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The Economic Burden of Enteric Fever

Tristan Perez. The Economic Burden of Enteric Fever. Internship. Oxford University Clinical Research Unit in Nepal Based in Patan Hospital- one of the largest public hospitals in Kathmandu Focused on Enteric Fever Both lab work and clinical trials worked on

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The Economic Burden of Enteric Fever

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  1. Tristan Perez The Economic Burden of Enteric Fever

  2. Internship • Oxford University Clinical Research Unit in Nepal • Based in Patan Hospital- one of the largest public hospitals in Kathmandu • Focused on Enteric Fever • Both lab work and clinical trials worked on • My project- detailing how much it costs a household when someone contracts Typhoid fever

  3. Healthcare Situation in Nepal • Resistance of the population to treat the water they drink • Vaccine program against Typhoid Fever only begun on August 18 • Growing multi-drug resistance • Almost no insurance, so almost everyone pays out-of-pocket

  4. Project • Independent research project – Cost of Illness study • Household perspective • Both direct costs and indirect costs included • Interviews were conducted based on a questionnaire • Public hospital patients only

  5. Criteria • Full treatment • All ages • Fever started during July or August • Not hospitalized • Only persons not participating in other clinical trials • Persons with clinically diagnosed typhoid as well as confirmed by blood culture

  6. Overview • Average monthly wage: $71.23 • Average spent on (in dollars) • Direct Medical Costs: $14.98 • Direct Non-Medical Costs:$14.09 • Indirect Costs: $30.67 Average economic burden on household: $59.75

  7. Consequences • Affect public policy • Have an exact amount for what Enteric Fever costs • Convince population to treat water • First step to a cost-effectiveness study • Elimination of an unnecessarily endemic infectious disease

  8. Thank you

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