Abstract

MODESTO C, Juan; MORALES P, Alfonso; CABANILLAS, Oswaldo  and  DIAZ, César. Impacto económico de la peste bubónica en Cajamarca - Perú¹. Rev. perú. med. exp. salud publica [online]. 2002, vol.19, n.2, pp.74-82. ISSN 1726-4634.

Objectives: To determine the economic impact of plague in three provinces of Cajamarca department in 1994 and 1999. Materials and methods: In this observational, cross-sectional and descriptive study, we estimated the direct and indirect costs (institutional, familial, and community costs) of plague in San Miguel, San Pablo, and Contumazá Provinces in Cajamarca Department for 1994 and 1999. Data for cost calculation was obtained from different sources: data compilation, interviews to health care workers and/or directors or managers of health institutions and health facilities, home surveys, etc. Results: In 1994, the total estimated cost of plague rose to US$ 2´333,169. This cost was divided as follows: MINSA (Ministry of health, working materials) (US$ 65,034), MINSA-direct attention (US$ 81,388), institutional cost (US$ 106,428), family cost (US$ 663,449), and mortality cost (US$1´416,870). In 1999, the total cost rose to US$ 741,431, and it was divided as follows: MINSA - working materials (US$ 322,371), MINSA-direct attention (US$ 34,063), institutional cost (US$ 15,477), family cost (US$ 369,550) and no cost for mortality. Conclusions: Plague has a high cost for the regional economy of Peru, and there are annual costs variations, according to the disease behavior and the policies for its control and prevention. 

Keywords : Plague; Economics; Cost of illness; Health care costs; Health expenditures; Peru.

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