Economic Burden of Dengue Virus Infection at the Household Level Among Residents of Puerto Maldonado, Peru

Salmon-Mulanovich, Gabriela; Montgomery, Joel M.; Lescano Guevara, Andres Guillermo; Pan, William K.; Bausch, Daniel G.; Blazes, David L.

dc.contributor.author	Salmon-Mulanovich, Gabriela
dc.contributor.author	Blazes, David L.
dc.contributor.author	Lescano Guevara, Andres Guillermo
dc.contributor.author	Bausch, Daniel G.
dc.contributor.author	Montgomery, Joel M.
dc.contributor.author	Pan, William K.
dc.date.accessioned	2019-02-06T14:57:38Z
dc.date.available	2019-02-06T14:57:38Z
dc.date.issued	2015
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5472
dc.description.abstract	Dengue virus (DENV) was reintroduced to Peru in the 1990s and has been reported in Puerto Maldonado (population ~65,000) in the Peruvian southern Amazon basin since 2000. This region also has the highest human migration rate in the country, mainly from areas not endemic for DENV. The objective of this study was to assess the proportion of household income that is diverted to costs incurred because of dengue illness and to compare these expenses between recent migrants (RMs) and long-term residents (LTRs). We administered a standardized questionnaire to persons diagnosed with dengue illness at Hospital Santa Rosa in Puerto Maldonado from December 2012 to March 2013. We compared direct and indirect medical costs between RMs and LTRs. A total of 80 participants completed the survey, of whom 28 (35%) were RMs and 52 (65%) were LTRs. Each dengue illness episode cost the household an average of US$105 (standard deviation [SD] = 107), representing 24% of their monthly income. Indirect costs were the greatest expense (US$56, SD = 87), especially lost wages. The proportion of household income diverted to dengue illness did not differ significantly between RM and LTR households. The study highlights the significant financial burden incurred by households when a family member suffers dengue illness.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Adult	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Family Characteristics	en_US
dc.subject	Cost of Illness	en_US
dc.subject	Income/statistics & numerical data	en_US
dc.subject	Dengue/economics/epidemiology	en_US
dc.subject	Financing, Personal/economics/statistics & numerical data	en_US
dc.subject	Health Care Costs/statistics & numerical data	en_US
dc.subject	Health Services Accessibility/economics/statistics & numerical data	en_US
dc.title	Economic Burden of Dengue Virus Infection at the Household Level Among Residents of Puerto Maldonado, Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.14-0755
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645