title: The Economic Impact of Cystic Echinococcosis in Rio Negro Province, Argentina.
abstract: Cystic echinococcosis (CE), a parasitic zoonosis with substantial human health and economic consequences, is highly endemic in Rio Negro Province, Argentina. The objective of this study was to estimate the direct and indirect human and livestock-associated monetary losses attributable to CE, in Rio Negro Province, for the year 2010. Human costs were estimated using data obtained from hospital chart reviews, patient interviews, and government reports. Livestock-associated losses were estimated using data from government reports and scientific publications. Spreadsheet models were developed utilizing Latin Hypercube sampling to account for uncertainty in the input parameters. In 2010, the estimated total cost of CE, in Rio Negro Province, ranged from US$4,234,000 (95% credible interval [CI]: US$2,709,000-US$6,226,000) to US$5,897,000 (95% CI: US$3,452,000-US$9,105,000), with livestock-associated losses representing between 80% and 94% of the total losses, depending on whether non-healthcare-seeking human cases were included and if livestock slaughter values were adjusted to account for underreporting. These estimates suggest that CE is responsible for considerable human and livestock-associated monetary losses in Rio Negro Province. Stakeholders and policymakers can use these data to better allocate public health and agricultural resources for this region.
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan GBingham@tamu.edu.
authors.forename: Glenda M
authors.initials: GM
authors.lastname: Bingham
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Edmundo
authors.initials: E
authors.lastname: Larrieu
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Uchiumi
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Carlos
authors.initials: C
authors.lastname: Mercapide
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Mujica
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Mario
authors.initials: M
authors.lastname: Del Carpio
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Hererro
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Salvitti
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Bo
authors.initials: B
authors.lastname: Norby
authors.affiliation: Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Budke
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001118:Argentina / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004443:Echinococcosis / Q000191:economics* / Q000453:epidemiology / Q000473:pathology / Q000662:veterinary*; D019353:Endemic Diseases; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D058751:Livestock; D008297:Male; D008875:Middle Aged; D055815:Young Adult