The Financial Costs Associated with Porcine Cysticercosis and Epilepsy in Iringa Rural District

Abstract

Taenia solium cysticercosis is a zoonotic disease that poses serious public health risk and significant economic losses in the pig industry. Human neurocysticercosis is recognized as an important cause of epilepsy in regions where T. solium is endemic. The monetary burden caused by T. solium cysticercosis condemned pigs and epilepsy is under-reported in Tanzania, Iringa rural district being no exception. The aim of the present study was to estimate the financial costs associated with porcine cysticercosis (PCC) and epilepsy in Iringa rural areas. The study employed questionnaires and interviews to explore the public health and socio-economic impacts of T. solium cysticercosis. A total of 365 randomly selected participants comprising of 306 pig farmers and 59 families with epileptic patients were involved in the survey. The findings indicated that the average selling price was USD 84 for mature pigs and ranged from USD 13 - 27 for piglets. The estimated annual monetary loss due to PCC was USD 144,449. The estimated monetary burden due to epilepsy management in hospitals and/or by traditional healers was USD 78,592 per annum. It is concluded that the monetary burden incurred by pig farmers due to PCC caused economic loss at both the subsistence and commercial levels. Yet, epilepsy has serious potential economic impacts through direct and indirect costs incurred on the management of epileptic patients from family to national level. It is hence recommended to practice indoor pig keeping for the elimination of economic losses caused by PCC infection. There is an urgent need to raise awareness on the economic burden caused by porcine cysticercosis and epilepsy in Iringa rural district.

Share and Cite:

Nkwengulila, G. (2014) The Financial Costs Associated with Porcine Cysticercosis and Epilepsy in Iringa Rural District. Health, 6, 2959-2965. doi: 10.4236/health.2014.621334.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Carabin, H., Cowan, L., Christine, M.B., Nash, T. and Willingham III, A.L. (2005) Methods of Assessing the Global Burden of Taenia solium Cysticercosis/Taeniosis. Trends in Parasitology, 21, 327-333.
http://dx.doi.org/10.1016/j.pt.2005.05.009
[2] Cate, E.D., Florence, K.M., Mike, L. and Jared, M.W. (2011). Educating People Participating in the Pig Industry to Reduce Epilepsy Due to Taenia solium. Novel Aspects on Epilepsy, 12, 213-220.
[3] Engels, D., Urban, C., Belotto, A., Meslin, F. and Savioli, L. (2003) The Control of (Neuro) Cysticercosis; Which Way Forward? Acta Tropica, 87, 177-182.
http://dx.doi.org/10.1016/S0001-706X(03)00064-0
[4] Ngowi, H.A., Mkupasi, E.M., Lekule, F.P., Willingham III, A.L. and Thamsborg, S.M. (2011) Impact of Farmer Education on Their Knowledge, Attitudes, and Practices in Southern Tanzania: A Case for Taenia solium Control. Livestock Research for Rural Development, 23, Article #2.
[5] Zoli, A., Nguekam, S.O., Nsame, D.N., Speybroeck, N., Ito, A., Sato, M.O. and Geerts, S. (2003) Neurocysticercosis and Epilepsy in Cameroon. Transaction of the Royal Society of Tropical Medicine and Hygiene, 97, 683-686.
http://dx.doi.org/10.1016/S0035-9203(03)80103-7
[6] Praet, N., Speybroeck, N., Manzanedo, R., Dirk, B., Denis, N.N., Zoli, A., Fabrice, Q., Pierre-Marie, P., Helene, C. and Stanny, G. (2009) The Disease Burden of Taenia solium Cysticercosis in Cameroon. PLoS Neglected Tropical Diseases, 3, e406.
http://dx.doi.org/10.1371/journal.pntd.0000406
[7] Hanneke, M.B., Marco, M. and Josemir, S.W. (2008) The Global Burden and Stigma of Epilepsy. Epilepsy & Behavior, 12, 540-546.
http://dx.doi.org/10.1016/j.yebeh.2007.12.019
[8] Engels, D. and Savioli, L. (2006) Reconsidering the Under-estimated Burden Caused by Neglected Tropical Diseases. Trends in Parasitology, 22, 363-366.
http://dx.doi.org/10.1016/j.pt.2006.06.004
[9] Foyaca-Sibat, H., Del Rio-Romero, A. and Ibanez-Valdes, L. (2004) Prevalence of Epilepsy and General Knowledge about Neurocysticercosis at Ngangelizwe Location, South Africa. The Internet Journal of Neurology, 4.
[10] Rodriguez-Hidalgo, R., Benitez-Ortiz, W., Praet, N., Saa, L.R., Vercruysse, J., Brandt, J. and Dorny, P. (2006) Taeniasis-Cysticercosis in Southern Ecuador: Assessment of Infection Status Using Multiple Laboratory Diagnostic Tool. Memorias Instituto Oswaldo Cruz, Rio de Janeiro, 101, 779-782.
http://dx.doi.org/10.1590/S0074-02762006000700012
[11] Praet, N., Kanobana, K., Kabwe, C., Maketa, V., Lukanu, P., Lutumba, P., Polman, K., Matondo, P., Speybroeck, N., Dorny, P. and Sumbu, J. (2010) Taenia solium Cysticercosis in the Democratic Republic of Congo: How Does Pork Trade Affect the Transmission of the Parasite? PLoS Neglected Tropical Diseases, 4, e817.
http://dx.doi.org/10.1371/journal.pntd.0000817
[12] Heap, J. (1990) Cerebral Cysticercosis as a Common Cause of Epilepsy in Gurkhas in Hong Kong. Journal of Royal Army Medicine Corps, 136, 146-149.
http://dx.doi.org/10.1136/jramc-136-03-04
[13] Ngowi, H.A., Mlangwa, J.E.D., Carabin, H., Mlozi, M.R.S., Kassuku, A.A., Kimera, S.I. and Willingham III, A.L. (2007) Financial Efficiency of Health and Pig Management Education Intervention in Controlling Porcine Cysticercosis in Mbulu District. Livestock Research for Rural Development, 19.
http://www.lrrd.org/lrrd23/1/ngow23002.htm
[14] Pokhrel, S., Reidpath, D. and Allotey, P. (2011) Investment in Social Science Research in Neglected Diseases of Poverty: A Case Study of Bill and Melinda Gates Foundation Social Sciences Research in Neglected Tropical Diseases. Health Research Policy and Systems, 9, 2.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.