The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study.
PLoS Negl Trop Dis
; 5(6): e1197, 2011 Jun.
Article
em En
| MEDLINE
| ID: mdl-21695162
ABSTRACT
BACKGROUND:
This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006. METHODOLOGY/PRINCIPALFINDINGS:
From data collected from health agencies, the additional costs incurred by chikungunya in terms of consultations, drug consumption and absence from work were determined by a comparison with the expected costs outside the epidemic period. The cost of hospitalization was estimated from data provided by the national hospitalization database for short-term care by considering all hospital stays in which the ICD-10 code A92.0 appeared. A cost-of-illness study was conducted from the perspective of the third-party payer. Direct medical costs per outpatient and inpatient case were evaluated. The costs were estimated in Euros at 2006 values. Additional reimbursements for consultations with general practitioners and drugs were estimated as 12.4 million (range 7.7 million- 17.1 million) and 5 million ( 1.9 million- 8.1 million), respectively, while the cost of hospitalization for chikungunya was estimated to be 8.5 million ( 5.8 million- 8.7 million). Productivity costs were estimated as 17.4 million ( 6 million- 28.9 million). The medical cost of the chikungunya epidemic was estimated as 43.9 million, 60% due to direct medical costs and 40% to indirect costs ( 26.5 million and 17.4 million, respectively). The direct medical cost was assessed as 90 for each outpatient and 2,000 for each inpatient. CONCLUSIONS/SIGNIFICANCE:
The medical management of chikungunya during the epidemic on La Réunion Island was associated with an important economic burden. The estimated cost of the reported disease can be used to evaluate the cost/efficacy and cost/benefit ratios for prevention and control programmes of emerging arboviruses.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Efeitos Psicossociais da Doença
/
Infecções por Alphavirus
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article