Escuela de Graduados, Universidad CES, Medellín, Colombia.
Cad Saude Publica. 2020 Jun 26;36(6):e00055119. doi: 10.1590/0102-311X00055119. eCollection 2020.
In Colombia, dengue is a disease of great impact due to its morbidity and mortality, however, studies on the effects of the economic burden at the local level are scarce. Therefore, our study sought to describe the economic burden of dengue epidemics between 2010 and 2016 in the State of Meta, Colombia. A longitudinal study was performed using information from the records of the epidemiological information system (Sistema Nacional de Vigilancia en Salud Pública - SIVIGILA), and the indicator of disability-adjusted life years (DALYs) was determined as an estimator of the burden of dengue. To assess the economic impact, two assessment scenarios were considered (minimum range and maximum range), which allowed the estimate of the effects of the years of life lost (YLLs). Mortality cases presented heterogeneity in the age groups, mainly affecting groups under 15 years and over 65 years, with YLLs raging between 158.58 and 300.38. In total, 2010 showed the highest medical care costs of the study period, with USD 664,123 for women and USD 740,221 for men. In the epidemic years (2010, 2012-2015) between 91,072.3 and 184,175.1 DALYs were lost per million inhabitants, which generated social burden costs higher than the USD 669.6 million. In conclusion, dengue can be considered a disease of high cost at the local level, economically affecting the General Social Security System in Health and social welfare.
在哥伦比亚，登革热的发病率和死亡率都很高，因此是一种影响很大的疾病，但是，关于地方一级经济负担影响的研究却很少。因此，我们的研究旨在描述 2010 年至 2016 年期间哥伦比亚梅塔州登革热流行的经济负担。使用来自流行病学信息系统（Sistema Nacional de Vigilancia en Salud Pública - SIVIGILA）的记录信息进行了一项纵向研究，并确定了残疾调整生命年（DALYs）作为衡量登革热负担的指标。为了评估经济影响，考虑了两种评估方案（最小范围和最大范围），这允许估计丧失的生命年（YLLs）。死亡率病例在年龄组中表现出异质性，主要影响 15 岁以下和 65 岁以上的人群，YLLs 在 158.58 至 300.38 之间。总的来说，2010 年是研究期间医疗费用最高的一年，女性为 664123 美元，男性为 740221 美元。在流行年份（2010 年、2012 年至 2015 年），每百万居民损失了 91072.3 至 184175.1 个 DALYs，造成的社会负担成本高于 6.696 亿美元。总之，登革热可以被认为是地方一级的一种高成本疾病，在经济上影响着一般社会保障体系的健康和社会福利。
