The sixth paper, Prevalence of various symptoms and cost of treatment during chikungunya epidemic in Ahmedabad, Gujarat, India, by Dileep Mavalankar and co-authors, estimates the economic cost of the 2006 outbreak of the viral disease with further analyses of the survey data provided in the previous paper of Puwar et al. The sixth paper notes that the disease affected primarily working-age adults, with the highest number of cases occurring in the age decade of 30. For this neglected disease in this one city, the authors estimated that the immediate cost of the outbreak due to lost wages and treatment costs was approximately US$ 1.7 million based only on officially reported cases. Assuming that the actual number of cases may be 5 to 10 times the reported number, the actual economic cost of the chikungunya outbreak in Ahmedabad may have been US$ 8.6 to US$ 17.3 million, respectively.
India is also the setting of the seventh paper, A private hospital-based study assessing knowledge, attitude, practice and cost associated with dengue illness in Surat, India, by Ami T. Bhavsar and colleagues. As many private facilities and their patients are often reluctant to share their data with researchers, most studies of disease cost and burden are set in public f
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