Details:

Alternative Title:
Influenza Other Respir Viruses
Publisher's site:
http://dx.doi.org/10.1111/irv.12254
Personal Author:
Bhuiyan, Mejbah U; Luby, Stephen P; Alamgir, Nadia I; Homaira, Nusrat; Mamun, Abdullah A; ... More +
Bhuiyan, Mejbah U; Luby, Stephen P; Alamgir, Nadia I; Homaira, Nusrat; Mamun, Abdullah A; Khan, Jahangir A M; Abedin, Jaynal; Sturm-Ramirez, Katharine; Gurley, Emily S; Zaman, Rashid U; Alamgir, ASM; Rahman, Mahmudur; Widdowson, Marc-Alain; Azziz-Baumgartner, Eduardo; Less -
Description:
Objective Understanding the costs of influenza-associated illness in Bangladesh may help health authorities assess the cost-effectiveness of influenza prevention programs. We estimated the annual economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh. Design From May through October 2010, investigators identified both outpatients and inpatients at four tertiary hospitals with laboratory-confirmed influenza infection through rRT-PCR. Research assistants visited case-patients' homes within 30 days of hospital visit/discharge and administered a structured questionnaire to capture direct medical costs (physician consultation, hospital bed, medicines and diagnostic tests), direct non-medical costs (food, lodging and travel) and indirect costs (case-patients' and caregivers' lost income). We used WHO-Choice estimates for routine healthcare service costs. We added direct, indirect and healthcare service costs to calculate cost-per-episode. We used median cost-per-episode, published influenza-associated outpatient and hospitalization rates and Bangladesh census data to estimate the annual economic burden of influenza-associated illnesses in 2010. Results We interviewed 132 outpatients and 41 hospitalized patients. The median cost of an influenza-associated outpatient visit was US$4.80 (IQR = 2.93–8.11) and an influenza-associated hospitalization was US$82.20 (IQR = 59.96–121.56). We estimated that influenza-associated outpatient visits resulted in US$108 million (95% CI: 76–147) in direct costs and US$59 million (95% CI: 37–91) in indirect costs; influenza-associated hospitalizations resulted in US$1.4 million (95% CI: 0.4–2.6) in direct costs and US$0.4 million (95% CI: 0.1–0.8) in indirect costs in 2010. Conclusions In Bangladesh, influenza-associated illnesses caused an estimated US$169 million in economic loss in 2010, largely driven by frequent but low-cost outpatient visits.
Subject:
[+]
Adolescent
Adult
Ambulatory Care
Child
Child, Preschool
Female
Health Expenditures
Hospitalization
Humans
Infant
Infant, Newborn
Influenza, Human
Male
Middle Aged
Original Articles
Orthomyxoviridae
Questionnaires
Reverse Transcriptase Polymerase Chain Reaction
Young Adult

Source:
Influenza Other Respir Viruses. 2014; 8(4):406-413.;
Pubmed ID:
24750586
Pubmed Central ID:
PMC4181799
Document Type:
Journal Article;
Funding:
U01CI000298/CI/NCPDCID CDC HHS/United States;
Place as Subject:
Bangladesh;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:ec1370e071250b2af3c8fcc11b3a389b0639174551b94b3830c357e05c8cdb3b
File Type:

Supporting Files

• 	irv0008-0406-f1.gif	gif
  	irv0008-0406-f1.jpg	jpeg
  	irv0008-0406.nxml	txt
  	license.txt	txt

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