Table 2. Direct costs used for lymphatic filariasis with lower and upper limits [between brackets].
LF Sequela | WHO region | Annual Direct Costs2 (int US$) | Patients Seeking Treatment | Patients that have ADLA | Source |
---|---|---|---|---|---|
ADLA1 Lymphedema | WHO AFRO3 | 0.36 [0.6–1.25] | 65% [55% - 70%] | 95% [90–95%] | [40] |
WHO SEARO4 | 5.60 [0.93–19.43] | ||||
WHO WPRO5 | 19.60 [3.27–68.1] | ||||
WHO AMRO6 | 6.009 [1.0–20.82] | ||||
WHO EMRO7 | 0.36 [0.06–1.25] | ||||
All GPELF countries8 | 6.00 [1.0–20.82] | ||||
India11 | (same as SEARO) | 85% [65% - 98%] | 95% [90–95%] | [40,43,44,80] | |
ADLA Hydrocele | WHO AFRO | 0.18 [0.3–0.62] | 65% [55% - 70%] | 70% [45% - 90%] | [40] |
WHO SEARO | 2.80 [0.47–9.72] | ||||
WHO WPRO | 9.80 [1.63–34.01] | ||||
WHO AMRO | 0.18 [0.03–0.62] | ||||
WHO EMRO | 0.18 [0.03–0.62] | ||||
All GPELF countries | 3.00 [0.50–10.41] | ||||
India11 | (same as SEARO) | 85% [65% - 98%] | 70% [45% - 90%] | [40,43,44,80] | |
Chronic Lymphedema | All regions | 4.3 [0.85–15.0] | 50% [30–55%] | - | [40] |
India11 | 65% [49–74%] | - | [40,43,80] | ||
Chronic Hydrocele 10 | All regions | 2.9 [0.55–10.05] | 40% [20–50%] | - | [40] |
India11 | 60% [49–74%] | - |
1. ADLA—acute dermatolymphangioadenitis.
2. Based on an average of two ADLA episodes a year for hydrocele and four ADLA episodes a year for lymphedema [40].
3. WHO AFRO—World Health Organization African Region.
4. WHO SEARO—World Health Organization Region South-East Asia.
5. WHO WPRO—World Health Organization Western Pacific Region.
6. WHO AMRO—World Health Organization Americas Region.
7. WHO EMRO—World Health Organization Eastern Mediterranean Region.
8. GPELF–Global Programme to Eliminate Lymphatic Filariasis.
9. Since the region-specific estimate was not mentioned, the global average was used [40].
10. Hydrocelectomy already included in the chronic cost of hydrocele.
11. Different estimates were used for India due to more primary data available suggesting estimates differ from other regions. [40].