Skip Navigation



Health Policy and Planning Advance Access published online on September 9, 2005
Health Policy and Planning, doi:10.1093/heapol/czi041
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
20/6/347    most recent
czi041v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Peabody, J. W
Right arrow Articles by Luck, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Peabody, J. W
Right arrow Articles by Luck, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved.

Original Papers

The burden of disease, economic costs and clinical consequences of tuberculosis in the Philippines

John W Peabody 1*, Riti Shimkhada 2, Carlos Tan Jr 3, and Jeff Luck 2

1 Institute for Global Health, University of California at San Francisco, USA; San Francisco Veterans Affairs Research Enhancement Award Program, San Francisco, USA; RAND, Santa Monica, California, USA; School of Public Health, University of California, Los Angeles, California, USA
2 School of Public Health, University of California, Los Angeles, California, USA
3 University of the Philippines School of Economics, Quezon City, Philippines

* To whom correspondence should be addressed.
John W Peabody, E-mail: peabody{at}psg.ucsf.edu


  Abstract

Objective: To provide a multidisciplinary and comprehensive analysis on the impact of tuberculosis (TB) in a high incidence country.

Methods: Data from several large scale surveys, carried out between 1997 and 2001 in the Philippines, were used to: (1) perform a burden of disease (BoD) analysis, (2) model the economic costs to society due to lost wages, and (3) determine the clinical outcomes, including the costs of care, for a hypothetical cohort of TB cases.

Results: Over 500 000 disability-adjusted life years (DALYs) are lost due to illness and premature mortality from TB in the Philippines annually. This is equal to 9% of all years of life lost (YLL) in the Philippines. The combined economic losses due to premature mortality and morbidity total PhP8 billion (approximately US$145 million). Clinically, only 28% of patients with incident active TB are diagnosed and successfully treated, while 20% of patients will die without ever being diagnosed and 6% more will die after they are diagnosed because they do not receive adequate care. The costs of treating all</it> expected cases requires between PhP475-1625 million (approximately US$8-29 million) annually.

Conclusion: The high burden of disease from TB, large economic losses from mortality and morbidity from TB and the poor clinical outcomes all suggest that there is an urgent need for an increased investment in TB control. The costs of providing this treatment appear to be significantly lower than the current economic losses.

Keywords: tuberculosis; pulmonary; burden of illness; costs; disease; Philippines.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.