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Direct Medical Costs of 3 Reportable Travel-Related Infections in Ontario, Canada, 2012–2014
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August 2019
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Source: Emerg Infect Dis. 25(8):1501-1510
[PDF-734.56 KB]
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Alternative Title:Emerg Infect Dis
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Description:Immigrants traveling to their birth countries to visit friends or relatives are disproportionately affected by travel-related infections, in part because most preventive travel health services are not publicly funded. To help identify cost-effective policies to reduce this disparity, we measured the medical costs (in 2015 Canadian dollars) of 3 reportable travel-related infectious diseases (hepatitis A, malaria, and enteric fever) that accrued during a 3-year period (2012-2014) in an ethnoculturally diverse region of Canada (Peel, Ontario) by linking reportable disease surveillance and health administrative data. In total, 318 case-patients were included, each matched with 2 controls. Most spending accrued in inpatient settings. Direct healthcare spending totaled $2,058,196; the mean attributable cost per case was $6,098 (95% CI $5,328-$6,868) but varied by disease (range $4,558-$7,852). Costs were greatest for enteric fever. Policies that address financial barriers to preventive health services for high-risk groups should be evaluated.
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Pubmed ID:31310226
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Pubmed Central ID:PMC6649327
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Volume:25
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Issue:8
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