Tristan Perez
Oxford University Clinical Research Unit in Nepal Based in Patan Hospital- one of the largest public hospitals in Kathmandu Focused on Enteric Fever Both lab work and clinical trials worked on My project- detailing how much it costs a household when someone contracts Typhoid fever
Resistance of the population to treat the water they drink Vaccine program against Typhoid Fever only begun on August 18 Growing multi-drug resistance Almost no insurance, so almost everyone pays out-of-pocket
Independent research project – Cost of Illness study Household perspective Both direct costs and indirect costs included Interviews were conducted based on a questionnaire Public hospital patients only
Full treatment All ages Fever started during July or August Not hospitalized Only persons not participating in other clinical trials Persons with clinically diagnosed typhoid as well as confirmed by blood culture
Average monthly wage: $71.23 Average spent on (in dollars) Direct Medical Costs: $14.98 Direct Non-Medical Costs:$14.09 Indirect Costs: $30.67 Average economic burden on household: $59.75
Affect public policy Have an exact amount for what Enteric Fever costs Convince population to treat water First step to a cost-effectiveness study Elimination of an unnecessarily endemic infectious disease
Thank you