Economic and social impact of pertussis among adolescents in San Diego county

Aiden K. Varan; Kathleen H. Harriman; Kathleen Winter; Melissa D. Thun; Eric C. McDonald

doi:10.1016/j.jadohealth.2015.10.012

Economic and social impact of pertussis among adolescents in San Diego county

Aiden K. Varan, Kathleen H. Harriman, Kathleen Winter, Melissa D. Thun, Eric C. McDonald

Epidemiology & Environmental Health

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Purpose: During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. Methods: Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. Results: The parents of 53 (of 108 [49%]) eligible 2013 pertussis patients were interviewed; 51 (96%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81%), urgent care (11%), and emergency department (9%); all patients received antibiotics. Forty-seven households (89%) received a post-exposure prophylaxis recommendation, and five (9%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. Conclusions: Even among vaccinated adolescents, pertussis can result in considerable societal costs.

Original language	English
Pages (from-to)	241-244
Number of pages	4
Journal	Journal of Adolescent Health
Volume	58
Issue number	2
DOIs	https://doi.org/10.1016/j.jadohealth.2015.10.012
State	Published - 2016

Bibliographical note

Funding Information:
Aiden K. Varan was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists (CSTE) and funded by the Centers for Disease Control and Prevention (CDC) Cooperative Agreement Number 1U380T000143-01 .

Funding

Aiden K. Varan was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists (CSTE) and funded by the Centers for Disease Control and Prevention (CDC) Cooperative Agreement Number 1U380T000143-01 .

Funders	Funder number
Centers for Disease Control and Prevention	1U380T000143-01
Council of State and Territorial Epidemiologists

Keywords

Absenteeism
Adolescent
Cost of illness
Health care utilization
Immunization
Pertussis
San Diego

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jadohealth.2015.10.012

Cite this

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title = "Economic and social impact of pertussis among adolescents in San Diego county",

abstract = "Purpose: During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. Methods: Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. Results: The parents of 53 (of 108 [49%]) eligible 2013 pertussis patients were interviewed; 51 (96%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81%), urgent care (11%), and emergency department (9%); all patients received antibiotics. Forty-seven households (89%) received a post-exposure prophylaxis recommendation, and five (9%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. Conclusions: Even among vaccinated adolescents, pertussis can result in considerable societal costs.",

keywords = "Absenteeism, Adolescent, Cost of illness, Health care utilization, Immunization, Pertussis, San Diego",

author = "Varan, {Aiden K.} and Harriman, {Kathleen H.} and Kathleen Winter and Thun, {Melissa D.} and McDonald, {Eric C.}",

note = "Funding Information: Aiden K. Varan was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists (CSTE) and funded by the Centers for Disease Control and Prevention (CDC) Cooperative Agreement Number 1U380T000143-01 .",

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T1 - Economic and social impact of pertussis among adolescents in San Diego county

AU - Varan, Aiden K.

AU - Harriman, Kathleen H.

AU - Winter, Kathleen

AU - Thun, Melissa D.

AU - McDonald, Eric C.

N1 - Funding Information: Aiden K. Varan was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists (CSTE) and funded by the Centers for Disease Control and Prevention (CDC) Cooperative Agreement Number 1U380T000143-01 .

PY - 2016

Y1 - 2016

N2 - Purpose: During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. Methods: Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. Results: The parents of 53 (of 108 [49%]) eligible 2013 pertussis patients were interviewed; 51 (96%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81%), urgent care (11%), and emergency department (9%); all patients received antibiotics. Forty-seven households (89%) received a post-exposure prophylaxis recommendation, and five (9%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. Conclusions: Even among vaccinated adolescents, pertussis can result in considerable societal costs.

AB - Purpose: During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. Methods: Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. Results: The parents of 53 (of 108 [49%]) eligible 2013 pertussis patients were interviewed; 51 (96%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81%), urgent care (11%), and emergency department (9%); all patients received antibiotics. Forty-seven households (89%) received a post-exposure prophylaxis recommendation, and five (9%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. Conclusions: Even among vaccinated adolescents, pertussis can result in considerable societal costs.

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Economic and social impact of pertussis among adolescents in San Diego county

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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