Economic costs and burden of dengue disease in Cavite Province, Philippines
DOI:
https://doi.org/10.15448/1980-6108.2016.2.22772Palavras-chave:
dengue, efeitos psicossociais da doença, carga da doença, impacto da doença, custos da doença, anos de vida perdidos por incapacidade, custos e análise de custo, perda de produtividade, Filipinas.Resumo
Custos econômicos e impacto da dengue na Província de Cavite, Filipinas
Objetivos: Determinar os custos econômicos e o impacto da dengue na Província de Cavite, uma das áreas altamente infligidas por dengue nas Filipinas.
Métodos: Este estudo utilizou os anos de vida ajustados por incapacidade (Disability Adjusted Life Years - DALYs) para calcular o impacto da dengue e quantificar os custos diretos e indiretos devidos aos casos de dengue atendidos em hospital ou em ambulatório. Os DALYs foram estimados usando métodos desenvolvidos pela Organização Mundial de Saúde e pelo Banco Mundial. Calculamos especificamente os anos de vida perdidos entre 2009-2014, usando dados dos pacientes hospitalizados. Os anos vividos com incapacidade foram derivados de registros hospitalares sobre o tipo específico da dengue (dengue clássica / dengue hemorrágica) na Província de Cavite.
Resultados: Foi identificado um custo anual de 99.147.173 pesos das Filipinas (PHP), equivalentes a 2.300.000 dólares dos Estados Unidos (USD). O custo médio anual por caso de dengue foi 32.324 PHP (734 USD). O subgrupo etário 21-25 anos teve o maior custo direto anual, que atingiu 243.181 PHP (5.526 USD), seguido pelo subgrupo 45-54 anos, que atingiu 201.481 PHP (4.579 USD). De 2009 a 2014, o impacto anual da doença foi estimado em 178,282 DALYs (equivalentes a um DALY pedido por cada 17 pessoas na Província de Cavite).
Conclusões: As estimativas de custos e os DALYs sugerem um alto impacto e substanciais custos econômicos da dengue na Província de Cavite, Filipinas.
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