02316nas a2200277   4500000000100000008004100001260003700042653002400079653005700103100001400160700001100174700001300185700001400198700001300212700001900225700001200244700001000256700001300266700001400279245007400293856009900367300000900466490000700475520154200482022001402024       2023                            d  bPublic Library of Science (PLoS)10aInfectious Diseases10aPublic Health, Environmental and Occupational Health1 aSarker AR1 aPaul S1 aZohara F1 aHossain Z1 aZabeen I1 aChowdhury SMZI1 aAhmed M1 aAli N1 aOppong R1 aLenhart A00aEconomic burden of dengue in urban Bangladesh: A societal perspective  uhttps://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011820&type=printable  a1-140 v173 a<p><strong>Background:</strong> Dengue, a vector-borne disease, is a major public health problem in many tropical and subtropical countries including Bangladesh. The objective of this study is to estimate the societal cost of illness of dengue infections among the urban population in Dhaka, Bangladesh.</p>

<p><strong>Methods:</strong> A cost-of-illness study was conducted using a prevalence-based approach from a societal perspective. Costs attributable to dengue were estimated from a bottom-up strategy using the guideline proposed by the World Health Organization for estimating the economic burden of infectious diseases.</p>

<p><strong>Results:</strong> A total of 302 hospitalized confirmed dengue patients were enrolled in this study. The average cost to society for a person with a dengue episode was US$ 479.02. This amount was ranged between US$ 341.67 and US$ 567.12 for those patients who were treated at public and private hospitals, respectively. The households out-of-pocket cost contributed to a larger portion of the total costs of illness (66%) while the cost burden was significantly higher for the poorest households than the richest quintile.</p>

<p><strong>Conclusions:</strong> Dengue disease imposes a substantial financial burden on households and society. Therefore, decision-makers should consider the treatment cost of dengue infections, particularly among the poor in the population while balancing the benefits of introducing potentially effective dengue preventive programs in Bangladesh.</p>
  a1935-2735