The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study.
BACKGROUND:This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006. METHODOLOGY/PRINCIPAL FINDINGS:From data collected from health agencies, the additional costs incurred by chikungunya in terms of consultations, drug...
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ftdoajarticles:oai:doaj.org/article:c950b30c8fe3409e818c3af14f7ee91c 2023-05-15T15:13:25+02:00 The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. Man-Koumba Soumahoro Pierre-Yves Boelle Bernard-Alex Gaüzere Kokuvi Atsou Camille Pelat Bruno Lambert Guy La Ruche Marc Gastellu-Etchegorry Philippe Renault Marianne Sarazin Yazdan Yazdanpanah Antoine Flahault Denis Malvy Thomas Hanslik 2011-06-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0001197 https://doaj.org/article/c950b30c8fe3409e818c3af14f7ee91c EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC3114750?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0001197 https://doaj.org/article/c950b30c8fe3409e818c3af14f7ee91c PLoS Neglected Tropical Diseases, Vol 5, Iss 6, p e1197 (2011) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2011 ftdoajarticles https://doi.org/10.1371/journal.pntd.0001197 2022-12-31T12:51:56Z BACKGROUND:This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006. METHODOLOGY/PRINCIPAL FINDINGS: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. CONCLUSIONS/SIGNIFICANCE: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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 5 6 e1197 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Man-Koumba Soumahoro Pierre-Yves Boelle Bernard-Alex Gaüzere Kokuvi Atsou Camille Pelat Bruno Lambert Guy La Ruche Marc Gastellu-Etchegorry Philippe Renault Marianne Sarazin Yazdan Yazdanpanah Antoine Flahault Denis Malvy Thomas Hanslik The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:This study was conducted to assess the impact of chikungunya on health costs during the epidemic that occurred on La Réunion in 2005-2006. METHODOLOGY/PRINCIPAL FINDINGS: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. CONCLUSIONS/SIGNIFICANCE: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. |
format |
Article in Journal/Newspaper |
author |
Man-Koumba Soumahoro Pierre-Yves Boelle Bernard-Alex Gaüzere Kokuvi Atsou Camille Pelat Bruno Lambert Guy La Ruche Marc Gastellu-Etchegorry Philippe Renault Marianne Sarazin Yazdan Yazdanpanah Antoine Flahault Denis Malvy Thomas Hanslik |
author_facet |
Man-Koumba Soumahoro Pierre-Yves Boelle Bernard-Alex Gaüzere Kokuvi Atsou Camille Pelat Bruno Lambert Guy La Ruche Marc Gastellu-Etchegorry Philippe Renault Marianne Sarazin Yazdan Yazdanpanah Antoine Flahault Denis Malvy Thomas Hanslik |
author_sort |
Man-Koumba Soumahoro |
title |
The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
title_short |
The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
title_full |
The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
title_fullStr |
The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
title_full_unstemmed |
The Chikungunya epidemic on La Réunion Island in 2005-2006: a cost-of-illness study. |
title_sort |
chikungunya epidemic on la réunion island in 2005-2006: a cost-of-illness study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2011 |
url |
https://doi.org/10.1371/journal.pntd.0001197 https://doaj.org/article/c950b30c8fe3409e818c3af14f7ee91c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 5, Iss 6, p e1197 (2011) |
op_relation |
http://europepmc.org/articles/PMC3114750?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0001197 https://doaj.org/article/c950b30c8fe3409e818c3af14f7ee91c |
op_doi |
https://doi.org/10.1371/journal.pntd.0001197 |
container_title |
PLoS Neglected Tropical Diseases |
container_volume |
5 |
container_issue |
6 |
container_start_page |
e1197 |
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1766343969958002688 |