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The cost of a disease targeted for elimination in Brazil: the case of schistosomiasis mansoni.

Abstract

BACKGROUND: Schistosomiasis mansoni is a poverty-related parasitic infection that has a variety of clinical manifestations. We consider the disability and deaths caused by schistosomiasis unacceptable for a tool-ready disease. Its condition in Brazil warrants an analysis that will enable better understanding of the local health losses and contribute to the complex decision-making process.

OBJECTIVE: This study estimates the cost of schistosomiasis in Brazil in 2015.

METHODS: We conducted a cost of illness study of schistosomiasis mansoni in Brazil in 2015 based on a prevalence approach and from a societal perspective. The study included 26,499 schistosomiasis carriers, 397 hepatosplenic cases, 48 cases with the neurological form, 284 hospitalisations, and 11,368.26 years of life lost (YLL) of which 5,187 years are attributable to economically active age groups.

RESULTS: The total cost of schistosomiasis mansoni in Brazil was estimated to be US$ 41,7million in 2015 with 94.61% of this being indirect costs.

CONCLUSIONS: The economic burden of schistosomiasis mansoni in Brazil is high and results in the loss of productivity. Its persistence in Brazil is a challenge to public health and requires inter-sectorial interventions in areas such as indoor water supply, basic sanitation, and education.

More information

Type
Journal Article
Author
Nascimento GL
Pegado HM
Domingues ALC
Ximenes RAA
Itria A
Cruz LN
Oliveira MRF
Year of Publication
2019
Journal
Memorias do Instituto Oswaldo Cruz
Volume
114
Number of Pages
e180347
Language
eng
ISSN Number
1678-8060
DOI
10.1590/0074-02760180347
Alternate Journal
Mem. Inst. Oswaldo Cruz
Publication Language
eng