Costs of dengue prevention and incremental cost of dengue outbreak control in Guantanamo, Cuba

A Baly, ME Toledo, K Rodriguez, JR Benitez, M Rodriguez, M Boelaert, V Vanlerberghe, P Van der Stuyft

    Research output: Contribution to journalA1: Web of Science-articlepeer-review


    Objective To assess the economic cost of routine Aedes aegypti control in an at-risk environment without dengue endemicity and the incremental costs incurred during a sporadic outbreak. Methods The study was conducted in 2006 in the city of Guantanamo, Cuba. We took a societal perspective to calculate costs in months without dengue transmission (January-July) and during an outbreak (August-December). Data sources were bookkeeping records, direct observations and interviews. Results The total economic cost per inhabitant (p.i.) per month. (p.m.) increased from 2.76 USD in months without dengue transmission to 6.05 USD during an outbreak. In months without transmission, the routine Aedes control programme cost 1.67 USD p.i. p.m. Incremental costs during the outbreak were mainly incurred by the population and the primary/secondary level of the healthcare system, hardly by the vector control programme (1.64, 1.44 and 0.21 UDS increment p.i. p.m., respectively). The total cost for managing a hospitalized suspected dengue case was 296.60 USD (62.0% direct medical, 9.0% direct non-medical and 29.0% indirect costs). In both periods, the main cost drivers for the Aedes control programme, the healthcare system and the community were the value of personnel and volunteer time or productivity losses. Conclusions Intensive efforts to keep A. aegypti infestation low entail important economic costs for society. When a dengue outbreak does occur eventually, costs increase sharply. In-depth studies should assess which mix of activities and actors could maximize the effectiveness and cost-effectiveness of routine Aedes control and dengue prevention.
    Original languageEnglish
    JournalTropical Medicine and International Health
    Issue number1
    Pages (from-to)123-132
    Publication statusPublished - 2012


    • B780-tropical-medicine
    • Viral diseases
    • Dengue
    • Vectors
    • Mosquitoes
    • Aedes aegypti
    • Health systems
    • Health care financing
    • Outbreak control
    • Economic aspects
    • Cost analysis
    • Household expenditures
    • Hospitals
    • Primary health services
    • Prevention
    • Control programs
    • Indirect costs
    • Cuba
    • Caribbean
    • America-Latin


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