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Cost of an outbreak of hepatitis A in Puglia, Italy.
Pharmacoeconomics. 1998 Feb; 13(2):257-66.P

Abstract

In total, 5889 cases of hepatitis A virus infection were reported during an outbreak in Puglia, a region of Southern Italy, in 1996. The primary cause of the outbreak was consumption of contaminated food (raw shellfish, vegetables, etc.), with a contributory risk factor of person-to-person transmission. A detailed questionnaire was completed by 250 randomly selected patients to obtain information sufficient to calculate the direct and indirect costs of the outbreak for the individual patient, the National Health Service (NHS) and society as a whole. A conversion rate of $US1 = 1530 Italian lire (L) has been used throughout the study since this was the average exchange rate in 1996. For the individual patient with hepatitis A virus infection, the mean cost was L1.013 million ($US662), which was equivalent to 6.6% of the mean annual income of the employed patients. The total cost of the outbreak to the NHS was L23.98 billion ($US15.67 million), which was equivalent to 0.4% of the total public health expenditure in the region in 1996. The total cost of the outbreak to society (individual patient, NHS and third parties combined) was L37.406 billion ($US24.45 million), corresponding to 0.04% of the gross domestic product of the entire region in 1996, with a mean cost per patient of L6.35 million ($US4150) from a societal perspective. The majority of patients (86.3%) were 11 to 30 years of age, reflecting the increasing susceptibility of younger patients to hepatitis A virus infection in recent decades. These economic and demographic data provide important information for the evaluation of preventive strategies including public education, sanitation and immunisation, so as to optimise the use of local health resources.

Authors+Show Affiliations

Istituto di Economia Sanitaria, Milano, Italy. ECSAN@ALBERT.NETNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10178651

Citation

Lucioni, C, et al. "Cost of an Outbreak of Hepatitis a in Puglia, Italy." PharmacoEconomics, vol. 13, no. 2, 1998, pp. 257-66.
Lucioni C, Cipriani V, Mazzi S, et al. Cost of an outbreak of hepatitis A in Puglia, Italy. Pharmacoeconomics. 1998;13(2):257-66.
Lucioni, C., Cipriani, V., Mazzi, S., & Panunzio, M. (1998). Cost of an outbreak of hepatitis A in Puglia, Italy. PharmacoEconomics, 13(2), 257-66.
Lucioni C, et al. Cost of an Outbreak of Hepatitis a in Puglia, Italy. Pharmacoeconomics. 1998;13(2):257-66. PubMed PMID: 10178651.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost of an outbreak of hepatitis A in Puglia, Italy. AU - Lucioni,C, AU - Cipriani,V, AU - Mazzi,S, AU - Panunzio,M, PY - 1998/1/7/pubmed PY - 1998/1/7/medline PY - 1998/1/7/entrez SP - 257 EP - 66 JF - PharmacoEconomics JO - Pharmacoeconomics VL - 13 IS - 2 N2 - In total, 5889 cases of hepatitis A virus infection were reported during an outbreak in Puglia, a region of Southern Italy, in 1996. The primary cause of the outbreak was consumption of contaminated food (raw shellfish, vegetables, etc.), with a contributory risk factor of person-to-person transmission. A detailed questionnaire was completed by 250 randomly selected patients to obtain information sufficient to calculate the direct and indirect costs of the outbreak for the individual patient, the National Health Service (NHS) and society as a whole. A conversion rate of $US1 = 1530 Italian lire (L) has been used throughout the study since this was the average exchange rate in 1996. For the individual patient with hepatitis A virus infection, the mean cost was L1.013 million ($US662), which was equivalent to 6.6% of the mean annual income of the employed patients. The total cost of the outbreak to the NHS was L23.98 billion ($US15.67 million), which was equivalent to 0.4% of the total public health expenditure in the region in 1996. The total cost of the outbreak to society (individual patient, NHS and third parties combined) was L37.406 billion ($US24.45 million), corresponding to 0.04% of the gross domestic product of the entire region in 1996, with a mean cost per patient of L6.35 million ($US4150) from a societal perspective. The majority of patients (86.3%) were 11 to 30 years of age, reflecting the increasing susceptibility of younger patients to hepatitis A virus infection in recent decades. These economic and demographic data provide important information for the evaluation of preventive strategies including public education, sanitation and immunisation, so as to optimise the use of local health resources. SN - 1170-7690 UR - https://www.unboundmedicine.com/medline/citation/10178651/Cost_of_an_outbreak_of_hepatitis_A_in_Puglia_Italy_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10178651.ui DB - PRIME DP - Unbound Medicine ER -