title: Costs of illness due to endemic cholera.
abstract: Economic analyses of cholera immunization programmes require estimates of the costs of cholera. The Diseases of the Most Impoverished programme measured the public, provider, and patient costs of culture-confirmed cholera in four study sites with endemic cholera using a combination of hospital- and community-based studies. Families with culture-proven cases were surveyed at home 7 and 14 days after confirmation of illness. Public costs were measured at local health facilities using a micro-costing methodology. Hospital-based studies found that the costs of severe cholera were US$32 and US$47 in Matlab and Beira. Community-based studies in North Jakarta and Kolkata found that cholera cases cost between US$28 and US$206, depending on hospitalization. Patients' cost of illness as a percentage of average monthly income were 21% and 65% for hospitalized cases in Kolkata and North Jakarta, respectively. This burden on families is not captured by studies that adopt a provider perspective.
authors.affiliation: Research Triangle Institute, Durham, NC 27709, USA. cpoulos@rti.org
authors.forename: C
authors.initials: C
authors.lastname: Poulos
authors.forename: A
authors.initials: A
authors.lastname: Riewpaiboon
authors.forename: J F
authors.initials: JF
authors.lastname: Stewart
authors.forename: J
authors.initials: J
authors.lastname: Clemens
authors.forename: S
authors.initials: S
authors.lastname: Guh
authors.forename: M
authors.initials: M
authors.lastname: Agtini
authors.forename: D
authors.initials: D
authors.lastname: Sur
authors.forename: Z
authors.initials: Z
authors.lastname: Islam
authors.forename: M
authors.initials: M
authors.lastname: Lucas
authors.forename: D
authors.initials: D
authors.lastname: Whittington
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002771:Cholera / Q000191:economics* / Q000453:epidemiology*; D017281:Cost of Illness; D019353:Endemic Diseases / Q000191:economics*; D005260:Female; D006801:Humans; D007194:India; D007214:Indonesia; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult