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Household costs of hospitalized dengue illness in semi-rural Thailand.

Household costs of hospitalized dengue illness in semi-rural Thailand.
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Tozan Y, Ratanawong P, Sewe MO, Wilder-Smith A, Kittayapong P,


Tozan Y, Ratanawong P, Sewe MO, Wilder-Smith A, Kittayapong P, (click to view)

Tozan Y, Ratanawong P, Sewe MO, Wilder-Smith A, Kittayapong P,

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PLoS neglected tropical diseases 2017 09 2211(9) e0005961 doi 10.1371/journal.pntd.0005961
Abstract
BACKGROUND
Dengue-related illness is a leading cause of hospitalization and death in Thailand and other Southeast Asian countries, imposing a major economic burden on households, health systems, and governments. This study aims to assess the economic impact of hospitalized dengue cases on households in Chachoengsao province in eastern Thailand.

METHODS
We conducted a prospective cost-of-illness study of hospitalized pediatric and adult dengue patients at three public hospitals. We examined all hospitalized dengue cases regardless of disease severity. Patients or their legal guardians were interviewed using a standard questionnaire to determine household-level medical and non-medical expenditures and income losses during the illness episode.

RESULTS
Between March and September 2015, we recruited a total of 224 hospitalized patients (<5 years, 4%; 5-14 years, 20%, 15-24 years, 36%, 25-34 years, 15%; 35-44 years, 10%; 45+ years, 12%), who were clinically diagnosed with dengue. The total cost of a hospitalized dengue case was higher for adult patients than pediatric patients, and was US$153.6 and US$166.3 for pediatric DF and DHF patients, respectively, and US$171.2 and US$226.1 for adult DF and DHF patients, respectively. The financial burden on households increased with the severity of dengue illness. CONCLUSIONS
Although 74% of the households reported that the patient received free medical care, hospitalized dengue illness cost approximately 19-23% of the monthly household income. These results indicated that dengue imposed a substantial financial burden on households in Thailand where a great majority of the population was covered by the Universal Coverage Scheme for health care.

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