Evidence map›Paper›PMID 31343064›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

The Health and Economic Burdens of Lymphatic Filariasis Prior to Mass Drug Administration Programs.

Christopher G Mathew, Alison A Bettis, Brian K Chu, Mike English, Eric A Ottesen, Mark H Bradley, Hugo C Turner

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
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

37 citing papers in PubMed.

  1. Article
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  6. Review
  7. An Unusual Presentation of Human Parotid Filariasis.Tropical medicine and infectious disease · 2025
    Article
  8. Article
  9. Review
  10. Fexinidazole and Corallopyronin A targetbioRxiv : the preprint server for biology · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Christopher G MathewCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom.
Alison A BettisLondon Centre for Neglected Tropical Disease Research, Imperial College London, United Kingdom.
Brian K ChuNeglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, Georgia.
Mike EnglishCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom.
Eric A OttesenNeglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, Georgia.
Mark H BradleyGlobal Health Programs, GlaxoSmithKline, London, United Kingdom.
Hugo C TurnerCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom.

Funding

Medical Research Council MR/R015600/1Wellcome TrustWellcome Trust 089276/B/09/7
6 · The paper itself

Abstract

backgroundThe Global Programme to Eliminate Lymphatic Filariasis (GPELF) was launched in 2000 with the goal of eliminating lymphatic filariasis (LF) as a public health problem by 2020. Despite considerable progress, the current prevalence is around 60% of the 2000 figure, with the deadline looming a year away. Consequently, there is a continued need for investment in both the mass drug administration (MDA) and morbidity management programs, and this paper aims to demonstrate that need by estimating the health and economic burdens of LF prior to MDA programs starting in GPELF areas.

methodsA previously developed model was used to estimate the numbers of individuals infected and individuals with symptomatic disease, along with the attributable number of disability-adjusted life years (DALYs). The economic burden was calculated by quantifying the costs incurred by the health-care system in managing clinical cases, the patients' out-of-pocket costs, and their productivity costs.

resultsPrior to the MDA program, approximately 129 million people were infected with LF, of which 43 million had clinical disease, corresponding to a DALY burden of 5.25 million. The average annual economic burden per chronic case was US $115, the majority of which resulted from productivity costs. The total economic burden of LF was estimated at US $5.8 billion annually.

conclusionsThese results demonstrate the magnitude of the LF burden and highlight the continued need to support the GPELF. Patients with clinical disease bore the majority of the economic burden, but will not benefit much from the current MDA program, which is aimed at reducing transmission. This assessment further highlights the need to scale up morbidity management programs.

Indexed as

Elephantiasis, FilarialCost of IllnessHumansMass Drug AdministrationPublic HealthQuality-Adjusted Life Yearseconomic burdenGPELFlymphatic filariasismass drug administrationNTD

Identifiers

PMID31343064
PMCPMC7286370

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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.