The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study
This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006. From data collected from health agencies, the additional costs incurred by chikungunya in terms of consultations, drug consumption and absence from work were det...
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creator | 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 |
description | This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006.
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.
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. |
doi_str_mv | 10.1371/journal.pntd.0001197 |
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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.
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.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0001197</identifier><identifier>PMID: 21695162</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Alphavirus Infections ; Alphavirus Infections - economics ; Alphavirus Infections - epidemiology ; Care and treatment ; Chikungunya Fever ; Cost estimates ; Cost of Illness ; Demographic aspects ; Economic aspects ; Epidemics ; Forecasts and trends ; Health insurance ; Hospitalization ; Human health and pathology ; Humans ; Illnesses ; Infections ; Infectious diseases ; Life Sciences ; Medical care, Cost of ; Medicine ; Population ; Reunion ; Reunion - epidemiology ; Tropical diseases ; Vector-borne diseases</subject><ispartof>PLoS neglected tropical diseases, 2011-06, Vol.5 (6), p.e1197-e1197</ispartof><rights>COPYRIGHT 2011 Public Library of Science</rights><rights>2011 Soumahoro et al. 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 credited: Soumahoro M-K, Boelle P-Y, Gaüzere B-A, Atsou K, Pelat C, et al. (2011) The Chikungunya Epidemic on La Réunion Island in 2005-2006: A Cost-of-Illness Study. PLoS Negl Trop Dis 5(6): e1197. doi:10.1371/journal.pntd.0001197</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>Soumahoro et al. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c660t-89eb5dd53569c5b348fce9cc4ceb9d86d7a3185b61da83fcc0de0bd7000d94e63</citedby><cites>FETCH-LOGICAL-c660t-89eb5dd53569c5b348fce9cc4ceb9d86d7a3185b61da83fcc0de0bd7000d94e63</cites><orcidid>0000-0002-5367-8232</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114750/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114750/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21695162$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-00691415$$DView record in HAL$$Hfree_for_read</backlink></links><search><contributor>Powers, Ann M.</contributor><creatorcontrib>Soumahoro, Man-Koumba</creatorcontrib><creatorcontrib>Boelle, Pierre-Yves</creatorcontrib><creatorcontrib>Gaüzere, Bernard-Alex</creatorcontrib><creatorcontrib>Atsou, Kokuvi</creatorcontrib><creatorcontrib>Pelat, Camille</creatorcontrib><creatorcontrib>Lambert, Bruno</creatorcontrib><creatorcontrib>La Ruche, Guy</creatorcontrib><creatorcontrib>Gastellu-Etchegorry, Marc</creatorcontrib><creatorcontrib>Renault, Philippe</creatorcontrib><creatorcontrib>Sarazin, Marianne</creatorcontrib><creatorcontrib>Yazdanpanah, Yazdan</creatorcontrib><creatorcontrib>Flahault, Antoine</creatorcontrib><creatorcontrib>Malvy, Denis</creatorcontrib><creatorcontrib>Hanslik, Thomas</creatorcontrib><title>The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006.
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.
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.</description><subject>Alphavirus Infections</subject><subject>Alphavirus Infections - economics</subject><subject>Alphavirus Infections - epidemiology</subject><subject>Care and treatment</subject><subject>Chikungunya Fever</subject><subject>Cost estimates</subject><subject>Cost of Illness</subject><subject>Demographic aspects</subject><subject>Economic aspects</subject><subject>Epidemics</subject><subject>Forecasts and trends</subject><subject>Health insurance</subject><subject>Hospitalization</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Life Sciences</subject><subject>Medical care, Cost of</subject><subject>Medicine</subject><subject>Population</subject><subject>Reunion</subject><subject>Reunion - 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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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21695162</pmid><doi>10.1371/journal.pntd.0001197</doi><orcidid>https://orcid.org/0000-0002-5367-8232</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Alphavirus Infections Alphavirus Infections - economics Alphavirus Infections - epidemiology Care and treatment Chikungunya Fever Cost estimates Cost of Illness Demographic aspects Economic aspects Epidemics Forecasts and trends Health insurance Hospitalization Human health and pathology Humans Illnesses Infections Infectious diseases Life Sciences Medical care, Cost of Medicine Population Reunion Reunion - epidemiology Tropical diseases Vector-borne diseases |
title | The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study |
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