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The Economic Impact of Cystic Echinococcosis in Rio Negro Province, Argentina
Glenda M. Bingham
Glenda M. Bingham
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
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Edmundo Larrieu
Edmundo Larrieu
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
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Leonardo Uchiumi
Leonardo Uchiumi
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
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Carlos Mercapide
Carlos Mercapide
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
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Guillermo Mujica
Guillermo Mujica
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
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Mario Del Carpio
Mario Del Carpio
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
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Eduardo Hererro
Eduardo Hererro
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
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Juan Carlos Salvitti
Juan Carlos Salvitti
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
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Bo Norby
Bo Norby
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
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Christine M. Budke
Christine M. Budke
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
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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.
Author Notes
Authors' addresses: Glenda M. Bingham and Christine M. Budke, Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, E-mails: gbingham@tamu.edu and cbudke@cvm.tamu.edu. Edmundo Larrieu and Eduardo Hererro, Ministry of Health, Rio Negro Province Government, Viedma, Rio Negro Province, Argentina, E-mails: elarrieu@salud.rionegro.gov.ar and ehererro@salud.rionegro.gov.ar. Leonardo Uchiumi and Carlos Mercapide, Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina, E-mails: luchiumi@gmail.com and chmercapide@salud.rionegro.gov.ar. Guillermo Mujica and Mario Del Carpio, Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina, E-mails: mdelcarpio@yahoo.com.ar and jcsalvitti@yahoo.com.ar. Juan Carlos Salvitti, Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina, E-mail: jcsalvitti@yahoo.com.ar. Bo Norby, College of Veterinary Medicine, Michigan State University, East Lansing, MI, E-mail: bnorby@cvm.msu.edu.
ProCite
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Reference Manager
BibTeX
Zotero
EndNote
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1.
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2.
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6.
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-
7.
Larrieu E, Belloto A, Arambulo P, Tamayo H, 2004. Cystic echinococcosis: epidemiology and control in South America. Parasitol Latinoam 59: 82–89.
-
8.
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-
9.
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-
10.
Larrieu E, Costa MT, Cantoni G, Labanchi JL, Bigatti R, Aquino A, Araya D, Herrero E, Iglesias L, Mancini S, Thakur AS, 2000. Rate of infection and of reinfection by Echinococcus granulosus in rural dogs of the province of Rio Negro, Argentina. Vet Parasitol 87: 281–286.
-
11.
Larrieu E, Mercapide C, Del Carpio M, Salvitti JC, Costa MT, Romeo S, Cantoni G, Perez A, Thakur A, 2000. Evaluation of the losses produced by hydatidosis and cost/benefit analysis of different strategic interventions of control in the Province of Rio Negro, Argentina. Bol Chil Parasitol 55: 8–13.
-
12.
Bingham GM, Budke CM, Larrieu E, Del Carpio M, Mujica G, Slater MR, Moguillansky S, 2014. A community-based study to examine the epidemiology of human cystic echinococcosis in Rio Negro Province, Argentina. Acta Trop 136: 81–88.
-
13.
Larrieu E, Del Carpio M, Salvitti JC, Mercapide C, Sustersic J, Panomarenko H, Costa M, Bigatti R, Labanchi J, Herrero E, Cantoni G, Perez A, Odriozola M, 2004. Ultrasonographic diagnosis and medical treatment of human cystic echinococcosis in asymptomatic school age carriers: 5 years of follow-up. Acta Trop 91: 5–13.
-
14.
Larrieu E, Zanini F, 2012. Critical analysis of cystic echinococcosis control programs and praziquantel use in South America, 1974–2010. Rev Panam Salud Publica 31: 81–87.
-
15.
Moro P, Schantz PM, 2006. Cystic echinococcosis in the Americas. Parasitol Int 55 (Suppl): S181–S186.
-
16.
Carabin H, Budke CM, Cowan LD, Willingham AL, Torgerson PR, 2005. Methods for assessing the burden of parasitic zoonoses: echinococcosis and cysticercosis. Trends Parasitol 21: 327–333.
-
17.
Benner C, Carabin H, Sanchez-Serrano LP, Budke CM, Carmena D, 2010. Analysis of the economic impact of cystic echinococcosis in Spain. Bull World Health Organ 88: 49–57.
-
18.
Budke CM, Jiamin Q, Qian W, Torgerson PR, 2005. Economic effects of echinococcosis in a disease-endemic region of the Tibetan Plateau. Am J Trop Med Hyg 73: 2–10.
-
19.
Harandi MF, Budke CM, Rostami S, 2012. The monetary burden of cystic echinococcosis in Iran. PLoS Negl Trop Dis 6: e1915.
-
20.
Majorowski MM, Carabin H, Kilani M, Bensalah A, 2005. Echinococcosis in Tunisia: a cost analysis. Trans R Soc Trop Med Hyg 99: 268–278.
-
21.
Moro PL, Budke CM, Schantz PM, Vasquez J, Santivanez SJ, Villavicencio J, 2011. Economic impact of cystic echinococcosis in Peru. PLoS Negl Trop Dis 5: e1179.
-
22.
Torgerson PR, Carmona C, Bonifacino R, 2000. Estimating the economic effects of cystic echinococcosis: Uruguay, a developing country with upper-middle income. Ann Trop Med Parasitol 94: 703–713.
-
23.
Torgerson PR, Dowling PM, 2001. Estimating the economic effects of cystic echinococcosis. Part 2: an endemic region in the United Kingdom, a wealthy, industrialized economy. Ann Trop Med Parasitol 95: 177–185.
-
24.
Instituto Nacional de Estadística y Censos, 2012. Censo Nacional de Población, Hogares y Vivienda, 2010. Available at: http://www.censo2010.indec.gov.ar. Accessed September 14, 2013.
-
25.
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-
26.
Ministerio de Salud, 2013. Boletín Integrado de Vigilancia. Buenos Aires, Argentina: Ministerio de Salud de la Nación.
-
27.
Del Carpio M, Mercapide CH, Salvitti JC, Uchiumi L, Sustercic J, Panomarenko H, Moguilensky J, Herrero E, Talmon G, Volpe M, Araya D, Mujica G, Calabro A, Mancini S, Chiosso C, Labanchi JL, Saad R, Goblirsch S, Brunetti E, Larrieu E, 2012. Early diagnosis, treatment and follow-up of cystic echinococcosis in remote rural areas in Patagonia: impact of ultrasound training of non-specialists. PLoS Negl Trop Dis 6: e1444.
-
28.
Budke CM, Qiu JM, Zinsstag J, Wang QA, Torgerson PR, 2004. Use of disability adjusted life years in the estimation of the disease burden of echinococcosis for a high endemic region of the Tibetan plateau. Am J Trop Med Hyg 71: 56–64.
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