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The Economic Impact of Pig-Associated Parasitic Zoonosis in Northern Lao PDR
Authors:Adnan Ali Khan Choudhury  James V Conlan  Vanessa Nadine Racloz  Simon Andrew Reid  Stuart D Blacksell  Stanley G Fenwick  Andrew R C Thompson  Boualam Khamlome  Khamphouth Vongxay  Maxine Whittaker
Institution:1. School of Population Health, University of Queensland, Room 326, Maine Medical Building, Medical School Herston Rd, Herston, Brisbane, QLD, 4006, Australia
2. School of Veterinary and Biomedical Sciences, Murdoch University, Murdoch, WA, Australia
3. Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
4. Nuffield Department of Clinical Medicine, Center for Tropical Medicine, Churchill Hospital, Oxford, UK
5. Department of Hygiene and Prevention, Ministry of Health, Vientiane, Lao People’s Democratic Republic
6. Department of Livestock and Fisheries, National Animal Health Centre, Ministry of Agriculture and Fisheries, Vientiane, Lao People’s Democratic Republic
Abstract:The parasitic zoonoses human cysticercosis (Taenia solium), taeniasis (other Taenia species) and trichinellosis (Trichinella species) are endemic in the Lao People’s Democratic Republic (Lao PDR). This study was designed to quantify the economic burden pig-associated zoonotic disease pose in Lao PDR. In particular, the analysis included estimation of the losses in the pork industry as well as losses due to human illness and lost productivity. A Markov-probability based decision-tree model was chosen to form the basis of the calculations to estimate the economic and public health impacts of taeniasis, trichinellosis and cysticercosis. Two different decision trees were run simultaneously on the model’s human cohort. A third decision tree simulated the potential impacts on pig production. The human capital method was used to estimate productivity loss. The results found varied significantly depending on the rate of hospitalisation due to neurocysticerosis. This study is the first systematic estimate of the economic impact of pig-associated zoonotic diseases in Lao PDR that demonstrates the significance of the diseases in that country.
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