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Infantile gastroenteritis in the community: a cost-of-illness study
P K Lorgelly1, D Joshi, M Iturriza Gómara
1Section of Public Health and Health Policy, University of Glasgow, Glasgow, UK. p.lorgelly@clinmed.gla.ac.uk
Insights
Rotavirus gastroenteritis affects nearly all children by age five. This study found it costs between £59-£143 per episode, with a total societal burden of £11.5 million annually.
Area of Science:
- Pediatrics
- Infectious Diseases
- Health Economics
Background:
- Rotavirus is a leading cause of gastroenteritis in young children globally.
- The community prevalence and economic impact of rotavirus gastroenteritis remain underestimated due to underreporting of milder cases.
- Understanding the true burden is crucial for public health interventions and resource allocation.
Purpose of the Study:
- To determine the community prevalence of rotavirus acute gastroenteritis.
- To conduct a cost-of-illness study for rotavirus gastroenteritis in children.
- To estimate the overall economic burden of rotavirus gastroenteritis to society.
Main Methods:
- A structured community surveillance study was performed.
- A cost-of-illness analysis was integrated with the surveillance.
- Prevalence and cost data were collected from a defined sample population.
Main Results:
- Rotavirus acute gastroenteritis was identified in 48% of the study sample.
- The average cost per episode ranged from £59 to £143, varying by perspective.
- The estimated annual societal burden of rotavirus gastroenteritis is £11.5 million.
Conclusions:
- Rotavirus gastroenteritis represents a significant public health issue with substantial economic consequences.
- Community-based surveillance is essential for accurately assessing the burden of infectious diseases.
- The findings highlight the need for effective prevention and management strategies for rotavirus infections.
Abstract:
Rotavirus infections are the main cause of gastroenteritis in infants and children and it is expected that by the age of 5 years, nearly every child will have experienced at least one episode of rotavirus gastroenteritis. While severe cases are hospitalized, milder disease is either treated at home or by the GP, and as such the true prevalence of rotavirus infection in the community, and the burden of disease, is unknown. This paper reports the results of a cost-of-illness study which was conducted alongside a structured community surveillance study. Forty-eight percent of our sample was found to have rotavirus acute gastroenteritis; and the average total cost of a child presenting with rotavirus gastroenteritis ranged between pound sterling 59 and pound sterling 143 per episode, depending on the perspective. Given the prevalence and severity of the disease, the estimated burden of rotavirus gastroenteritis to society is pound sterling 11.5 million per year.
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