The ten studies in this special issue document the substantial and growing burden of dengue in the Americas, Africa and Asia, and the burden of a chikungunya outbreak in India.
Luiz Tadeu Moraes Figuedo's paper on dengue in Brazil confirms the country's worsening trend; from 1999-2009, where cases rose at 6.2% per year and dengue deaths at 12.0% per year.
Carmen Perez and co-workers, reporting on dengue vector control in Puerto Rico, found that 83% of the costs ($1.97 per person per year) were funded by the lowest and often the least financed level of government: municipalities.
Examining dengue cases imported into France, Guy LaRuche documented the alarming increase in cases originating from Cote d'Ivoire from only one case in 2006-07 to six cases in 2008.
Using modeling and Monte Carlo simulations, Tiina Murtola and co-authors estimated the "immediate" cost of chikungunya and dengue in India at US$ 1.48 billion (range US$ 0.64 to US$ 3.60 billion).
Tapasvi Puwar and co-workers, reporting on a 2006 household survey in Ahmedabad, found that only 23% of chikungunya cases sought care in public facilities, so that under-reporting must be considerable. Extending the analysis of this chikungunyua outbreak, Dileep Mavalankar and co-authors placed its economic cost at US$ 8.6-17.3 million.
Ami T. Bhavsar and co-authors, studying dengue cases hospitalized at a private hospital in Surat, India, found that the economic cost of a case averaged US$ 585.57 ($439.44 for direct medical costs and US$ 146.13 for indirect costs). Lee Han Lim and coworkers, estimated the "immediate" cost of dengue to Malaysia and Thailand at US$ 133 to $135 million, respectively. Sukhontha Kongsin and co-authors found that on a per capita basis, costs of dengue in Thailand in 2005 averaged US$ 3.55, of which 28% was due to vector control and 72% due to dengue illness.
Examining the burden of dengue on households in Cambodia, J
|Contact: Susan Chaityn Lebovits|