The burden of disease in northeast Kenya
Johanna Lindahl1,2, Bernard Bett1, Francis Wanyoike1, Delia Grace1
1International Livestock Research Institute, Nairobi, Kenya
2Swedish University of Agricultural Sciences
Johanna Lindahl
J.Lindahl@cgiar.org ● Box 30709 Nairobi Kenya ● +254 20 422 3000 ● ilri.org
This document is licensed for use under a Creative Commons Attribution –Non commercial-Share Alike 3.0
Unported License June 2012
June 2012
The multiple burden of disease- what do we include?
• Disability-adjusted life years (DALYs)
• Economic impact
• What are the costs for society, and the country with endemic and epidemic disease?
• What are the costs for families and individuals?
• Environmental impact
Dynamic drivers of disease in Africa
• A consortium looking at how diseases are affected by land use changes,
• The case study in Kenya studies the effects of irrigation systems on vector borne diseases
Pictures
Disease
in
animals
Disease in
humans
Increased
poverty
Reduced
income
Increased
environmental
pressure
Reduced
productivity
Health
costs
Reduced
food
security
Framework for the effects of disease in
humans and animals
Study on disease and economic impact
221 households in Kenya- majority kept small ruminants (n=206) and/or cattle (176)
Low expenditure on disease prevention- one family paid $2 for health insurance
Mean 2.3 disease episodes per family in the last 2 weeks (range 0-6).
A sick person spent up to $20 on medication, up to $30 on travel for health care
Fever, headache, pain and gastrointestinal disorders were commonly reported