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The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study
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/PRINCIPAL FINDINGS: From data collected from health agencies, the additional costs incurred by chikungunya in terms of consultations, dru...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114750/ https://www.ncbi.nlm.nih.gov/pubmed/21695162 http://dx.doi.org/10.1371/journal.pntd.0001197 |
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author | Soumahoro, Man-Koumba Boelle, Pierre-Yves Gaüzere, Bernard-Alex Atsou, Kokuvi Pelat, Camille Lambert, Bruno La Ruche, Guy Gastellu-Etchegorry, Marc Renault, Philippe Sarazin, Marianne Yazdanpanah, Yazdan Flahault, Antoine Malvy, Denis Hanslik, Thomas |
author_facet | Soumahoro, Man-Koumba Boelle, Pierre-Yves Gaüzere, Bernard-Alex Atsou, Kokuvi Pelat, Camille Lambert, Bruno La Ruche, Guy Gastellu-Etchegorry, Marc Renault, Philippe Sarazin, Marianne Yazdanpanah, Yazdan Flahault, Antoine Malvy, Denis Hanslik, Thomas |
author_sort | Soumahoro, Man-Koumba |
collection | PubMed |
description | 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/PRINCIPAL FINDINGS: 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. |
format | Online Article Text |
id | pubmed-3114750 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-31147502011-06-21 The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study Soumahoro, Man-Koumba Boelle, Pierre-Yves Gaüzere, Bernard-Alex Atsou, Kokuvi Pelat, Camille Lambert, Bruno La Ruche, Guy Gastellu-Etchegorry, Marc Renault, Philippe Sarazin, Marianne Yazdanpanah, Yazdan Flahault, Antoine Malvy, Denis Hanslik, Thomas PLoS Negl Trop Dis Research Article 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/PRINCIPAL FINDINGS: 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. Public Library of Science 2011-06-14 /pmc/articles/PMC3114750/ /pubmed/21695162 http://dx.doi.org/10.1371/journal.pntd.0001197 Text en Soumahoro et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Soumahoro, Man-Koumba Boelle, Pierre-Yves Gaüzere, Bernard-Alex Atsou, Kokuvi Pelat, Camille Lambert, Bruno La Ruche, Guy Gastellu-Etchegorry, Marc Renault, Philippe Sarazin, Marianne Yazdanpanah, Yazdan Flahault, Antoine Malvy, Denis Hanslik, Thomas The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title | The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title_full | The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title_fullStr | The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title_full_unstemmed | The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title_short | The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study |
title_sort | chikungunya epidemic on la réunion island in 2005–2006: a cost-of-illness study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114750/ https://www.ncbi.nlm.nih.gov/pubmed/21695162 http://dx.doi.org/10.1371/journal.pntd.0001197 |
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