The costs of preventing and treating chagas disease in Colombia.

<h4>Background</h4>The objective of this study is to report the costs of Chagas disease in Colombia, in terms of vector disease control programmes and the costs of providing care to chronic Chagas disease patients with cardiomyopathy.<h4>Methods</h4>Data were collected from C...

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Autores principales:	Marianela Castillo-Riquelme, Felipe Guhl, Brenda Turriago, Nestor Pinto, Fernando Rosas, Mónica Flórez Martínez, Julia Fox-Rushby, Clive Davies, Diarmid Campbell-Lendrum
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2008
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5a99ac3cfaf84f71b6cc9ca9656c0053
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spelling	oai:doaj.org-article:5a99ac3cfaf84f71b6cc9ca9656c00532021-11-25T06:33:04ZThe costs of preventing and treating chagas disease in Colombia.1935-27271935-273510.1371/journal.pntd.0000336https://doaj.org/article/5a99ac3cfaf84f71b6cc9ca9656c00532008-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19015725/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>The objective of this study is to report the costs of Chagas disease in Colombia, in terms of vector disease control programmes and the costs of providing care to chronic Chagas disease patients with cardiomyopathy.<h4>Methods</h4>Data were collected from Colombia in 2004. A retrospective review of costs for vector control programmes carried out in rural areas included 3,084 houses surveyed for infestation with triatomine bugs and 3,305 houses sprayed with insecticide. A total of 63 patient records from 3 different hospitals were selected for a retrospective review of resource use. Consensus methodology with local experts was used to estimate care seeking behaviour and to complement observed data on utilisation.<h4>Findings</h4>The mean cost per house per entomological survey was $4.4 (in US$ of 2004), whereas the mean cost of spraying a house with insecticide was $27. The main cost driver of spraying was the price of the insecticide, which varied greatly. Treatment of a chronic Chagas disease patient costs between $46.4 and $7,981 per year in Colombia, depending on severity and the level of care used. Combining cost and utilisation estimates the expected cost of treatment per patient-year is $1,028, whereas lifetime costs averaged $11,619 per patient. Chronic Chagas disease patients have limited access to healthcare, with an estimated 22% of patients never seeking care.<h4>Conclusion</h4>Chagas disease is a preventable condition that affects mostly poor populations living in rural areas. The mean costs of surveying houses for infestation and spraying infested houses were low in comparison to other studies and in line with treatment costs. Care seeking behaviour and the type of insurance affiliation seem to play a role in the facilities and type of care that patients use, thus raising concerns about equitable access to care. Preventing Chagas disease in Colombia would be cost-effective and could contribute to prevent inequalities in health and healthcare.Marianela Castillo-RiquelmeFelipe GuhlBrenda TurriagoNestor PintoFernando RosasMónica Flórez MartínezJulia Fox-RushbyClive DaviesDiarmid Campbell-LendrumPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 2, Iss 11, p e336 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Marianela Castillo-Riquelme Felipe Guhl Brenda Turriago Nestor Pinto Fernando Rosas Mónica Flórez Martínez Julia Fox-Rushby Clive Davies Diarmid Campbell-Lendrum The costs of preventing and treating chagas disease in Colombia.
description	<h4>Background</h4>The objective of this study is to report the costs of Chagas disease in Colombia, in terms of vector disease control programmes and the costs of providing care to chronic Chagas disease patients with cardiomyopathy.<h4>Methods</h4>Data were collected from Colombia in 2004. A retrospective review of costs for vector control programmes carried out in rural areas included 3,084 houses surveyed for infestation with triatomine bugs and 3,305 houses sprayed with insecticide. A total of 63 patient records from 3 different hospitals were selected for a retrospective review of resource use. Consensus methodology with local experts was used to estimate care seeking behaviour and to complement observed data on utilisation.<h4>Findings</h4>The mean cost per house per entomological survey was $4.4 (in US$ of 2004), whereas the mean cost of spraying a house with insecticide was $27. The main cost driver of spraying was the price of the insecticide, which varied greatly. Treatment of a chronic Chagas disease patient costs between $46.4 and $7,981 per year in Colombia, depending on severity and the level of care used. Combining cost and utilisation estimates the expected cost of treatment per patient-year is $1,028, whereas lifetime costs averaged $11,619 per patient. Chronic Chagas disease patients have limited access to healthcare, with an estimated 22% of patients never seeking care.<h4>Conclusion</h4>Chagas disease is a preventable condition that affects mostly poor populations living in rural areas. The mean costs of surveying houses for infestation and spraying infested houses were low in comparison to other studies and in line with treatment costs. Care seeking behaviour and the type of insurance affiliation seem to play a role in the facilities and type of care that patients use, thus raising concerns about equitable access to care. Preventing Chagas disease in Colombia would be cost-effective and could contribute to prevent inequalities in health and healthcare.
format	article
author	Marianela Castillo-Riquelme Felipe Guhl Brenda Turriago Nestor Pinto Fernando Rosas Mónica Flórez Martínez Julia Fox-Rushby Clive Davies Diarmid Campbell-Lendrum
author_facet	Marianela Castillo-Riquelme Felipe Guhl Brenda Turriago Nestor Pinto Fernando Rosas Mónica Flórez Martínez Julia Fox-Rushby Clive Davies Diarmid Campbell-Lendrum
author_sort	Marianela Castillo-Riquelme
title	The costs of preventing and treating chagas disease in Colombia.
title_short	The costs of preventing and treating chagas disease in Colombia.
title_full	The costs of preventing and treating chagas disease in Colombia.
title_fullStr	The costs of preventing and treating chagas disease in Colombia.
title_full_unstemmed	The costs of preventing and treating chagas disease in Colombia.
title_sort	costs of preventing and treating chagas disease in colombia.
publisher	Public Library of Science (PLoS)
publishDate	2008
url	https://doaj.org/article/5a99ac3cfaf84f71b6cc9ca9656c0053
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The costs of preventing and treating chagas disease in Colombia.

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