The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method

Cystic echinococcosis (CE) is a major zoonosis in Morocco despite the launch of a national control programme in 2005. As its economic consequences have not been studied yet in Morocco, this study estimated CE impact in terms of monetary losses, disability-adjusted life years (DALY), and DALY for zoo...

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Veröffentlicht in:PLoS neglected tropical diseases 2020-07, Vol.14 (7), p.e0008410-e0008410
Hauptverfasser: Saadi, Aouatif, Amarir, Fatimaezzahra, Filali, Hind, Thys, Séverine, Rhalem, Abdelkbir, Kirschvink, Nathalie, Raes, Marianne, Marcotty, Tanguy, Oukessou, Mohamed, Duchateau, Luc, Sahibi, Hamid, Antoine-Moussiaux, Nicolas
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creator Saadi, Aouatif
Amarir, Fatimaezzahra
Filali, Hind
Thys, Séverine
Rhalem, Abdelkbir
Kirschvink, Nathalie
Raes, Marianne
Marcotty, Tanguy
Oukessou, Mohamed
Duchateau, Luc
Sahibi, Hamid
Antoine-Moussiaux, Nicolas
description Cystic echinococcosis (CE) is a major zoonosis in Morocco despite the launch of a national control programme in 2005. As its economic consequences have not been studied yet in Morocco, this study estimated CE impact in terms of monetary losses, disability-adjusted life years (DALY), and DALY for zoonotic diseases (zDALY) in the entire country and in specific regions for the 2011 to 2014 period. The direct monetary losses were related to organ seizure from infected animal in slaughterhouses, and to healthcare expenses as well as lost wages for infected humans. Animal production losses concerned milk yield, fertility, carcass weight, and wool production. Losses due to human infection were also composed of disability and productivity losses at work. Monte Carlo simulations were used to estimate monetary losses and zDALY values. Nationwide, the estimated DALY was 0.5 years per 100,000 persons per year, and the zDALY was 55 years per 100,000 persons per year. Total yearly losses were estimated at 73 million USD (54-92 million USD). However, losses differed significantly among regions. Most of the economic losses consisted of unperceived consequences, i.e. decreased animal production and reduced productivity of asymptomatic individuals. Future studies should determine the socioeconomic and epidemiological factors underlying the differences in economic losses among regions to develop better adapted control programmes.
doi_str_mv 10.1371/journal.pntd.0008410
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subjects Abattoirs
Animal Husbandry
Animal Husbandry/economics
Animal production
Animals
Biology and Life Sciences
Carcasses
Care and treatment
Cattle
Computer simulation
Cysts
Disease
Echinococcosis
Echinococcosis/economics
Echinococcosis/epidemiology
Economic aspects
Economic impact
Economics
Epidemiology
Evaluation
Fertility
Food Parasitology
Health aspects
Humans
Infections
Infectious Diseases
Life sciences
Livestock
Medical economics
Medicine and Health Sciences
Methods
Milk
Models, Economic
Monte Carlo Method
Monte Carlo simulation
Morocco
Morocco/epidemiology
Mortality
Parasitic diseases
Pathology
People and Places
Physical sciences
Planning
Preventive medicine
Productivity
Programmes
Public health
Public Health, Environmental and Occupational Health
Quality of life
Regions
Research and analysis methods
Sciences du vivant
Seizures
Social Sciences
Socio-economic aspects
Socioeconomic aspects
Socioeconomic Factors
Socioeconomics
Statistical analysis
Statistical methods
Surgery
Tropical diseases
Ultrasonic imaging
Veterinary medicine
Wool
Zoonoses
Zoonoses/economics
Zoonoses/epidemiology
title The socio-economic burden of cystic echinococcosis in Morocco: A combination of estimation method
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