The Global Economic and Health Burden of Human Hookworm Infection.

BACKGROUND:Even though human hookworm infection is highly endemic in many countries throughout the world, its global economic and health impact is not well known. Without a better understanding of hookworm's economic burden worldwide, it is difficult for decision makers such as funders, policy...

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Main Authors: Sarah M Bartsch, Peter J Hotez, Lindsey Asti, Kristina M Zapf, Maria Elena Bottazzi, David J Diemert, Bruce Y Lee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-09-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC5015833?pdf=render
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author Sarah M Bartsch
Peter J Hotez
Lindsey Asti
Kristina M Zapf
Maria Elena Bottazzi
David J Diemert
Bruce Y Lee
author_facet Sarah M Bartsch
Peter J Hotez
Lindsey Asti
Kristina M Zapf
Maria Elena Bottazzi
David J Diemert
Bruce Y Lee
author_sort Sarah M Bartsch
collection DOAJ
description BACKGROUND:Even though human hookworm infection is highly endemic in many countries throughout the world, its global economic and health impact is not well known. Without a better understanding of hookworm's economic burden worldwide, it is difficult for decision makers such as funders, policy makers, disease control officials, and intervention manufacturers to determine how much time, energy, and resources to invest in hookworm control. METHODOLOGY/PRINCIPLE FINDINGS:We developed a computational simulation model to estimate the economic and health burden of hookworm infection in every country, WHO region, and globally, in 2016 from the societal perspective. Globally, hookworm infection resulted in a total 2,126,280 DALYs using 2004 disability weight estimates and 4,087,803 DALYs using 2010 disability weight estimates (excluding cognitive impairment outcomes). Including cognitive impairment did not significantly increase DALYs worldwide. Total productivity losses varied with the probability of anemia and calculation method used, ranging from $7.5 billion to $138.9 billion annually using gross national income per capita as a proxy for annual wages and ranging from $2.5 billion to $43.9 billion using minimum wage as a proxy for annual wages. CONCLUSION:Even though hookworm is classified as a neglected tropical disease, its economic and health burden exceeded published estimates for a number of diseases that have received comparatively more attention than hookworm such as rotavirus. Additionally, certain large countries that are transitioning to higher income countries such as Brazil and China, still face considerable hookworm burden.
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spelling doaj.art-6cec1993deab4d60bff7a9dc7589398c2022-12-21T19:03:07ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352016-09-01109e000492210.1371/journal.pntd.0004922The Global Economic and Health Burden of Human Hookworm Infection.Sarah M BartschPeter J HotezLindsey AstiKristina M ZapfMaria Elena BottazziDavid J DiemertBruce Y LeeBACKGROUND:Even though human hookworm infection is highly endemic in many countries throughout the world, its global economic and health impact is not well known. Without a better understanding of hookworm's economic burden worldwide, it is difficult for decision makers such as funders, policy makers, disease control officials, and intervention manufacturers to determine how much time, energy, and resources to invest in hookworm control. METHODOLOGY/PRINCIPLE FINDINGS:We developed a computational simulation model to estimate the economic and health burden of hookworm infection in every country, WHO region, and globally, in 2016 from the societal perspective. Globally, hookworm infection resulted in a total 2,126,280 DALYs using 2004 disability weight estimates and 4,087,803 DALYs using 2010 disability weight estimates (excluding cognitive impairment outcomes). Including cognitive impairment did not significantly increase DALYs worldwide. Total productivity losses varied with the probability of anemia and calculation method used, ranging from $7.5 billion to $138.9 billion annually using gross national income per capita as a proxy for annual wages and ranging from $2.5 billion to $43.9 billion using minimum wage as a proxy for annual wages. CONCLUSION:Even though hookworm is classified as a neglected tropical disease, its economic and health burden exceeded published estimates for a number of diseases that have received comparatively more attention than hookworm such as rotavirus. Additionally, certain large countries that are transitioning to higher income countries such as Brazil and China, still face considerable hookworm burden.http://europepmc.org/articles/PMC5015833?pdf=render
spellingShingle Sarah M Bartsch
Peter J Hotez
Lindsey Asti
Kristina M Zapf
Maria Elena Bottazzi
David J Diemert
Bruce Y Lee
The Global Economic and Health Burden of Human Hookworm Infection.
PLoS Neglected Tropical Diseases
title The Global Economic and Health Burden of Human Hookworm Infection.
title_full The Global Economic and Health Burden of Human Hookworm Infection.
title_fullStr The Global Economic and Health Burden of Human Hookworm Infection.
title_full_unstemmed The Global Economic and Health Burden of Human Hookworm Infection.
title_short The Global Economic and Health Burden of Human Hookworm Infection.
title_sort global economic and health burden of human hookworm infection
url http://europepmc.org/articles/PMC5015833?pdf=render
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