Author details

To estimate the total number of DALY for the year 2017, we calculated the ratio between dengue cases and DALY for 2015 with the WHO and PAHO figures and extrapolate the results as discussed in section "Materials and methods." Population has been updated too, to correspond to the year 2017. DALY adjusted for population present a dramatic decline of 76.53% in average due to the decrease in total number of dengue cases. Additionally, the total treatment cost of the disease decreased 77.8% in average (from 2015 to 2017), being Dominica Republic the country with the highest reduction rate (92.8%). It is worth saying that the change in the figures is closely tied to the change in the number of dengue cases since the cost per patient

As result of the decline in the number dengue cases in 2017, the share of the total costs

GDP (US Dollars billions) 2,081 307 75 1,142 Health expenditure (% of GDP) 8.9 6.2 6.2 5.9 Health expenditure (US Dollars billions) 185 19 5 67 Total ambulatory (%) 0.03% 0.04% 0.01% 0.07% Total hospitalized (%) 0.00% 0.00% 0.00% 0.00% Total cost (%) 0.03% 0.05% 0.01% 0.07%

Source: PAHO. 2017. Week 52. Martelli, et al. (2015) [19], Castro, et al. (2015) [18], Undurraga, et al. (2014) [17], Shepard,

Table 8. Total health expenditure and 2017 total economic cost as share of the total health expenditure (2017 dollars).

Brazil Colombia The Dominican Republic Mexico

Cost per patient do not vary since they are expressed in 2017 dollar are correspond to the figures obtained in the

Figure 7. Normalized results. 2017. Source: PAHO. 2017. Week 52. Martelli, et al. (2015) [19], Castro, et al. (2015) [18],

remained the same (Table 8).<sup>15</sup>

34 Dengue Fever - a Resilient Threat in the Face of Innovation

et al. (2011) [20]. Prices 2017.

15

respective studies reviewed.

Undurraga, et al. (2014) [17], Shepard, et al. (2011) [20]. Prices 2017.

decreased to almost a fifth of the share in 2015 (Figure 7).

Raúl Castro Rodríguez\*, Jorge Armando Rueda-Gallardo and Manuel Felipe Avella-Niño

\*Address all correspondence to: rcastro@uniandes.edu.co

Department of Economics, Universidad de los Andes, Bogotá D.C., Colombia
