Economic and Social Impact of Pertussis Among Adolescents in San Diego County

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• 作者：Aiden K. Varan ; M.P.H.^a ; ^b ; ^c ; ^{vvl5@cdc.gov" class="auth_mail" title="E-mail the corresponding author} ; Kathleen H. Harriman ; Ph.D. ; M.P.H. ; R.N.^d ; Kathleen Winter ; M.P.H.^d ; Melissa D. Thun ; R.N.^b ; Eric C. McDonald ; M.D. ; M.P.H.^b
• 关键词：Pertussis ; Adolescent ; Cost of illness ; Health care utilization ; Absenteeism ; Immunization ; San Diego
• 刊名：Journal of Adolescent Health
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：58
• 期：2
• 页码：241-244
• 全文大小：266 K

文摘

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.