Study Design
Cross Sectional Study
Study Locations
South Africa