{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T13:26:55Z","timestamp":1715866015317},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,17]]},"abstract":"<jats:p>Dengue, a mosquito-borne viral infection that affects millions around the world, poses a substantial economic burden in endemic countries. We conducted a prospective costing study in hospitalized pediatric dengue patients at the Lady Ridgeway Hospital for Children (LRHC), a public pediatric hospital in Colombo district, Sri Lanka, to assess household out-of-pocket and hospitalization costs of dengue in pediatric patients during peak dengue transmission season. Between August and October 2013, we recruited 216 hospitalized patients (aged 0\u20133 years, 27%; 4\u20137 years, 29%; 8\u201312 years, 42%) who were clinically or laboratory diagnosed with dengue. Using 2013 US dollars, household out-of-pocket spending, on average, was US$59 (SD 49) per episode and increased with disease severity (DF, US$52; DHF\/DSS, US$78). Pediatric dengue patients received free-of-charge medical care during hospitalization at LRHC, and this places a high financial burden on hospitals. The direct medical cost of hospitalization was US$68.0 (SD 31.4) for DF episode, and US$122.7 (SD 65.2) for DHF\/DSS episode. Yet a hospitalized dengue illness episode still accounted for 20% to 35% of household monthly income due to direct and indirect costs. Additionally, a majority of caregivers (70%) sought outpatient care before hospitalization, most of whom (81%) visited private health facilities. Our findings indicate that hospitalized pediatric dengue illness poses a nontrivial cost burden to households and healthcare systems, emphasizing the importance of preventing and controlling the transmission of dengue in endemic countries.<\/jats:p>","DOI":"10.4269\/ajtmh.20-1179","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T18:43:11Z","timestamp":1621276991000},"source":"Crossref","is-referenced-by-count":2,"title":["Household and Hospitalization Costs of Pediatric Dengue Illness in Colombo, Sri Lanka"],"prefix":"10.4269","author":[{"given":"Enoka","family":"Sonali Fernando","sequence":"first","affiliation":[{"name":"1Health Office Egodauyana, Ministry of Health, Colombo, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler Y.","family":"Headley","sequence":"additional","affiliation":[{"name":"2Department of Political Science, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasitha","family":"Tissera","sequence":"additional","affiliation":[{"name":"3Epidemiology Unit, Ministry of Health, Colombo, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annelies","family":"Wilder-Smith","sequence":"additional","affiliation":[{"name":"4Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany;"},{"name":"5Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom;"},{"name":"6Department of Epidemiology and Global Health, Ume\u00e5 University, Ume\u00e5, Sweden;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amala","family":"De Silva","sequence":"additional","affiliation":[{"name":"7Department of Economics, University of Colombo, Colombo, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yesim","family":"Tozan","sequence":"additional","affiliation":[{"name":"2Department of Political Science, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates;"},{"name":"8School of Global Public Health, New York University, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.20-1179\/article-10.4269-ajtmh.20-1179.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/aop\/article-10.4269-ajtmh.20-1179\/article-10.4269-ajtmh.20-1179.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T18:50:20Z","timestamp":1621277420000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/aop\/article-10.4269-ajtmh.20-1179\/article-10.4269-ajtmh.20-1179.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,17]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4269\/ajtmh.20-1179","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,17]]}}}