The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.

Cystic echinococcosis (CE) is a major zoonosis in Morocco despite the launch of a national control programme in 2005. As its economic consequences have not been studied yet in Morocco, this study estimated CE impact in terms of monetary losses, disability-adjusted life years (DALY), and DALY for zoo...

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Main Authors: Aouatif Saadi, Fatimaezzahra Amarir, Hind Filali, Séverine Thys, Abdelkbir Rhalem, Nathalie Kirschvink, Marianne Raes, Tanguy Marcotty, Mohamed Oukessou, Luc Duchateau, Hamid Sahibi, Nicolas Antoine-Moussiaux
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-07-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0008410
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author Aouatif Saadi
Fatimaezzahra Amarir
Hind Filali
Séverine Thys
Abdelkbir Rhalem
Nathalie Kirschvink
Marianne Raes
Tanguy Marcotty
Mohamed Oukessou
Luc Duchateau
Hamid Sahibi
Nicolas Antoine-Moussiaux
author_facet Aouatif Saadi
Fatimaezzahra Amarir
Hind Filali
Séverine Thys
Abdelkbir Rhalem
Nathalie Kirschvink
Marianne Raes
Tanguy Marcotty
Mohamed Oukessou
Luc Duchateau
Hamid Sahibi
Nicolas Antoine-Moussiaux
author_sort Aouatif Saadi
collection DOAJ
description Cystic echinococcosis (CE) is a major zoonosis in Morocco despite the launch of a national control programme in 2005. As its economic consequences have not been studied yet in Morocco, this study estimated CE impact in terms of monetary losses, disability-adjusted life years (DALY), and DALY for zoonotic diseases (zDALY) in the entire country and in specific regions for the 2011 to 2014 period. The direct monetary losses were related to organ seizure from infected animal in slaughterhouses, and to healthcare expenses as well as lost wages for infected humans. Animal production losses concerned milk yield, fertility, carcass weight, and wool production. Losses due to human infection were also composed of disability and productivity losses at work. Monte Carlo simulations were used to estimate monetary losses and zDALY values. Nationwide, the estimated DALY was 0.5 years per 100,000 persons per year, and the zDALY was 55 years per 100,000 persons per year. Total yearly losses were estimated at 73 million USD (54-92 million USD). However, losses differed significantly among regions. Most of the economic losses consisted of unperceived consequences, i.e. decreased animal production and reduced productivity of asymptomatic individuals. Future studies should determine the socioeconomic and epidemiological factors underlying the differences in economic losses among regions to develop better adapted control programmes.
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spelling doaj.art-411f73d31cb64dba94fa85badbcca07a2022-12-21T21:29:46ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352020-07-01147e000841010.1371/journal.pntd.0008410The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.Aouatif SaadiFatimaezzahra AmarirHind FilaliSéverine ThysAbdelkbir RhalemNathalie KirschvinkMarianne RaesTanguy MarcottyMohamed OukessouLuc DuchateauHamid SahibiNicolas Antoine-MoussiauxCystic echinococcosis (CE) is a major zoonosis in Morocco despite the launch of a national control programme in 2005. As its economic consequences have not been studied yet in Morocco, this study estimated CE impact in terms of monetary losses, disability-adjusted life years (DALY), and DALY for zoonotic diseases (zDALY) in the entire country and in specific regions for the 2011 to 2014 period. The direct monetary losses were related to organ seizure from infected animal in slaughterhouses, and to healthcare expenses as well as lost wages for infected humans. Animal production losses concerned milk yield, fertility, carcass weight, and wool production. Losses due to human infection were also composed of disability and productivity losses at work. Monte Carlo simulations were used to estimate monetary losses and zDALY values. Nationwide, the estimated DALY was 0.5 years per 100,000 persons per year, and the zDALY was 55 years per 100,000 persons per year. Total yearly losses were estimated at 73 million USD (54-92 million USD). However, losses differed significantly among regions. Most of the economic losses consisted of unperceived consequences, i.e. decreased animal production and reduced productivity of asymptomatic individuals. Future studies should determine the socioeconomic and epidemiological factors underlying the differences in economic losses among regions to develop better adapted control programmes.https://doi.org/10.1371/journal.pntd.0008410
spellingShingle Aouatif Saadi
Fatimaezzahra Amarir
Hind Filali
Séverine Thys
Abdelkbir Rhalem
Nathalie Kirschvink
Marianne Raes
Tanguy Marcotty
Mohamed Oukessou
Luc Duchateau
Hamid Sahibi
Nicolas Antoine-Moussiaux
The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
PLoS Neglected Tropical Diseases
title The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
title_full The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
title_fullStr The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
title_full_unstemmed The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
title_short The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method.
title_sort socio economic burden of cystic echinococcosis in morocco a combination of estimation method
url https://doi.org/10.1371/journal.pntd.0008410
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