Global Socioeconomic Impact of Cystic Echinococcosis

Cystic echinococcosis (CE) is an emerging zoonotic parasitic disease throughout the world. Human incidence and livestock prevalence data of CE were gathered from published literature and the Office International des Epizooties databases. Disability-adjusted life years (DALYs) and monetary losses, resulting from human and livestock CE, were calculated from recorded human and livestock cases. Alternative values, assuming substantial underreporting, are also reported. When no underreporting is assumed, the estimated human burden of disease is 285, 407 (95% confidence interval CI, 218, 515-366, 133) DALYs or an annual loss of US 193, 529, 740 (95% CI, 171, 567, 331-217, 773, 513). When underreporting is accounted for, this amount rises to 1, 009, 662 (95% CI, 862, 119-1, 175, 654) DALYs or US 763, 980, 979 (95% CI, 676, 048, 731-857, 982, 275). An annual livestock production loss of at least US 141, 605, 195 (95% CI, 101, 011, 553-183, 422, 465) and possibly up to US 2, 190, 132, 464 (95% CI, 1, 572, 373, 055-2, 951, 409, 989) is also estimated. This initial valuation demonstrates the necessity for increased monitoring and global control of CE.