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波多黎各登革热的经济负担,2010-2023年
Daniel Camprubí-Ferrer1,2,3, Maile B Thayer4, Zachary J Madewell5
1Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
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|January 26, 2026
概括
登革热在波多黎各造成了严重的经济负担,在疫情期间,该病在波多黎各的经济损失高达11亿美元. 这项研究量化了登革热的重大财务影响,强调了预防和控制战略的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 登革热是波多黎各等特有地区的主要公共卫生问题.
- 登革热在波多黎各的经济负担很大,需要进行最新的评估.
- 准确估计登革热病例对于了解其影响至关重要.
研究的目的:
- 根据最近的数据,更新波多黎各登革热的经济负担.
- 为了更清楚地了解与登革热有关的当前经济形势.
- 为了估计寻求医疗护理的登革热病例总数,考虑到报告不足.
主要方法:
- 使用了强大的统计框架,将被动监控数据与哨兵监控联系起来,以估计病例.
- 从医院收集了成本数据,并对被诊断为登革热的个人进行了采访 (n=101).
- 使用贝叶斯乘法和从底部向上成本计算方法对中位数和流行年进行了疾病成本分析.
主要成果:
- 据估计,登革热病例从平均一年的4500例门诊患者/3900例住院患者,到流行病年77,300例门诊患者/67,300例住院患者.
- 每例住院病例的中位成本为5200美元 (儿童) 和6800美元 (成人);门诊费用为2300美元 (儿童) 和2700美元 (成人).
- 流行病年期间,总经济负担达到11亿美元,而中位发病年为627万美元.
结论:
- 登革热给人带来了相当大的经济压力,尤其是在流行病期间.
- 迫切需要加强资源配置和有效的预防策略.
- 政策干预对于减轻未来登革热疫情对经济的影响至关重要.
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