title: Economic impact of cystic echinococcosis in peru.
abstract: BACKGROUND
  Cystic echinococcosis (CE) constitutes an important public health problem in Peru. However, no studies have attempted to estimate the monetary and non-monetary impact of CE in Peruvian society.
  
  
  METHODS
  We used official and published sources of epidemiological and economic information to estimate direct and indirect costs associated with livestock production losses and human disease in addition to surgical CE-associated disability adjusted life years (DALYs) lost.
  
  
  RESULTS
  The total estimated cost of human CE in Peru was U.S.$2,420,348 (95% CI:1,118,384-4,812,722) per year. Total estimated livestock-associated costs due to CE ranged from U.S.$196,681 (95% CI:141,641-251,629) if only direct losses (i.e., cattle and sheep liver destruction) were taken into consideration to U.S.$3,846,754 (95% CI:2,676,181-4,911,383) if additional production losses (liver condemnation, decreased carcass weight, wool losses, decreased milk production) were accounted for. An estimated 1,139 (95% CI: 861-1,489) DALYs were also lost due to surgical cases of CE.
  
  
  CONCLUSIONS
  This preliminary and conservative assessment of the socio-economic impact of CE on Peru, which is based largely on official sources of information, very likely underestimates the true extent of the problem. Nevertheless, these estimates illustrate the negative economic impact of CE in Peru.
authors.affiliation: Division of Healthcare Quality Promotion, Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. pmoro@cdc.gov
authors.forename: Pedro L
authors.initials: PL
authors.lastname: Moro
authors.forename: Christine M
authors.initials: CM
authors.lastname: Budke
authors.forename: Peter M
authors.initials: PM
authors.lastname: Schantz
authors.forename: Julio
authors.initials: J
authors.lastname: Vasquez
authors.forename: Saul J
authors.initials: SJ
authors.lastname: Santivañez
authors.forename: Jaime
authors.initials: J
authors.lastname: Villavicencio
mesh_terms: D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000191:economics* / Q000453:epidemiology*; D004443:Echinococcosis / Q000191:economics / Q000453:epidemiology* / Q000662:veterinary*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D010568:Peru / Q000453:epidemiology; D012757:Sheep Diseases / Q000191:economics* / Q000453:epidemiology*