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  1. Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south india.

    Article - En anglais

    This year-round case-control study investigated treatment costs and work time loss to people affected by chronic lymphatic filariasis in two rural communities in south India.

    About three-quarters of the patients sought treatment for filariasis at least once and 52% of them paid for treatment, incurring a mean annual expenditure of Rs. 72 (US $ 2.1 ; range Rs. 0-1360 (US $ 39.0)). Doctor's fees and medicines constituted 57% and 23% of treatment costs.

    The proportion of people seeking treatment was smaller and treatment costs constituted a higher proportion of household income in lower income groups.

    Most patients did not leave work, but spent only 4.36 ± 3.41 h per day on economic activity compared to 5.25 ± 3.52 h worked by controls ; the mean difference of 0.89 ± 4.20 h per day was highly significant (P<0.01).

    This loss of work time is perpetual, as chronic disease manifestations are mostly irreversible.

    An estimated 8% of potential male labour input is lost due to the disease.

    Regression analyses revealed that lymphatic filariasis has a significant effect on work time allotted to economic activity (P<0.05) but not on absenteeism from work (P>0.05).

    Female patients spent 0.31 ± 1.42 h less on domestic activity compared to their matched controls (P<0.05).

    The results clearly show that the chronic form of lymphatic filariasis inflicts a considerable economic burden on affected individuals.

    Mots-clés Pascal : Filariose, Nématodose, Helminthiase, Parasitose, Infection, Chronique, Système lymphatique, Coût, Traitement, Incapacité travail, Wuchereria bancrofti, Nematoda, Nemathelminthia, Helmintha, Invertebrata, Homme, Inde, Asie, Economie santé

    Mots-clés Pascal anglais : Filariosis, Nematode disease, Helminthiasis, Parasitosis, Infection, Chronic, Lymphatic system, Costs, Treatment, Work disability, Wuchereria bancrofti, Nematoda, Nemathelminthia, Helmintha, Invertebrata, Human, India, Asia, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0151318

    Code Inist : 002B05E03B4D. Création : 16/11/1999.