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The Economic Impact of Cystic Echinococcosis in Rio Negro Province, Argentina

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  • Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas; Ministry of Health, Viedma, Rio Negro Province, Argentina; National University of La Pampa, General Pico, La Pampa Province, Argentina; Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina; Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina; Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina; Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan
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Cystic echinococcosis (CE), a parasitic zoonosis with substantial human health and economic consequences, is highly endemic in Rio Negro Province, Argentina. The objective of this study was to estimate the direct and indirect human and livestock-associated monetary losses attributable to CE, in Rio Negro Province, for the year 2010. Human costs were estimated using data obtained from hospital chart reviews, patient interviews, and government reports. Livestock-associated losses were estimated using data from government reports and scientific publications. Spreadsheet models were developed utilizing Latin Hypercube sampling to account for uncertainty in the input parameters. In 2010, the estimated total cost of CE, in Rio Negro Province, ranged from US$4,234,000 (95% credible interval [CI]: US$2,709,000–US$6,226,000) to US$5,897,000 (95% CI: US$3,452,000–US$9,105,000), with livestock-associated losses representing between 80% and 94% of the total losses, depending on whether non-healthcare-seeking human cases were included and if livestock slaughter values were adjusted to account for underreporting. These estimates suggest that CE is responsible for considerable human and livestock-associated monetary losses in Rio Negro Province. Stakeholders and policymakers can use these data to better allocate public health and agricultural resources for this region.

Author Notes

* Address correspondence to Glenda M. Bingham, Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843-4458. E-mail: GBingham@tamu.edu

Authors' addresses: Glenda M. Bingham and Christine M. Budke, Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, E-mails: gbingham@tamu.edu and cbudke@cvm.tamu.edu. Edmundo Larrieu and Eduardo Hererro, Ministry of Health, Rio Negro Province Government, Viedma, Rio Negro Province, Argentina, E-mails: elarrieu@salud.rionegro.gov.ar and ehererro@salud.rionegro.gov.ar. Leonardo Uchiumi and Carlos Mercapide, Artemides Zatti Hospital, Viedma, Rio Negro Province, Argentina, E-mails: luchiumi@gmail.com and chmercapide@salud.rionegro.gov.ar. Guillermo Mujica and Mario Del Carpio, Rogelio Cortizo Hospital, Ingeniero Jacobacci, Rio Negro Province, Argentina, E-mails: mdelcarpio@yahoo.com.ar and jcsalvitti@yahoo.com.ar. Juan Carlos Salvitti, Ramon Carrillo Hospital, Bariloche, Rio Negro Province, Argentina, E-mail: jcsalvitti@yahoo.com.ar. Bo Norby, College of Veterinary Medicine, Michigan State University, East Lansing, MI, E-mail: bnorby@cvm.msu.edu.

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