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Rubella in Panama: still a problem.
C Saad de Owens1, R Tristan de Espino
1Neonatology Service, Hospital de la Caja de Seguro Social, Panama City, Republic of Panama.
The Pediatric Infectious Disease Journal
|February 1, 1989
Summary
In 1986, Panama reported thousands of acquired rubella cases. Congenital rubella syndrome in 54 neonates caused severe health issues and significant care costs, highlighting the need for vaccination.
Area of Science:
- Epidemiology
- Public Health
- Pediatrics
Background:
- In 1986, the Republic of Panama experienced a significant number of acquired rubella cases.
- Rubella infection during pregnancy can lead to Congenital Rubella Syndrome (CRS), causing severe birth defects.
Purpose of the Study:
- To document the incidence and manifestations of congenital rubella in Panama in 1986.
- To estimate the direct care costs associated with congenital rubella cases.
Main Methods:
- Retrospective analysis of reported acquired rubella cases in Panama for 1986.
- Identification and clinical assessment of neonates with congenital rubella syndrome.
- Estimation of annual direct care costs for affected neonates.
Main Results:
- 3795 cases of acquired rubella were reported nationwide, with 1550 in the Metropolitan Region.
- 54 neonates were identified with congenital rubella syndrome, presenting with various defects including cardiopathies, neurological issues, low birth weight, ocular defects, and hearing loss.
- The estimated annual direct cost of care for these 54 neonates was approximately $123,730.
Conclusions:
- Congenital rubella syndrome imposes a substantial health burden with severe developmental consequences.
- The high cost of caring for infants with CRS underscores the economic and health benefits of rubella vaccination.