TY - JOUR KW - Neglected tropical diseases (NTDs) KW - Trypanosomiasis, African KW - Adolescent KW - Adult KW - Aged KW - Antiprotozoal Agents KW - Child KW - Child, Preschool KW - Cost of Illness KW - Democratic Republic of the Congo KW - Female KW - Humans KW - Infant KW - Infant, Newborn KW - Male KW - Middle Aged KW - Retrospective Studies KW - Rural Population AU - Lutumba P AU - Makieya E AU - Shaw AP AU - Meheus F AU - Boelaert M AB -

According to the World Health Organization, human African trypanosomiasis (HAT) (sleeping sickness) caused the loss of approximately 1.5 million disability-adjusted life years (DALYs) in 2002. We describe the effect of HAT during 2000-2002 in Buma, a rural community near Kinshasa in the Democratic Republic of Congo. We used retrospective questionnaire surveys to estimate HAT-related household costs and DALYs. The HAT outbreak in Buma involved 57 patients and affected 47 (21%) households. The cost to each household was equivalent to 5 months' income for that household. The total number of HAT-related DALYs was 2,145, and interventions to control HAT averted 1,408 DALYs. The cost per DALY averted was US $17. Because HAT has a serious economic effect on households and control interventions are cost-effective, considering only global burden of disease rankings for resource allocation could lead to misguided priority setting if applied without caution in HAT-affected countries.

BT - Emerging infectious diseases C1 -

http://www.ncbi.nlm.nih.gov/pubmed/17479887?dopt=Abstract

DO - 10.3201/eid1302.060075 IS - 2 J2 - Emerging Infect. Dis. LA - eng N2 -

According to the World Health Organization, human African trypanosomiasis (HAT) (sleeping sickness) caused the loss of approximately 1.5 million disability-adjusted life years (DALYs) in 2002. We describe the effect of HAT during 2000-2002 in Buma, a rural community near Kinshasa in the Democratic Republic of Congo. We used retrospective questionnaire surveys to estimate HAT-related household costs and DALYs. The HAT outbreak in Buma involved 57 patients and affected 47 (21%) households. The cost to each household was equivalent to 5 months' income for that household. The total number of HAT-related DALYs was 2,145, and interventions to control HAT averted 1,408 DALYs. The cost per DALY averted was US $17. Because HAT has a serious economic effect on households and control interventions are cost-effective, considering only global burden of disease rankings for resource allocation could lead to misguided priority setting if applied without caution in HAT-affected countries.

PY - 2007 SP - 248 EP - 54 T2 - Emerging infectious diseases TI - Human African trypanosomiasis in a rural community, Democratic Republic of Congo. UR - https://wwwnc.cdc.gov/eid/article/13/2/pdfs/06-0075.pdf VL - 13 SN - 1080-6040 ER -