Cost of Acute and Sequelae Care for Japanese Encephalitis Patients, Bangladesh, 2011–2021

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Sultana, Rebeca ; Slavkovsky, Rose ; Ullah, Md. Redowan ; Tasnim, Zareen ; Sultana, Sharmin ; Khan, Shifat ; Shirin, Tahmina ; Haque, Shamsul ; Hossen, Md. Tanvir ; Islam, Md. Monjurul ; Khanom, Jesmin Ara ; Haque, Abrarul ; Nazneen, Arifa ; Rimi, Nadia Ali ; Hossain, Kamal ; Islam, Md. Tanbirul ; Hasan, Shariful ; Yazdany, Md. Shameem ; Ahsan, Md. Shamim ; Mehedi, Kamran ; Marfin, Anthony A. ; Letson, G. William ; Pecenka, Clint ; Nguyen, An Le Thanh
• Description:
  Japanese encephalitis (JE) is associated with an immense social and economic burden. Published cost-of-illness data come primarily from decades-old studies. To determine the cost of care for patients with acute JE and initial and long-term sequelae from the societal perspective, we recruited patients with laboratory-confirmed JE from the past 10 years of JE surveillance in Bangladesh and categorized them as acute care, initial sequalae, and long-term sequelae patients. Among 157 patients, we categorized 55 as acute, 65 as initial sequelae (53 as both categories), and 90 as long-term sequelae. The average (median) societal cost of an acute JE episode was US $929 ($909), of initial sequelae US $75 ($33), and of long-term sequelae US $47 ($14). Most families perceived the effect of JE on their well-being to be extreme and had sustained debt for JE expenses. Our data about the high cost of JE can be used by decision makers in Bangladesh.
• Subjects:
  Costs Of Acute And Sequelae Care For Japanese Encephalitis Patients, Bangladesh, 2011–2021 Research
• Keywords:
  Bangladesh Cost Of Illness Critical Care Encephalitis, Japanese Encephalitis Virus Encephalitis Virus, Japanese Humans Japanese Japanese Encephalitis Japanese Encephalitis Vaccines Viruses

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• Source:
  Emerg Infect Dis. 2023; 29(12):2488-2497
• Pubmed ID:
  37987586
• Pubmed Central ID:
  PMC10683813
• Document Type:
  Journal Article
• Funding:
  INV-008523/GATES/Bill & Melinda Gates FoundationUnited States/
• Volume:
  29
• Issue:
  12
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:4251a429980f299abaa9e910e88b16fd6acbedfcd8e83c7dcdc634b08f1fbf93
• Download URL:
  https://stacks.cdc.gov/view/cdc/138519/cdc_138519_DS1.pdf
• File Type:
  [PDF - 1.61 MB ]