Economic Burden Associated with Head Louse (Pediculus humanus capitis) Infestation in Iran
Abstract
Background: The head louse infestation is a public health issue in the world especially, affecting most people who live in camps, school-aged children and their families. Head lice treatment has economic ramifications that often under calculated. The aim of this study was evaluation of economic burden associated with head louse infestation in Iran.
Methods: In a cross-sectional study, 500,002 infestations were diagnosed among suspected head lice infested people who referred to health care system in all provinces of Iran during 2017. Direct and indirect costs related to paid by patients and government systems were extracted by referring to accounting documents and interviews with patients and experts and were recorded in researcher-made forms. Microsoft Excel 2010 software was used for economic burden calculation.
Results: The incidence rate of head lice infestation in Iran was 500,002/79,926,270 (625.5 per 100,000 populations). Economic burden of head lice in the country was calculated at 5,790,143$. Direct and indirect costs, governmental cost, out of pocket and total costs of head lice were included 3.14$, 2.84$, 5.98$, 5.60$ and 11.58$ per case respectively.
Conclusion: The direct and indirect costs associated with treatment of infestations were relatively high. Therefore, the creation of medical facilities such as availability of diagnostic and treatment strategies can be effective in the control of infestation. The adoption of infestation prevention methods, such as health education to people at risk of infestation, reduces the incidence of head lice and imposition of related treatment costs on governmental health care system and head lice cases.
Bonilla DL, Durden LA, Eremeeva ME, Dasch GA (2013). The Biology and Taxonomy of Head and Body Lice—Implications for Louse-Borne Disease Prevention. PLoS Pathog, 9(11): e1003724.
Sangaré AK, Doumbo OK, Raoult D (2016). Management and Treatment of Human Lice. BioMed Research International, 2016:8962685.
Moosazadeh M, Afshari M, Keianian H, Nezammahalleh A, Enayati AA (2015). Prevalence of Head Lice Infestation and Its Associated Factors among Primary School Students in Iran: A Systematic Review and Meta-analysis. Osong Public Health Res Perspect, 6(6):346-356.
Burkhart CN, Burkhart CG (2007). Fomite transmission in head lice. J Am Acad Dermatol, 56: 1044–1047.
Canadian Paediatric Society (2004). Head lice infestations: A clinical update. Paediatrics & Child Health, 9(9):647-651.
Falagas ME, Matthaiou DK, Rafailidis PI, Panos G, Pappas G (2008). Worldwide Prevalence of Head Lice. Emerg Infect Dis, 14(9):1493-1494.
Amirkhani MA, Alavian SM, Maesoumi H, Aminaie T, Dashti M, Ardalan G, Ziaoddini H, Mirmoghtadaee P, Poursafa P, Kelishadi R (2011). A Nationwide Survey of Prevalence of Pediculosis in Children and Adolescents in Iran. Iran Red Crescent Med J, 13(3):167-170.
Saghafipour A, Nejati J, Zahraei-Ramazani A, Vatandoost H, Mozaffari E, Rezaei F (2017). Prevalence and Risk Factors Associated with Head Louse (Pediculus humanus capitis) in Central Iran. Int J Pediatr, 5(7): 5245-54.
Saghafipour A, Zahraei-Ramazani A, Vatandoost H, Mozaffari E, Rezaei F, Karami Jooshin M (2018). Prevalence and Risk Factors Associated with Head Louse (Pediculus humanus capitis) among Primary School Girls in Qom Province, Central Iran. Int J Pediatr, 6(4):7553-62.
Moradiasl E, Habibzadeh Sh, Rafinejad J, Abazari M, Sadeghieh Ahari S, Saghafipour A (2018). Risk Factors Associated with Head lice (Pediculosis) Infestation among Elementary School Students in Meshkinshahr County, North West of Iran. Int J Pediatr, 6(3): 7383-92.
Hansen RC, O’Haver J (2004). Economic Considerations Associated with Pediculus humanus capitis Infestation. Clin Pediatr, 43 (6):523-527.
Adhikari SR, Maskay NM (2003). The economic burden of Kala-azar in households of the Danusha and Mahottari districts of Nepal. Acta Trop, 88(1):1-2.
Uranw S, Meheus F, Baltussen R, Rijal S, Boelaert M (2013). The Household Costs of Visceral Leishmaniasis Care in South-eastern Nepal. PLoS Negl Trop Dis, 7(2): e2062.
Amirkhani MA, Aminaei T, Ardalan G, Dashti M, Islami M, Jamali M (2009). Guideline to prevention and treatment of lice infestation. 1nd ed. Iran: Seda Publishing Center. p. 23-24.
Willems S, Lapeere H, Haedens N, Pasteels I, Naeyaert JM, De Maeseneer J (2005). The importance of socio-economic status and individual characteristics on the prevalence of head lice in schoolchildren. Eur J Dermatol, 15(5):387-92.
Devleesschauwer B, Maertens de Noordhout C, Smit GSA (2014). Quantifying burden of disease to support public health policy in Belgium: opportunities and constraints. BMC Public Health, 14:1196.
Mashhadi I, Kavousi Z, Peymani P, Salman Zadeh Ramhormozi S, Keshavarz K (2017). Economic Burden of Scorpion Sting and Snake Bite from a Social Perspective in Iran. Shiraz E-Med J, 18(8): e57573.
Heydarpour F, Akbari Sari A, Mohebali M, Bokaie S (2017). Economic Burden of Cutaneous and Visceral Lishmaniasis in Iran in 2013. Iran J Epidemiol, 13 (1) :1-13.
West DP (2004). Head lice treatment costs and the impact on managed care. Am J Manag Care, 10(9):S277-82.
Bubik RJ, Cices A, Huynh T, Mueller K, Doytcheva K, Nardone B, Budris WA (2017). The unique pharmacoeconomic burden in managing head lice infestation. J Am Acad Dermatol, 76(6): AB257, JUN.
Files | ||
Issue | Vol 49 No 7 (2020) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijph.v49i7.3589 | |
PMCID | PMC7548503 | |
PMID | 33083302 | |
Keywords | ||
Head louse Pediculus humanus capitis; Infestation Iran |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |