Economic analysis of dengue prevention and case management in the Maldives.
As tourism is the mainstay of the Maldives' economy, this country recognizes the importance of controlling mosquito-borne diseases in an environmentally responsible manner. This study sought to estimate the economic costs of dengue in this Small Island Developing State of 417,492 residents. The...
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ftdoajarticles:oai:doaj.org/article:c32e6849036d4f6fa7479698dbf2087a 2023-05-15T15:12:51+02:00 Economic analysis of dengue prevention and case management in the Maldives. Mathieu Bangert Aishath Thimna Latheef Shushil Dev Pant Ibrahim Nishan Ahmed Sana Saleem Fathimath Nazla Rafeeq Moomina Abdulla Fathimath Shamah Ahmed Jamsheed Mohamed Christopher Fitzpatrick Raman Velayudhan Donald S Shepard 2018-09-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0006796 https://doaj.org/article/c32e6849036d4f6fa7479698dbf2087a EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC6177194?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006796 https://doaj.org/article/c32e6849036d4f6fa7479698dbf2087a PLoS Neglected Tropical Diseases, Vol 12, Iss 9, p e0006796 (2018) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.1371/journal.pntd.0006796 2022-12-31T00:18:05Z As tourism is the mainstay of the Maldives' economy, this country recognizes the importance of controlling mosquito-borne diseases in an environmentally responsible manner. This study sought to estimate the economic costs of dengue in this Small Island Developing State of 417,492 residents. The authors reviewed relevant available documents on dengue epidemiology and conducted site visits and interviews with public health offices, health centers, referral hospitals, health insurers, and drug distribution organizations. An average of 1,543 symptomatic dengue cases was reported annually from 2011 through 2016. Intensive waste and water management on a resort island cost $1.60 per occupied room night. Local vector control programs on inhabited islands cost $35.93 for waste collection and $7.89 for household visits by community health workers per person per year. Ambulatory care for a dengue episode cost $49.87 at a health center, while inpatient episodes averaged $127.74 at a health center, $1,164.78 at a regional hospital, and $1,655.50 at a tertiary referral hospital. Overall, the cost of dengue illness in the Maldives in 2015 was $2,495,747 (0.06% of gross national income, GNI, or $6.10 per resident) plus $1,338,141 (0.03% of GNI or $3.27 per resident) for dengue surveillance. With tourism generating annual income of $898 and tax revenues of $119 per resident, results of an international analysis suggest that the risk of dengue lowers the country's gross annual income by $110 per resident (95% confidence interval $50 to $160) and its annual tax receipts by $14 per resident (95% confidence interval $7 to $22). Many innovative vector control efforts are affordable and could decrease future costs of dengue illness in the Maldives. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 12 9 e0006796 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Mathieu Bangert Aishath Thimna Latheef Shushil Dev Pant Ibrahim Nishan Ahmed Sana Saleem Fathimath Nazla Rafeeq Moomina Abdulla Fathimath Shamah Ahmed Jamsheed Mohamed Christopher Fitzpatrick Raman Velayudhan Donald S Shepard Economic analysis of dengue prevention and case management in the Maldives. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
As tourism is the mainstay of the Maldives' economy, this country recognizes the importance of controlling mosquito-borne diseases in an environmentally responsible manner. This study sought to estimate the economic costs of dengue in this Small Island Developing State of 417,492 residents. The authors reviewed relevant available documents on dengue epidemiology and conducted site visits and interviews with public health offices, health centers, referral hospitals, health insurers, and drug distribution organizations. An average of 1,543 symptomatic dengue cases was reported annually from 2011 through 2016. Intensive waste and water management on a resort island cost $1.60 per occupied room night. Local vector control programs on inhabited islands cost $35.93 for waste collection and $7.89 for household visits by community health workers per person per year. Ambulatory care for a dengue episode cost $49.87 at a health center, while inpatient episodes averaged $127.74 at a health center, $1,164.78 at a regional hospital, and $1,655.50 at a tertiary referral hospital. Overall, the cost of dengue illness in the Maldives in 2015 was $2,495,747 (0.06% of gross national income, GNI, or $6.10 per resident) plus $1,338,141 (0.03% of GNI or $3.27 per resident) for dengue surveillance. With tourism generating annual income of $898 and tax revenues of $119 per resident, results of an international analysis suggest that the risk of dengue lowers the country's gross annual income by $110 per resident (95% confidence interval $50 to $160) and its annual tax receipts by $14 per resident (95% confidence interval $7 to $22). Many innovative vector control efforts are affordable and could decrease future costs of dengue illness in the Maldives. |
format |
Article in Journal/Newspaper |
author |
Mathieu Bangert Aishath Thimna Latheef Shushil Dev Pant Ibrahim Nishan Ahmed Sana Saleem Fathimath Nazla Rafeeq Moomina Abdulla Fathimath Shamah Ahmed Jamsheed Mohamed Christopher Fitzpatrick Raman Velayudhan Donald S Shepard |
author_facet |
Mathieu Bangert Aishath Thimna Latheef Shushil Dev Pant Ibrahim Nishan Ahmed Sana Saleem Fathimath Nazla Rafeeq Moomina Abdulla Fathimath Shamah Ahmed Jamsheed Mohamed Christopher Fitzpatrick Raman Velayudhan Donald S Shepard |
author_sort |
Mathieu Bangert |
title |
Economic analysis of dengue prevention and case management in the Maldives. |
title_short |
Economic analysis of dengue prevention and case management in the Maldives. |
title_full |
Economic analysis of dengue prevention and case management in the Maldives. |
title_fullStr |
Economic analysis of dengue prevention and case management in the Maldives. |
title_full_unstemmed |
Economic analysis of dengue prevention and case management in the Maldives. |
title_sort |
economic analysis of dengue prevention and case management in the maldives. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2018 |
url |
https://doi.org/10.1371/journal.pntd.0006796 https://doaj.org/article/c32e6849036d4f6fa7479698dbf2087a |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 12, Iss 9, p e0006796 (2018) |
op_relation |
http://europepmc.org/articles/PMC6177194?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006796 https://doaj.org/article/c32e6849036d4f6fa7479698dbf2087a |
op_doi |
https://doi.org/10.1371/journal.pntd.0006796 |
container_title |
PLOS Neglected Tropical Diseases |
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12 |
container_issue |
9 |
container_start_page |
e0006796 |
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