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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Veröffentlicht in:PLoS neglected tropical diseases 2011-06, Vol.5 (6), p.e1197-e1197
Hauptverfasser: 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
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container_issue 6
container_start_page e1197
container_title PLoS neglected tropical diseases
container_volume 5
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.
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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). 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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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