Using disability-adjusted life years to assess the economic impact of dengue in Puerto Rico : 1984-1994.
This study presents the disability-adjusted life years (DALYs), a non-monetary economic measure of impact, lost to dengue in Puerto Rico for the period 1984-1994.
Data on the number of reported cases, cases with hemorrhagic manifestations, hospitalizations, and deaths were obtained from a surveillance system maintained at the Dengue Branch, Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention (San Juan, PR).
The reported cases were divided into two age groups (0-15 years old and>15 years old), and then multiplied by predetermined factors (10 for 0-15 years ; 27 for>15 years) to allow for age-related under-reporting of cases.
Severity of dengue was modeled by classifying cases into three groups : dengue fever, dengue with severe manifestations, and hospitalized cases.
Each group was assigned a different number of days lost because of dengue-related disability.
Dengue caused an average of 658 DALYs per year per million population (SE=114, range=145-1,519).
A multivariate sensitivity analysis, which simultaneously altered the values of six input variables, produced a mean of 580 DALYs/year/million population, with a maximum average of 1,021 DALYs/year/million population, and a maximum, single-year estimate for 1994 of 2,153 DALYs/million population.
The most important input was the number of days lost to classic dengue. (...)
Mots-clés Pascal : Dengue, Arbovirose, Virose, Infection, Impact économique, Homme, Epidémiologie, Porto Rico, Antilles, Amérique Centrale, Amérique
Mots-clés Pascal anglais : Dengue, Arbovirus disease, Viral disease, Infection, Economic impact, Human, Epidemiology, Puerto Rico, West Indies, Central America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0413390
Code Inist : 002B05C02I1A. Création : 25/01/1999.