title: Socioeconomic burden of lymphatic filariasis in Georgetown, Guyana.
abstract: OBJECTIVE
  To assess the socioeconomic impact of lymphatic filariasis (LF) in Guyana.
  
  
  METHODS
  Observational, cross-sectional study of 50 persons with chronic LF attending the Filariasis Clinic who were selected as the cases; and 50 persons with chronic skin conditions but no chronic LF, attending the Skin Clinic who were selected as the controls. The two groups were assessed using semi-structured interviews.
  
  
  RESULTS
  Socioeconomic impact was statistically significant, especially with respect to 'having to change jobs' and experiencing major emotional and financial changes (P < 0.05). Fifty-six per cent of cases reported a major change since their diagnosis, whereas only 32% of controls did. Cases were less likely to be able to dress themselves and walk inside and outside the house than controls; they were three times more likely to spend money on transportation than controls (OR, 3.04 95% CI 1.11, 8.44).
  
  
  CONCLUSIONS
  Patients with chronic LF face a considerable burden, which should be addressed as part of the Elimination Programme. One way in which this can be done is to provide free transportation for patients with chronic LF to and from Filariasis Clinics.
authors.affiliation: Department of Medical Technology, Faculty of Health Sciences, University of Guyana, Georgetown, Guyana. edetyrell1@live.com
authors.forename: Ede
authors.initials: E
authors.lastname: Tyrell
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D000818:Animals; D016022:Case-Control Studies; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D004605:Elephantiasis, Filarial / Q000191:economics* / Q000523:psychology; D005260:Female; D006172:Guyana / Q000453:epidemiology; D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014958:Wuchereria bancrofti / Q000302:isolation & purification; D055815:Young Adult