Skip to main content
. 2022 Oct 14;16(10):e0010540. doi: 10.1371/journal.pntd.0010540

Table 2. Estimates of the dual burden of zoonoses.

Zoonotic disease/ pathogen Based on Year Country/Region DALY ALE zDALY Uncertainty and distribution
Rabies (Lyssavirus) Knobel et al.[18] Human data: 1996–2000, 2003
Livestock cost: 2002
Africa and Asia Africa: 835,380 (281,198–1,387,050)
Asia: 1,141,077 (3,844,311-1,898,325)
Total: 1,882,387 (907,507–2,874,205)
Total without PEP: 10,068,537 (5,373,433–14,747,882)
Africa: 1858 (1661–2055)
Asia: 4157 (3733–4580)
Total: 7334 (6612–8055)
Africa: 837,158 (283,087–1,388,963)
Asia: 1,145,287 (388,592–1,902,310)
Total: 1,889,928 (914,795–2,881,607)
Total without PEP: 10,075,831 (5,380,459–14,755,386)
90% CI Uniform distribution
Hampson et al.[24] 2010 Worldwide Asia 2: 368,376 (94,862–640,037)
Asia 3: 462097 (94,090–833,514)
Asia 4: 46619 (11,803–81,145)
China: 365023 (74,959–658,747)
India: 1,909,088 (453,985–3,358,527)
Indonesia: 105605 (16575–193418)
North Africa: 251,128 (48,721–455,977)
Congo Basin: 636,550 (263,527–1,011,627)
West Africa: 587,499 (224,634–952,020)
SADC: 939,689 (197,503–1,673,558)
Andean: 1994 (101–3898)
Brazil: 998 (50–1949)
Caribbean: 10459 (4308–16,672)
Central America: 1493 (75–2925)
Southern Cone: 503 (24–976)
Eastern Europe: 2497 (128–4875)
Eurasia:
206583 (54,047–359,951)
Middle East: 22,594 (6822–38,167)
Total: 5,916,890 (1,544,600–10,282,026)
Asia 2: 420 (44–1611)
Asia 3: 87 (0.6–453)
Asia 4: 34 (6–207)
China: 1448 (405–2477)
India: 4580 (1439–7724)
Indonesia: 22 (0–506)
North Africa: 8 (0.5–73)
Congo Basin: 3 (0.3–36)
West Africa: 11 (0–186)
SADC: 5 (0–57)
Andean: 2 (0.2–11)
Brazil: 3 (2–5)
Caribbean: 0 (0–2)
Central: 0.03 (0–5)
Southern Cone: 0 (0–4)
Eastern Europe: 0.12 (0–2)
Eurasia: 5 (1–62)
Middle East: 0.15 (0.02–3)
Total: 279 (101–466)
Asia 2: 367,849 (94,900–641,049)
Asia 3: 464,757 (94,279–833,473)
Asia 4: 46485 (11,854–81,205)
China: 368,536 (76,900–660,044)
India: 1907787 (457,488–3,364,968)
Indonesia: 105,310 (16,715–193,698)
North Africa: 253,229 (48,634–456,088)
Congo Basin: 638,791 (263,413–1,011,283)
West Africa: 587,641 (225,199–952,027)
SADC: 934,682 (196,022–1,674,590)
Andean: 2009 (104–3905)
Brazil: 1006 (52–1952)
Caribbean: 10,467 (4324–16,675)
Central America: 1491 (74–2925)
Southern Cone: 500 (26–975)
Eastern Europe: 2509 (126–4874)
Eurasia: 206,690 (54,015–360,086)
Middle East: 22,532 (6848–38,182)
Total: 5,920,014 (1,547,860–10,290,815)

95% CI Uniform distribution, Poisson
Rabies (Lyssavirus) Shwiff et al.[27] 2005–2014 Viet Nam Age 26: 4956 (3432–6471); Age 31: 4450 (3086–5824); Age 36: 3955 (2744–5176) 3985 (1485–6491) Age 26: 5815 (4292–7331); Age 31: 5309 (3946–6683); Age 36: 4814 (3603–6035)
Total: 5316 (4382–6244)
95% CI Uniform distribution
Sultanov et al.[28] 2003–2015
Human data: 2007, 2010–2015
Kazakhstan Total: 454 (339–593)
Without PEP: 7827 (4746–12074)
Cattle: 3 (2.8–3.25)
Sheep: 0.09 (0.07–0.11); Camel: 0.016 (0.009–0.03) Horse: 0.3 (0.24–0.42)
Total: 3.42 (3.16–3.7)
Cattle: 457 (342–596)
Sheep: 454 (339–594)
Camel: 454 (339–594)
Horse: 339 (454–594)
Total: 457 (342–597).
Without PEP:
Cattle: 7830 (4749–12,077)
Sheep: 7827 (4746–12,074)
Camel: 7827 (4746–12,074)
Horse: 7827 (4746–12,076)
Total: 7831 (4749–12,077)
95% CI Gamma distribution
Cystic echinococcosis (E. granulosus) Budke et al.[19] 1996–2003 Worldwide Unadjusted:
292,111 (222,377–362,385)
Adjusted for underreporting:
1,019,530 (869,875–1,167,877)
Unadjusted: 2,782,397 (2,084,548–3,489,591)
Adjusted for underreporting:
4,916,173(3,495,999–6,341,741)
Unadjusted:
3,075,118 (2,371,693–3,788,135)
Adjusted for underreporting:
5,935,463 (4,497,316–7,377,636)
95% CI
Uniform distribution
Moro et al.[22] 2010 Peru 1139 1099 (792–1407) 2238 (1931–2546) 95% CI Uniform distribution
Echinococcosiss: alveolar echinococcosis (E. multilocularis) and cystic echinococcosis (E. granulosus) Budke et al.[20] 2001–2003 China (Shiqu County) 1100 Total losses (excluding losses in calf production, carcass weight, and yak hide): 247 (214–279)
Total losses (including losses in calf production, carcass weight, and yak hide): 389 (342–438)
Total losses (excluding losses in calf production, carcass weight, and yak hide): 1347 (1314–1379)
Total losses (including losses in calf production, carcass weight, and yak hide): 1490 (1442–1537)
95% CI
Uniform distribution
Cysticercosis (Taenia solium) Trevisan et al.[21] 2007 Mozambique (Angónia district) 2027 (1428–2761) Without the proportion of pigs sold: 141 (81–230)
Total: 47 (27–76)
Without the proportion of pigs sold: 2173 (1569–2909)
Total: 2075 (1476–2809)
95% UI
Gamma distribution
Praet et al.[22] 2008 Cameroon 58,987 (16,329–101,231) 568 (439–697) 59,540 (16,896–101,803) 95% CR
Uniform distribution
Cysticercosis (Taenia solium) Trevisan et al.[26] 2012 Tanzania 30,443 (9264–72,115) 3985 (1485–6491) 34,455 (12,993–76,193) 95% UI Gamma distribution; Uniform distribution
Brucellosis (Brucella spp) Charypkhan et al.[29] 2006–2015 Kazakhstan 713 (661–766) 1730 (1729–1731) 2443 (2391–2496) 95% CI
Poisson distribution
Brucella, Anthrax, Tularemia, CCHF, Rabies, Cystic Echinococcosis, Toxoplasmosis Ari et al.[31] 2016–2018 Turkey Brucella: 1083 (818–1314)
Anthrax: 30 (0–135)
Total (Brucella, Anthrax, Tularemia, CCHF, Rabies, Cystic Echinococcosis, Toxoplasmosis): 1686 (1463–2207)
Brucella large ruminant: 1410 (840–3324)
Brucella small ruminant: 265 (119–831)
Brucella total: 1675 (959–4155)
Anthrax large ruminant: 116 (97–240)
Anthrax small ruminant: 56 (46–111)
Anthrax total: 3176 (1103–7456)
Total: 1851 (1104–4500)
Brucella large ruminant: 2493 (1659–4637)
Brucella small ruminant: 1348 (937–2144)
Brucella total: 2758 (1778–5467)
Anthrax large ruminant: 127 (116–375)
Anthrax small ruminant: 76 (56–246)
Anthrax total: 173 (166–486)
Total: 3538 (2567–6706)
95% CI Poisson distribution
Q fever (Coxiella burnetti) van Asseldonk et al.[25] 2007–2011 Netherlands 2833 (1071–4603) 2.86 (1.07–4.6) 2843 (1071–4603) 95% CI Uniform distribution
Leptospirosis (Leptospira spp) Sanhueza et al.[30] 2013–2019 New Zealand At risk of leptospirosis: 14.07 (95% PI: 1.86–80.73)
Not at risk of leptospirosis: 3.69 (95% PI: 0.49–21.20)
Total: 17.76 (95% PI: 2.35–101.93)
178 At risk of leptospirosis: 192
Not at risk of leptospirosis: 182
Total: 196
----

The sum of values may not be exact since they are based on estimations randomly generated. Most values are rounded to two significant figures.