Optimal Choice of Vaccination Scheduling in a Population Composed of Two Groups

In this chapter, the authors present a simple model to determine the optimal choice of vaccination scheduling for a society composed of two groups of individuals in order to minimize the economic loss only, assuming herd immunity. First, a simple classical SIR model is presented to form the basis of the analysis; second, the model is revised to include the effects of vaccination which in turn will be extended to include two heterogeneous groups of individuals forming a society. The solutions of relevant differential equations will then be used to calculate the total economic cost of each scenario presented.

First synthesis of the economic costs of biological invasions in Japan

Despite the large body of knowledge recognising the impact of biological invasions on biodiversity, their economic impact has been less evaluated. However, the associated economic costs ought to provide useful information on many different aspects to prevent and manage invasions. Here, we describe the economic costs of biological invasions in Japan using InvaCost, a recently-published global database on monetary costs extracted from English and non-English sources, as well as a complementary search, thereby filling a gap in regional knowledge. We focused on the following four dimensions when analysing the economic costs of biological invasions: damage to biodiversity, damage to human livelihood, management for biodiversity and management for human livelihood. Interestingly, there was no information about biological invasion costs for Japan in English, but the Japanese search and our additional survey provided a total of 630 cost entries, with a total economic cost of 728 million USD (2017 value, equivalent to 62 billion JPY). These entries appeared in 33 documents and corresponded to a total of 54 species. We showed that: 1) damage costs from biological invasions tend not to be assessed as frequently as management costs and are more underestimated; 2) despite the numerous entries, an overwhelmingly limited amount of the management budget was allocated to biodiversity conservation compared to protecting human livelihood; 3) budgets have been intensively invested in invasive species management on small islands, which reflects the vulnerability of small island ecosystems and economies to biological invasions; 4) the recorded costs still seem to be greatly underestimated, mainly due to the lack of recording (and potentially limited access to recorded cost information). These findings are not only specific to Japan, but may also be widely applicable to most other countries. The future recording of economic costs will help to close the gap between actual and recorded costs, leading to more realistic guidelines for tackling biological invasions.

The economic cost of bulimia nervosa and binge eating disorder: a population-based study

Background The most common eating disorders (EDs) are bulimia nervosa (BN) and binge eating disorder (BED), serious psychiatric illnesses that have devastating effects on the physical and psychological wellbeing of sufferers. EDs range in complexity and severity but can be life-threatening without appropriate treatment. Although it is well-known that quality of life impacts is high for ED sufferers, research regarding fiscal and related costs is severely limited. The aim of this study was to understand economic and other costs of EDs at the community level. Method Data were derived from 2017 household community representative structured interview of 2977 people aged ⩾ 15 years in South Australia. ED diagnoses, health systems, productivity, transaction, out-of-pocket expenses and other related costs of BN and BED were used to estimate the economic burden of EDs in South Australia. Results The annual total economic cost of EDs in 2018 was estimated at $84 billion for South Australia. This included $81 billion from the burden of disease as the result of years lived with disability (YLD) ($62 billion) and years of life lost ($19 billion). The health system costs, productivity and tax revenue loss to the Australian economy were estimated at $1 billion, $1.6 billion and $0.6 billion, respectively. Conclusions The YLD average cost in 2018 in South Australia was $296 649 per person. This is two-thirds of the costs borne by individuals and the wider economy. Prevention and management initiatives for EDs need to take into account these costs when assessing their potential benefits.

Economic burden of eating disorders in South Korea

Background Few studies have investigated the epidemiology of eating disorders using national representative data. In this study, we investigated the treatment prevalence and economic burden of eating disorders in South Korea. Methods The aim of this study was to estimate the treatment prevalence and the medical expenditure of diagnosed eating disorders (ICD F50.x) in South Korea between 2010 and 2015. We also examined the economic costs of eating disorders, including the direct medical cost, direct non-medical costs, and indirect costs, in order to calculate the economic burden of such disorders. Results The total treatment prevalence of eating disorders in South Korea was 12.02 people (per 100,000) in 2010, and 13.28 in 2015. The cost of medical expenditures due to eating disorders increased from USD 1229724 in 2010 to USD 1843706 in 2015. The total economic cost of eating disorders was USD 5455626 in 2015. In 2015, the economic cost and prevalence of eating disorders was the highest in the 20–29 age group. Conclusions The results showed the eating disorders are insufficiently managed in the medical insurance system. Further research is therefore warranted to better understand the economic burdens of each type of eating disorder.

A comprehensive economic assessment of the health effects of tobacco use and implications for tobacco control in Bangladesh

BackgroundDespite modest progress in reducing tobacco use, tobacco remains one of the major risk factors for non-communicable diseases in Bangladesh.MethodsUsing disease-specific, prevalence-based, cost-of-illness approach, this research estimated the economic costs of tobacco use and exposure to secondhand smoke based on data collected from a nationally representative survey of 10 119 households in 2018.ResultsThe study estimated that 1.5 million adults were suffering from tobacco-attributable diseases and 61 000 children were suffering from diseases due to exposure to secondhand smoke in Bangladesh in 2018. Tobacco use caused 125 718 deaths in that year, accounting for 13.5% of all-cause deaths. The total economic cost was 305.6 billion Bangladeshi taka (BDT) (equivalent to 1.4% of gross domestic product or US$3.61 billion), including direct costs (private and public health expenditures) of BDT83.9 billion and indirect costs (productivity loss due to morbidity and premature mortality) of BDT221.7 billion. The total economic cost of tobacco more than doubled since 2004.ConclusionTobacco use imposes a significant and increasing disease and financial burden on society. The enormous tobacco-attributable healthcare costs and productivity loss underscore the need to strengthen the implementation of tobacco control policies to curb the epidemic.

The Economic Cost of Diet and Its Association with Adherence to the Mediterranean Diet in a Cohort of Spanish Primary Schoolchildren

Background: Adoption of a certain dietary pattern is determined by different factors such as taste, cost, convenience, and nutritional value of food. Objective: To assess the association between the daily cost of a diet and its overall quality in a cohort of 6–12-year-old Spanish schoolchildren. Methods: A cross-sectional survey was conducted on a cohort (n = 130; 47% female) of 6–12-year-old children schooled in primary education in the central region of Spain. Three-day 24 h records were administered, and the nutritional quality of the diet was also determined by means of Mediterranean Adequacy Index (MAI). A questionnaire on sociodemographic data, frequency of eating in fast-food restaurants, and supplement intake were also recorded. The person responsible for the child’s diet and the schooler himself completed the questionnaires, and homemade measures were used to estimate the size of the portions. Food prices were obtained from the Household Consumption Database of the Spanish Ministry of Agriculture, Fisheries and Food. The economic cost of the diet was calculated by multiplying the amount in grams of the food consumed by each child by the corresponding price in grams and adding up the total amount for each participant. The total economic cost of the diet was calculated in €/day and in €/1000 kcal/day. Results: The area under the curve (AUC) for €/day and €/1000 kcal/day represent 62.6% and 65.6%, respectively. According to AUC values, adherence to Mediterranean diet (MD) is a moderate predictor of the monetary cost of the diet. A direct relationship between the cost of the diet and the adherence to MD was observed [OR (€/1000 kcal/day) = 3.012; CI (95%): 1.291; 7.026; p = 0.011]. Conclusions: In a cohort of Spanish schoolchildren with low adherence to the MD, a higher cost of the diet standardized to 1000 kcal was associated with above-average MAI values.

The Direct and Indirect Costs of Colorectal Cancer in Vietnam: An Economic Analysis from a Social Perspective

The incidence and mortality of colorectal cancer (CRC) has increased rapidly in Vietnam, but the economic burden of this disease has never been estimated. We estimate the direct and indirect cost of CRC patients in Vietnam in 2018 using a prevalence-based approach and human capital method. The total economic cost of CRC was VND 3041.88 billion (~$132.9 million), representing 0.055% of the 2018 gross domestic product. Notably, indirect costs comprised 83.58 % of the total cost, 82.61% of which is future income loss, because CRC occurs during productive years. The economic burden of CRC in Vietnam is substantial. The medical cost for CRC diagnosis and treatment is higher for younger patients and for those in advanced stages. Strategies to decrease the economic burden of CRC at the patient and national level, such as screening programs, should be developed and implemented in Vietnam.

Economic burden of eating disorders in South Korea

BackgroundFew studies have investigated the epidemiology of eating disorders using national representative data. In this study, we investigated the prevalence and economic burden of eating disorders in South Korea.MethodsThe aim of this study was to estimate the medical expenditure of diagnosed eating disorders (ICD F50.x) in South Korea between 2010 and 2015. We also examined the economic costs of eating disorders, including the direct medical cost, direct non-medical costs, and indirect costs, in order to calculate the economic burden of such disorders.ResultsThe total prevalence of eating disorders in South Korea was 12.02 people (per 100 000) in 2010, and 13.28 in 2015. The cost of medical expenditures due to eating disorders increased from USD 1 229 724 in 2010 to USD 1 843 706 in 2015. The total economic cost of eating disorders was USD 5 455 626 in 2015. In 2015, the economic cost and prevalence of eating disorders was the highest in the 20–29 age group.ConclusionsThe results showed the eating disorders are insufficiently managed in the medical insurance system. Further research is therefore warranted to better understand the economic burdens of each type of eating disorder.

Economic burden of smoking attributed illnesses in Pakistan

ABSTRACTBackgroundThe estimates of economic burden due to smoking attributed illnesses provide an opportunity to assess its overall impact on the economy and generate evidence for public health policy interventions for tobacco control. In this study, we estimated out of pocket expenditures on tobacco attributed illnesses and smoking attributable burden in Pakistan.MethodsWe used a prevalence-based disease-specific cost approach by including three major tobacco attributed illnesses i.e. lung cancer, chronic obstructive pulmonary disease, and cardiovascular diseases. Our analysis included out of pocket healthcare expenditures including direct and indirect costs which were estimated by interviewing the patients of selected illnesses. The smoking-attributable expenditure was calculated by the WHO tool kit.ResultsIn 2018, the economic burden attributed to smoking related illnesses was Rs 192 billion (USD 1.3 billion). Smoking-attributable expenditure on cardiovascular disease was Rs 123 billion (USD 0.9 billion) which was 69% of the total economic cost of tobacco attributed illnesses in Pakistan. The economic cost in males was nearly three times higher than females.ConclusionsOur study showed a significant economic burden due to tobacco attributed illnesses in Pakistan which can be prevented by implementing tobacco control policies effectively.

Optimization on Trans-regional Electricity Transmission Scale of China’s Western Renewable Energy Base: The case study of Qinghai Province

The optimization of trans-regional electricity transmission scale of China’s Western renewable energy base is crucial to drive China's energy revolution. Currently, the regional power planning or optimization is aimed at minimizing the total economic cost, without taking the cost and benefit of transregional electricity transmission into account. In this paper, a regional planning model considering the cost and benefit of trans-regional electricity transmission was proposed, and the target of trans-regional electricity transmission scale by 2050 was optimized. This study analysed the influence of carbon price, fossil fuel scarcity value, accommodation cost for renewable power on the optimized result of trans-regional electricity transmission scale. Furthermore, the policy implication of the research was also analysed.