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dc.contributor.authorBhuiyan, Mejbah U.
dc.contributor.authorLuby, Stephen P.
dc.contributor.authorAlamgir, Nadia I.
dc.contributor.authorHomaira, Nusrat
dc.contributor.authorMamun, Abdullah A.
dc.contributor.authorKhan, Jahangir A. M.
dc.contributor.authorAbedin, Jaynal
dc.contributor.authorSturm-Ramirez, Katharine
dc.contributor.authorGurley, Emily S.
dc.contributor.authorZaman, Rashid U.
dc.contributor.authorAlamgir, ASM
dc.contributor.authorRahman, Mahmudur
dc.contributor.authorWiddowson, Marc-Alain
dc.contributor.authorAzziz-Baumgartner, Eduardo
dc.identifier.citationBhuiyan, M. U., Luby, S. P., Alamgir, N. I., Homaira, N., Mamun, A. A., Khan, J. A. M., . . . Azziz-Baumgartner, E. (2014). Economic burden of influenza-associated hospitalizations and outpatient visits in bangladesh during 2010. Influenza and Other Respiratory Viruses, 8(4), 406-413. doi:10.1111/irv.12254en_US
dc.descriptionThis article was published in the Influenza and other Respiratory Viruses [© 2014 Blackwell Publishing Ltd.] and The Journal's website is at:
dc.description.abstractObjective: Understanding the costs of influenza-associated illness in Bangladesh may help health authorities assess the cost-effectiveness of influenza prevention programs. We estimated the annual economic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh. Design: From May through October 2010, investigators identified both outpatients and inpatients at four tertiary hospitals with laboratory-confirmed influenza infection through rRT-PCR. Research assistants visited case-patients' homes within 30 days of hospital visit/discharge and administered a structured questionnaire to capture direct medical costs (physician consultation, hospital bed, medicines and diagnostic tests), direct non-medical costs (food, lodging and travel) and indirect costs (case-patients' and caregivers' lost income). We used WHO-Choice estimates for routine healthcare service costs. We added direct, indirect and healthcare service costs to calculate cost-per-episode. We used median cost-per-episode, published influenza-associated outpatient and hospitalization rates and Bangladesh census data to estimate the annual economic burden of influenza-associated illnesses in 2010. Results: We interviewed 132 outpatients and 41 hospitalized patients. The median cost of an influenza-associated outpatient visit was US$4.80 (IQR = 2.93-8.11) and an influenza-associated hospitalization was US$82.20 (IQR = 59.96-121.56). We estimated that influenza-associated outpatient visits resulted in US$108 million (95% CI: 76-147) in direct costs and US$59 million (95% CI: 37-91) in indirect costs; influenza-associated hospitalizations resulted in US$1.4 million (95% CI: 0.4-2.6) in direct costs and US$0.4 million (95% CI: 0.1-0.8) in indirect costs in 2010. Conclusions: In Bangladesh, influenza-associated illnesses caused an estimated US$169 million in economic loss in 2010, largely driven by frequent but low-cost outpatient visits.en_US
dc.publisher© 2014 Blackwell Publishing Ltd.en_US
dc.titleEconomic burden of influenza-associated hospitalizations and outpatient visits in Bangladesh during 2010en_US
dc.contributor.departmentJames P Grant School of Public Health, BRAC University

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