economic impact of cystic echinococcosis in peru罹患囊型包虫病在秘鲁的经济影响.pdfVIP

Economic Impact of Cystic Echinococcosis in Peru 1 2 3 4 ˜ 5 Pedro L. Moro *, Christine M. Budke , Peter M. Schantz , Julio Vasquez , Saul J. Santivanez , Jaime Villavicencio6 1 Division of Healthcare Quality Promotion, Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America, 2 College of Veterinary Medicine and Biomedical Sciences, Texas AM University, College Station, Texas, United States of America, 3 Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America, 4 Portneuf Medical Center and Idaho State University, Pocatello, Idaho, United States of America, 5 Instituto Peruano de Parasitologia Clinica y Experimental, Lima, Peru, 6 Servicio Nacional de Sanidad Agraria, Ministerio de Agricultura, Lima, Peru Abstract Background: Cystic echinococcosis (CE) constitutes an important public health problem in Peru. However, no studies have attempted to estimate the monetary and non-monetary impact of CE in Peruvian society. Methods: We used official and published sources of epidemiological and economic information to estimate direct and indirect costs associated with livestock production losses and human disease in addition to surgical CE-associated disability adjusted life years (DALYs) lost. Findings: The total estimated cost of human CE in Peru was U.S.$2,420,348 (95% CI:1,118,384–4,812,722) per year. Total estimated livestock-associated costs due to CE ranged from U.S.$196,681 (95% CI:141,641–251,629) if only direct losses (i.e., cattle and sheep liver destruction) were taken into consideration to U.S.$3,846,754 (95% CI:2,676,181–4,911,383) if additional production losses (liver conde