1. Tristan Perez

2.  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

3.  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

4.  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

5.  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

6.  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

7.  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

8. Thank you