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Costs of a hepatitis A outbreak affecting homosexual men: Franklin County, Ohio, 1999.
Am J Prev Med. 2003 Nov; 25(4):343-6.AJ

Abstract

BACKGROUND

Hepatitis A is one of the most commonly reported, vaccine-preventable diseases in the United States. Many cases occur in association with community-wide outbreaks, but societal costs to the community are seldom documented.

METHODS

Hepatitis A case-patients available for a follow-up interview as part of an outbreak investigation were asked about hospitalization, healthcare costs, missed work, and lost wages associated with their illness, as well as healthcare insurance coverage and sick-leave reimbursement. Average costs were calculated by case-patient age, gender, and hospitalization status for lost wages, and by age and hospitalization status for medical costs, and then assigned to case-patients not re-interviewed to provide an estimate of overall costs. Health departments provided outbreak-associated costs.

RESULTS

Between the weeks of November 2, 1998, and May 17, 1999, a total of 136 cases of hepatitis A were reported. Of the 89 (65.4%) case-patients available for interview, 74 (83%) were male; of those, 47 (64%) identified themselves as men who have sex with men (MSM). The average cost of the outbreak per case-patient was $2894 US dollars, of which 51% was associated with lost wages, 40% with medical costs, and 9% with health department costs. Case-patients incurred 44% of total outbreak costs; employers, 29%; healthcare insurers, 18%; and health departments, 9%.

CONCLUSIONS

In this community-wide hepatitis A outbreak, case-patients incurred the largest portion of costs, followed by employers, healthcare insurers, and health departments.

Authors+Show Affiliations

National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-45, Atlanta, GA 30333, USA. ssansom@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14580638

Citation

Sansom, Stephanie L., et al. "Costs of a Hepatitis a Outbreak Affecting Homosexual Men: Franklin County, Ohio, 1999." American Journal of Preventive Medicine, vol. 25, no. 4, 2003, pp. 343-6.
Sansom SL, Cotter SM, Smith F, et al. Costs of a hepatitis A outbreak affecting homosexual men: Franklin County, Ohio, 1999. Am J Prev Med. 2003;25(4):343-6.
Sansom, S. L., Cotter, S. M., Smith, F., Koch, E., de Fijter, S., Long, T., Coleman, D., Cowen, K., Tilgner, S., Pry, N., & Bell, B. P. (2003). Costs of a hepatitis A outbreak affecting homosexual men: Franklin County, Ohio, 1999. American Journal of Preventive Medicine, 25(4), 343-6.
Sansom SL, et al. Costs of a Hepatitis a Outbreak Affecting Homosexual Men: Franklin County, Ohio, 1999. Am J Prev Med. 2003;25(4):343-6. PubMed PMID: 14580638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Costs of a hepatitis A outbreak affecting homosexual men: Franklin County, Ohio, 1999. AU - Sansom,Stephanie L, AU - Cotter,Suzanne M, AU - Smith,Forrest, AU - Koch,Elizabeth, AU - de Fijter,Sietske, AU - Long,Teresa, AU - Coleman,Deborah, AU - Cowen,Kathleen, AU - Tilgner,Susan, AU - Pry,Nancy, AU - Bell,Beth P, PY - 2003/10/29/pubmed PY - 2004/2/26/medline PY - 2003/10/29/entrez SP - 343 EP - 6 JF - American journal of preventive medicine JO - Am J Prev Med VL - 25 IS - 4 N2 - BACKGROUND: Hepatitis A is one of the most commonly reported, vaccine-preventable diseases in the United States. Many cases occur in association with community-wide outbreaks, but societal costs to the community are seldom documented. METHODS: Hepatitis A case-patients available for a follow-up interview as part of an outbreak investigation were asked about hospitalization, healthcare costs, missed work, and lost wages associated with their illness, as well as healthcare insurance coverage and sick-leave reimbursement. Average costs were calculated by case-patient age, gender, and hospitalization status for lost wages, and by age and hospitalization status for medical costs, and then assigned to case-patients not re-interviewed to provide an estimate of overall costs. Health departments provided outbreak-associated costs. RESULTS: Between the weeks of November 2, 1998, and May 17, 1999, a total of 136 cases of hepatitis A were reported. Of the 89 (65.4%) case-patients available for interview, 74 (83%) were male; of those, 47 (64%) identified themselves as men who have sex with men (MSM). The average cost of the outbreak per case-patient was $2894 US dollars, of which 51% was associated with lost wages, 40% with medical costs, and 9% with health department costs. Case-patients incurred 44% of total outbreak costs; employers, 29%; healthcare insurers, 18%; and health departments, 9%. CONCLUSIONS: In this community-wide hepatitis A outbreak, case-patients incurred the largest portion of costs, followed by employers, healthcare insurers, and health departments. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/14580638/Costs_of_a_hepatitis_A_outbreak_affecting_homosexual_men:_Franklin_County_Ohio_1999_ L2 - http://www.diseaseinfosearch.org/result/3332 DB - PRIME DP - Unbound Medicine ER -