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Published on: July 6, 2013
Disease burden of congenital cytomegalovirus infection in Japan
Hirosato Aoki1, Taito Kitano2, Daisuke Kitagawa3
1Department of Neonatology, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, Kanagawa, 232-8555, Japan.
Insights
Congenital cytomegalovirus infection imposes a significant lifetime economic burden in Japan, estimated at 27.6 billion JPY in 2019. This highlights the need for national screening and early treatment strategies.
Area of Science:
- Public Health
- Health Economics
- Infectious Diseases
Background:
- Congenital cytomegalovirus (CMV) is a leading cause of congenital infections and newborn malformations in developed nations.
- Despite global discussions on neonatal screening and treatment, data on the lifetime economic impact of congenital CMV is limited.
- Understanding the economic burden is crucial for evaluating the cost-effectiveness of potential interventions.
Purpose of the Study:
- To calculate the lifetime economic and health burdens associated with congenital cytomegalovirus infection in Japan.
- To inform national strategies regarding neonatal screening and early treatment for congenital CMV.
Main Methods:
- Economic and lifetime health burdens were estimated for the 2019 Japanese annual birth cohort.
- Data utilized included demographic, epidemiologic, health value, and economic indicators.
- The economic burden was categorized into medical and social costs, with sensitivity analysis performed.
Main Results:
- The estimated total economic burden of congenital CMV infection in Japan for 2019 was 27.6 billion JPY.
- Acute care medical costs represented a minor component of the overall economic burden.
- Social costs significantly outweighed medical costs, indicating a substantial societal impact.
Conclusions:
- The study quantifies the considerable economic burden of congenital CMV infection in Japan.
- Findings underscore the disease's significance and provide valuable data for guiding national public health policies.
- Results support the implementation of neonatal screening and early treatment programs to mitigate long-term costs.
Introduction:
Cytomegalovirus is the most frequently acquired congenital infectious agent that causes malformation in newborns in developed countries. Although there are many discussions worldwide about neonatal screening and treatment, there is scarce information relating to the lifetime economic burden of this disease, which is essential for calculating the cost-effectiveness of any screening and treatment programs.
Materials And Methods:
Economic and lifetime health burdens of congenital cytomegalovirus infection in the Japanese annual birth cohort in 2019 were calculated, using demographic, epidemiologic, health value, and economic indicators. The economic burden was divided into medical and social costs. Sensitivity analysis was performed, using high and low values for some indicators.
Results:
Our model estimated that the overall cost due to congenital cytomegalovirus infection in 2019 was 27.6 billion JPY. Acute care costs comprised a small portion of the medical costs. Social costs were much higher than medical costs.
Conclusion:
Our study revealed the economic burden of congenital cytomegalovirus infection in Japan, which highlighted the significance of this disease. Our study will be helpful for guiding national strategies in Japan, including neonatal screening and early treatment.
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