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. 2015 Nov;93(5):1020-1027.
doi: 10.4269/ajtmh.14-0667. Epub 2015 Sep 28.

Cost of Dengue Vector Control Activities in Malaysia

P Raviwharmman Packierisamy, Chiu-Wan Ng, Maznah Dahlui, Jonathan Inbaraj, Venugopalan K Balan, Yara A Halasa, Donald S Shepard

Cost of Dengue Vector Control Activities in Malaysia

P Raviwharmman Packierisamy et al. Am J Trop Med Hyg. 2015 Nov.

Abstract

Dengue fever, an arbovirus disease transmitted by Aedes mosquitoes, has recently spread rapidly, especially in the tropical countries of the Americas and Asia-Pacific regions. It is endemic in Malaysia, with an annual average of 37,937 reported dengue cases from 2007 to 2012. This study measured the overall economic impact of dengue in Malaysia, and estimated the costs of dengue prevention. In 2010, Malaysia spent US$73.5 million or 0.03% of the country's GDP on its National Dengue Vector Control Program. This spending represented US$1,591 per reported dengue case and US$2.68 per capita population. Most (92.2%) of this spending occurred in districts, primarily for fogging. A previous paper estimated the annual cost of dengue illness in the country at US$102.2 million. Thus, the inclusion of preventive activities increases the substantial estimated cost of dengue to US$175.7 million, or 72% above illness costs alone. If innovative technologies for dengue vector control prove efficacious, and a dengue vaccine was introduced, substantial existing spending could be rechanneled to fund them.

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Figures

Figure 1.
Figure 1.
Trend of reported dengue cases in Malaysia, 1973–2013. Adapted from data obtained directly from the Vector Borne Diseases Control Sector, Disease Control Division, MoH, as well as other sources.,
Figure 2.
Figure 2.
District-level dengue vector control costs by functional group, Malaysia, 2010.
See this image and copyright information in PMC

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