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Trop Med Int Health. 2008 Jul;13(7):934-42. doi: 10.1111/j.1365-3156.2008.02094.x. Epub 2008 May 6.

Estimates of the economic burden of rotavirus-associated and all-cause diarrhoea in Vellore, India.

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1
Department of Gastrointestinal Sciences, Christian Medical College, Vellore, India.

Abstract

OBJECTIVE:

To determine the cost of rotavirus and all-cause diarrhoea in Vellore, India.

METHODS:

Parents of children <5 years of age accessing clinics, emergency rooms, or hospitals for acute diarrhoea completed a questionnaire detailing healthcare utilisation, medical and non-medical expenditures, and lost income. Faecal samples were screened for rotavirus and medical records were examined. Costs were estimated for inpatient and outpatient resource consumption, stratified by facility.

RESULTS:

Total societal costs of a hospitalised diarrhoeal episode were Rs 3278.50 (US$ 80.80) at a large referral hospital and Rs 1648.60 (US$ 40.60) at a smaller community hospital. Costs for rotavirus positive or negative gastroenteritis were similar. Median household expenditures per diarrhoeal episode at the referral and the community hospitals equalled 5.8% and 2.2% of the annual household income, respectively.

CONCLUSIONS:

Diarrhoeal disease in children constitutes a considerable economic burden. An appropriately priced and effective rotavirus vaccine may provide significant economic savings for the Indian household and healthcare system.

PMID:
18466182
PMCID:
PMC2473264
DOI:
10.1111/j.1365-3156.2008.02094.x
[Indexed for MEDLINE]
Free PMC Article
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