Manjunath B. Shankar
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View article: Economic Burden of Reported Lyme Disease in High-Incidence Areas, United States, 2014–2016
Economic Burden of Reported Lyme Disease in High-Incidence Areas, United States, 2014–2016 Open
Approximately 476,000 cases of Lyme disease are diagnosed in the United States annually, yet comprehensive economic evaluations are lacking. In a prospective study among reported cases in Lyme disease-endemic states, we estimated the total…
View article: Cost-Effectiveness and Impact of a Targeted Age- and Incidence-based West Nile Virus Vaccine Strategy
Cost-Effectiveness and Impact of a Targeted Age- and Incidence-based West Nile Virus Vaccine Strategy Open
Background West Nile virus (WNV) is the leading cause of arboviral disease in the United States and is associated with significant morbidity and mortality. A previous analysis found that a vaccination program targeting persons aged ≥60 yea…
View article: Household illness and associated water and sanitation factors in peri-urban Lusaka, Zambia, 2016–2017
Household illness and associated water and sanitation factors in peri-urban Lusaka, Zambia, 2016–2017 Open
In Zambia limited access to adequate water and sanitation is a key developmental challenge, particularly for rapidly expanding peri-urban areas. During 2016–2017, a cross-sectional household survey was conducted among 12,500 households rep…
View article: Epidemiology and cost of Lyme disease‐related hospitalizations among patients with employer‐sponsored health insurance—United States, 2005–2014
Epidemiology and cost of Lyme disease‐related hospitalizations among patients with employer‐sponsored health insurance—United States, 2005–2014 Open
An estimated 300,000 cases of Lyme disease occur in the United States annually. Disseminated Lyme disease may result in carditis, arthritis, facial palsy or meningitis, sometimes requiring hospitalization. We describe the epidemiology and …
View article: Estimating dengue under-reporting in Puerto Rico using a multiplier model
Estimating dengue under-reporting in Puerto Rico using a multiplier model Open
Dengue is a mosquito-borne viral illness that causes a variety of health outcomes, from a mild acute febrile illness to potentially fatal severe dengue. Between 2005 and 2010, the annual number of suspected dengue cases reported to the Pas…
View article: Cost effectiveness of a targeted age-based West Nile virus vaccination program
Cost effectiveness of a targeted age-based West Nile virus vaccination program Open
Age-based WNV vaccination program targeting those at higher risk for severe disease is more cost-effective than universal vaccination. Annual variation in WNV disease incidence, QALY weights, and vaccine costs impact the cost effectiveness…
View article: Incidence of Clinician-Diagnosed Lyme Disease, United States, 2005–2010
Incidence of Clinician-Diagnosed Lyme Disease, United States, 2005–2010 Open
National surveillance provides important information about Lyme disease (LD) but is subject to underreporting and variations in practice. Information is limited about the national epidemiology of LD from other sources. Retrospective analys…