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Title:	Economic impacts and disease burden of dengue in Seremban district, Malaysia
Authors:	Md. Shahin Mia (P46963)
Supervisor:	Joy Jacqueline Pereira, Professor Dr.
Keywords:	Economic impacts of dengue Disease burden of dengue Dengue Seremban district Malaysia Universiti Kebangsaan Malaysia -- Dissertations
Issue Date:	4-Jun-2014
Description:	Dengue is a highly endemic disease in Malaysia. Seremban is one of the districts which have the highest incidence of dengue. The impact of dengue in terms of economic losses and disease burden is of great concern to the households and public health system. The objectives of this study are: 1) to assess the current status of dengue in Malaysia and to review its relationship with climate change, 2) to determine the economic impacts of dengue on the households and government in Seremban district as well as in Malaysia, 3) to measure the disease burden of dengue on the households in Seremban district as well as in Malaysia and 4) to suggest recommendations for policy and decision making to control dengue more effectively. Primary data were collected via a survey based on a set of questionnaires with 120 respondent patients registered at the Tuanku Ja’afar Hospital in Seremban. These respondents were selected based on purposive random sampling method. Secondary data pertaining to annual reported cases, deaths, incidence rate, mortality rate and case fatality rate of dengue from 2000 to 2010 were collected from District Health Office, Seremban, State Health Office, Negeri Sembilan, Ministry of Health, Malaysia, and WHO Western Pacific Regional Office (WPRO). A positive relationship has been found between climate change and dengue incidence where dengue incidence varies with the changes of temperature and rainfall patterns. The economic impacts and disease burden of dengue were analysed using cost-of-illness (COI) method and disability-adjusted life years (DALYs) method respectively. COI method measures the direct and indirect costs associated with a disease. DALYs method estimates the amount of time lost by an individual from disability or premature death due to a disease. The incidence of dengue in Malaysia has shown an increasing trend from 2000 to 2010. There was an average increase of the number of dengue cases and deaths by 14% and 8% per year respectively. The results of the survey indicate that the total cost of illness per patient at household level is MYR1148 (USD365) while the direct and indirect costs are MYR118 (USD37) and MYR1031 (USD328) respectively. The cost of dengue illness in Seremban was estimated at MYR10.64 million (USD3.38 million) for the year 2010. The cost of dengue vector control in the district was MYR1.34 million (USD0.43 million). Thus, the total cost of dengue in the district in 2010 amounted to MYR12 million (USD3.80 million). The disease burden of dengue was estimated at 208 disability-adjusted life years (DALYs) lost. The study concludes that a single episode of dengue places sizeable financial burden to household, especially in terms of indirect cost. The disease burden of dengue to the household is also enormous. The study findings provide a detailed knowledge or insight of economic costs and disease burden of dengue which would be useful for budgeting and allocating resources for dengue prevention and control measures.,PhD
Pages:	303
Publisher:	UKM, Bangi
Appears in Collections:	Institute for Environment and Development / Institut Alam Sekitar dan Pembangunan (LESTARI)

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