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1994-10-24
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Document 1823
DOCN M94A1823
TI Current estimates of the economic costs of AIDS in Thailand and their
regional impacts.
DT 9412
AU Obremskey S; Viravaidya M; Sittitrai W; Brown T; Population and
Community Development Association, Bangkok,; Thailand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):443 (abstract no. PD0382). Unique
Identifier : AIDSLINE ICA10/94370752
AB OBJECTIVES: To quantify the economic impact of the AIDS epidemic in
Thailand in terms of health care costs, lost productivity, and impacts
on the family unit, especially children. To examine the regional
variations of impacts and implications for planning & budget
allocations. METHODOLOGY: Using recent projections of HIV prevalence and
AIDS cases, revised data on hospital costs of AIDS, and the discounted
adult years lost methodology of Over, Bertozzi, and Chin, aggregate
indirect costs of AIDS were calculated. Given the wide variation in
regional seroprevalences, the economic severity of the epidemic as a
function of economic outlook in each region was examined. RESULTS: 1)
Hospital treatment costs will rise from US $16 million in 1993 to $65
million in 2000; aggregate costs over the period will be $325 million;
2) More than 475,000 deaths will occur over the period with a cumulative
indirect cost exceeding $11 billion; 3) Per capita incomes in the North
and Central regions, the areas most heavily affected by the epidemic,
are 18% and 33% respectively of those in Bangkok, but they contain 40%
and 24% of HIV infections. This will disproportionately affect families
there, through inability to pay for medical care and need to remove
children from school for financial reasons or to meet labor shortfalls.
DISCUSSION AND CONCLUSIONS: 1) The regions most heavily affected have
the least ability to absorb the economic burden of AIDS; Government
policies to address these impacts must be implemented including
educational subsidies, redirection of development, and innovative
approaches to family and community based care; 2) individual families in
these regions will suffer greatly with long term consequences for
regional development. These will include depletion of family savings and
loss of educational opportunity for children.
DE Acquired Immunodeficiency Syndrome/*ECONOMICS/EPIDEMIOLOGY/ MORTALITY
*Health Care Costs Human Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).