Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance.
Cystic echinococcosis (CE) is endemic in Spain but has been considered non-endemic in the province of Álava, Northern Spain, since 1997. However, Álava is surrounded by autonomous regions with some of the highest CE prevalence proportions in the nation, casting doubts about the current classificatio...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2014-08-01
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| Series: | PLoS Neglected Tropical Diseases |
| Online Access: | http://europepmc.org/articles/PMC4125306?pdf=render |
| _version_ | 1819094116054597632 |
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| author | Hélène Carabin Francisco J Balsera-Rodríguez José Rebollar-Sáenz Christine T Benner Aitziber Benito Juan C Fernández-Crespo David Carmena |
| author_facet | Hélène Carabin Francisco J Balsera-Rodríguez José Rebollar-Sáenz Christine T Benner Aitziber Benito Juan C Fernández-Crespo David Carmena |
| author_sort | Hélène Carabin |
| collection | DOAJ |
| description | Cystic echinococcosis (CE) is endemic in Spain but has been considered non-endemic in the province of Álava, Northern Spain, since 1997. However, Álava is surrounded by autonomous regions with some of the highest CE prevalence proportions in the nation, casting doubts about the current classification. The purpose of this study is to estimate the frequency of CE in humans and animals and to use this data to determine the societal cost incurred due to CE in the Álava population in 2005. We have identified epidemiological and clinical data from surveillance and hospital records, prevalence data in intermediate (sheep and cattle) host species from abattoir records, and economical data from national and regional official institutions. Direct costs (diagnosis, treatment, medical care in humans and condemnation of offal in livestock species) and indirect costs (productivity losses in humans and reduction in growth, fecundity and milk production in livestock) were modelled using the Latin hypercube method under five different scenarios reflecting different assumptions regarding the prevalence of asymptomatic cases and associated productivity losses in humans. A total of 13 human CE cases were reported in 2005. The median total cost (95% credible interval) of CE in humans and animals in Álava in 2005 was estimated to range between €61,864 (95%CI%: €47,304-€76,590) and €360,466 (95%CI: €76,424-€752,469), with human-associated losses ranging from 57% to 93% of the total losses, depending on the scenario used. Our data provide evidence that CE is still very well present in Álava and incurs important cost to the province every year. We expect this information to prove valuable for public health agencies and policy-makers, as it seems advisable to reinstate appropriate surveillance and monitoring systems and to implement effective control measures that avoid the spread and recrudescence of the disease. |
| first_indexed | 2024-12-21T23:22:17Z |
| format | Article |
| id | doaj.art-dbee0fae258547538b0a9715ef72dde5 |
| institution | Directory Open Access Journal |
| issn | 1935-2727 1935-2735 |
| language | English |
| last_indexed | 2024-12-21T23:22:17Z |
| publishDate | 2014-08-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS Neglected Tropical Diseases |
| spelling | doaj.art-dbee0fae258547538b0a9715ef72dde52022-12-21T18:46:46ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352014-08-0188e306910.1371/journal.pntd.0003069Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance.Hélène CarabinFrancisco J Balsera-RodríguezJosé Rebollar-SáenzChristine T BennerAitziber BenitoJuan C Fernández-CrespoDavid CarmenaCystic echinococcosis (CE) is endemic in Spain but has been considered non-endemic in the province of Álava, Northern Spain, since 1997. However, Álava is surrounded by autonomous regions with some of the highest CE prevalence proportions in the nation, casting doubts about the current classification. The purpose of this study is to estimate the frequency of CE in humans and animals and to use this data to determine the societal cost incurred due to CE in the Álava population in 2005. We have identified epidemiological and clinical data from surveillance and hospital records, prevalence data in intermediate (sheep and cattle) host species from abattoir records, and economical data from national and regional official institutions. Direct costs (diagnosis, treatment, medical care in humans and condemnation of offal in livestock species) and indirect costs (productivity losses in humans and reduction in growth, fecundity and milk production in livestock) were modelled using the Latin hypercube method under five different scenarios reflecting different assumptions regarding the prevalence of asymptomatic cases and associated productivity losses in humans. A total of 13 human CE cases were reported in 2005. The median total cost (95% credible interval) of CE in humans and animals in Álava in 2005 was estimated to range between €61,864 (95%CI%: €47,304-€76,590) and €360,466 (95%CI: €76,424-€752,469), with human-associated losses ranging from 57% to 93% of the total losses, depending on the scenario used. Our data provide evidence that CE is still very well present in Álava and incurs important cost to the province every year. We expect this information to prove valuable for public health agencies and policy-makers, as it seems advisable to reinstate appropriate surveillance and monitoring systems and to implement effective control measures that avoid the spread and recrudescence of the disease.http://europepmc.org/articles/PMC4125306?pdf=render |
| spellingShingle | Hélène Carabin Francisco J Balsera-Rodríguez José Rebollar-Sáenz Christine T Benner Aitziber Benito Juan C Fernández-Crespo David Carmena Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. PLoS Neglected Tropical Diseases |
| title | Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. |
| title_full | Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. |
| title_fullStr | Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. |
| title_full_unstemmed | Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. |
| title_short | Cystic echinococcosis in the Province of Álava, North Spain: the monetary burden of a disease no longer under surveillance. |
| title_sort | cystic echinococcosis in the province of alava north spain the monetary burden of a disease no longer under surveillance |
| url | http://europepmc.org/articles/PMC4125306?pdf=render |
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