Evidence map›Paper›PMID 26910907›Full record

ArticlePLoS neglected tropical diseases2016

Costs of Dengue Control Activities and Hospitalizations in the Public Health Sector during an Epidemic Year in Urban Sri Lanka.

Neil Thalagala, Hasitha Tissera, Paba Palihawadana, Ananda Amarasinghe, Anuradha Ambagahawita, Annelies Wilder-Smith, Donald S Shepard, Yeşim Tozan

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  5. Evaluation of mycoparasiticFrontiers in cellular and infection microbiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 5 countries.

Neil ThalagalaNational Child Health Programme, Family Health Bureau, Ministry of Health, Colombo, Sri Lanka.
Hasitha TisseraEpidemiology Unit, Ministry of Health, Colombo, Sri Lanka.
Paba PalihawadanaEpidemiology Unit, Ministry of Health, Colombo, Sri Lanka.
Ananda AmarasingheEpidemiology Unit, Ministry of Health, Colombo, Sri Lanka.
Anuradha AmbagahawitaEpidemiology Unit, Ministry of Health, Colombo, Sri Lanka.
Annelies Wilder-SmithDepartment of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Donald S ShepardBrandeis University, The Heller School for Social Policy and Management, Waltham, Massachusetts, United States of America.
Yeşim TozanInstitute of Public Health, Heidelberg University Medical School, Heidelberg, Germany.
Ministry of Health, Nutrition and Indigenous Medicine · LKBrandeis University · USNanyang Technological University · SGNew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReported as a public health problem since the 1960s in Sri Lanka, dengue has become a high priority disease for public health authorities. The Ministry of Health is responsible for controlling dengue and other disease outbreaks and associated health care. The involvement of large numbers of public health staff in dengue control activities year-round and the provision of free medical care to dengue patients at secondary care hospitals place a formidable financial burden on the public health sector.

methodsWe estimated the public sector costs of dengue control activities and the direct costs of hospitalizations in Colombo, the most heavily urbanized district in Sri Lanka, during the epidemic year of 2012 from the Ministry of Health's perspective. The financial costs borne by public health agencies and hospitals are collected using cost extraction tools designed specifically for the study and analysed retrospectively using a combination of activity-based and gross costing approaches.

resultsThe total cost of dengue control and reported hospitalizations was estimated at US$3.45 million (US$1.50 per capita) in Colombo district in 2012. Personnel costs accounted for the largest shares of the total costs of dengue control activities (79%) and hospitalizations (46%). The results indicated a per capita cost of US$0.42 for dengue control activities. The average costs per hospitalization ranged between US$216-609 for pediatric cases and between US$196-866 for adult cases according to disease severity and treatment setting.

conclusionsThis analysis is a first attempt to assess the economic burden of dengue response in the public health sector in Sri Lanka. Country-specific evidence is needed for setting public health priorities and deciding about the deployment of existing or new technologies. Our results suggest that dengue poses a major economic burden on the public health sector in Sri Lanka.

Indexed as

AdultCost of IllnessDengueDisease OutbreaksFemaleHospitalizationHumansMalePublic HealthPublic SectorRetrospective StudiesSri LankaUrban HealthYoung Adult

Identifiers

PMID26910907
PMCPMC4766086
OpenAlexW2283495904

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.