Burden of epilepsy, is it related to restricted resource?

      Disease burden is the impact of a health problem as measured by financial cost, mortality, morbidity or other indicators (WHO). If one is to look at the prevalence and incidence statistics for epilepsy, one would get the impression that Epilepsy is a disease of low income status with 85 % of epilepsy cases being found in low and low-middle income countries. The problem is further compounded by the fact that of these cases, 75% will not receive adequate treatment. The reasons for this are manifold. No small role is played by poverty, restricted access to healthcare facilities and management modalities, not to mention the non-availability of specialised services which are often also influenced by the same restrictions in infrastructure and inadequate financing. The greatest implications of mortality, morbidity and subsequently increased spending on health care and lost income is borne by a population with an a priori reduced financial stability. The risk factors for developing epilepsy also appear to be more prevalent in regions of restricted resources, in particular, the influence of the burden of infectious disease. But not all the burden can be explained by merely biological and geographical factors. Unfortunately the state of the world economy, the ownership and distribution of the world’s resources further pushes the burden of epilepsy down the chasm of poverty. Ultimately for the people living with epilepsy and the rest of the world, the question that remains is: whose responsibility is it to mitigate this burden, and how is this to be achieved?
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