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The cost of a food-borne outbreak of hepatitis A in Denver, Colo.
Arch Intern Med. 1996 May 13; 156(9):1013-6.AI

Abstract

BACKGROUND

In 1992, a food-borne outbreak of hepatitis A associated with a catering facility in Denver, Colo, resulted in 43 secondary cases of hepatitis A and the potential exposure of approximately 5000 patrons.

OBJECTIVES

To assess (1) disease control costs, including state and local health department personnel costs, provision and administration of immune globulin, and cost of extra hepatitis A serologic tests performed; (2) business losses; and (3) cost of the cases' illnesses.

METHODS

Cost data were collected from hospitals, health maintenance organizations, health departments, laboratories, the caterer's insurance company, and the catering facility involved in the outbreak.

RESULTS

The total costs assessed in the outbreak from a societal perspective were $809,706. Disease control costs were $689,314, which included $450,397 for 16,293 immune globulin injections and $105,699 for 2777 hours of health department personnel time. The cases' medical costs were $46,064, or 7% of the disease control costs.

CONCLUSIONS

The cases' medical costs and productivity losses were only a minor component of the total cost of this outbreak. The high cost of food-borne outbreaks should be taken into account in economic analyses of the vaccination of food handlers with inactivated hepatitis A vaccine.

Authors+Show Affiliations

Colorado Department of Public Health and Environment, Denver, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8624166

Citation

Dalton, C B., et al. "The Cost of a Food-borne Outbreak of Hepatitis a in Denver, Colo." Archives of Internal Medicine, vol. 156, no. 9, 1996, pp. 1013-6.
Dalton CB, Haddix A, Hoffman RE, et al. The cost of a food-borne outbreak of hepatitis A in Denver, Colo. Arch Intern Med. 1996;156(9):1013-6.
Dalton, C. B., Haddix, A., Hoffman, R. E., & Mast, E. E. (1996). The cost of a food-borne outbreak of hepatitis A in Denver, Colo. Archives of Internal Medicine, 156(9), 1013-6.
Dalton CB, et al. The Cost of a Food-borne Outbreak of Hepatitis a in Denver, Colo. Arch Intern Med. 1996 May 13;156(9):1013-6. PubMed PMID: 8624166.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The cost of a food-borne outbreak of hepatitis A in Denver, Colo. AU - Dalton,C B, AU - Haddix,A, AU - Hoffman,R E, AU - Mast,E E, PY - 1996/5/13/pubmed PY - 1996/5/13/medline PY - 1996/5/13/entrez SP - 1013 EP - 6 JF - Archives of internal medicine JO - Arch Intern Med VL - 156 IS - 9 N2 - BACKGROUND: In 1992, a food-borne outbreak of hepatitis A associated with a catering facility in Denver, Colo, resulted in 43 secondary cases of hepatitis A and the potential exposure of approximately 5000 patrons. OBJECTIVES: To assess (1) disease control costs, including state and local health department personnel costs, provision and administration of immune globulin, and cost of extra hepatitis A serologic tests performed; (2) business losses; and (3) cost of the cases' illnesses. METHODS: Cost data were collected from hospitals, health maintenance organizations, health departments, laboratories, the caterer's insurance company, and the catering facility involved in the outbreak. RESULTS: The total costs assessed in the outbreak from a societal perspective were $809,706. Disease control costs were $689,314, which included $450,397 for 16,293 immune globulin injections and $105,699 for 2777 hours of health department personnel time. The cases' medical costs were $46,064, or 7% of the disease control costs. CONCLUSIONS: The cases' medical costs and productivity losses were only a minor component of the total cost of this outbreak. The high cost of food-borne outbreaks should be taken into account in economic analyses of the vaccination of food handlers with inactivated hepatitis A vaccine. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/8624166/The_cost_of_a_food_borne_outbreak_of_hepatitis_A_in_Denver_Colo_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/156/pg/1013 DB - PRIME DP - Unbound Medicine ER -