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Published on: July 9, 2014
[Direct costs of complicated chicken pox in a Colombian pediatric population]
Nelson Alvis-Guzmán1, Angel Paternina-Caicedo, Luis Alvis-Estrada
1Grupo de Investigación en Economía de la Salud, Facultad de Ciencias Económicas, Universidad de Cartagena, Cartagena de Indias, Colombia. nalvis@yahoo.com
Insights
The economic burden of chicken pox (varicella) in Colombian children is significant, with high average hospital costs. These findings support the introduction of a chicken pox vaccine in Colombia.
Area of Science:
- Pediatric infectious diseases
- Health economics
- Public health policy
Context:
- Chicken pox (varicella) poses a considerable economic burden on healthcare systems globally.
- Estimating the direct medical costs of varicella is crucial for informing public health interventions and vaccination policies.
Purpose:
- To estimate the direct hospital costs associated with chicken pox (varicella) in a pediatric population in Cartagena, Colombia.
- To provide evidence supporting the economic rationale for introducing a varicella vaccination program in Colombia.
Summary:
- A retrospective case study analyzed hospital costs for chicken pox patients at a children's hospital in Cartagena, Colombia, from 2005-2008.
- Micro-costing included expenses for healthcare personnel, laboratory tests, diagnostic imaging, and medications, adjusted for inflation to 2010 Colombian peso prices.
- Mean hospital costs were substantial, particularly for infants under one year old, indicating a significant economic impact.
Impact:
- The study highlights that the cost of chicken pox in Colombia is comparable to that in Panama and developed countries.
- Findings provide evidence supporting the cost-effectiveness of chicken pox vaccination.
- The results encourage Colombian public health authorities to consider the implementation of a national chicken pox vaccination strategy.
Objective:
Estimating the cost of chicken pox in a Colombian pediatric population.
Methodology:
This was a retrospective case study which searched for all diagnosed chicken pox cases in the Napoleón Franco Pareja children's hospital (Cartagena, Colombia), during 2005-2008. The hospital's records/perspective was used. Cost related to health personnel, lab, diagnostic images and drugs were searched. The micro-costing was made at Colombian peso prices for 2010. An adjustment was made for inflation.
Results:
Mean hospital costs were $ 898,766 (Q1: $ 197,348; Q3: $ 1,195,262). Mean hospital cost per day was $ 221,777 (Q1: $ 97,027; Q3: $ 293,740). Mean cost <1 year-old patients was $ 980,742 (Q1: $ 905,708; Q3: $ 1,026,031). Mean cost was $ 105,833 in 5-12 year-old patients (Q1: $ 39,568; Q3: $ 891,824).
Conclusions:
The results were similar to those of previous studies (in Panama and some developed countries) highlighting relatively high illness costs in Colombia. These results increase the evidence in favor of vaccination and invite Colombian public health officials to consider introducing a chicken pox vaccine into Colombia.
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