Pike Jamison, Schwartz Sheryl, Kay Meagan, Perez-Osorio Ailyn, Marin Mona, Jenkins Mark, Routh Janell, Duchin Jeff, DeBolt Chas, Zhou Fangjun
National Center for Immunization and Respiratory Disease, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Pike, Marin, Routh, and Zhou); University of Washington, Seattle, Washington (Ms Schwartz and Drs Jenkins and Duchin); Public Health-Seattle & King County, Seattle, Washington (Drs Kay and Duchin); and Washington Department of Health, Olympia, Washington (Dr Perez-Osorio and Ms DeBolt).
J Public Health Manag Pract. 2020 Mar/Apr;26(2):116-123. doi: 10.1097/PHH.0000000000000957.
To estimate costs of labor and materials by the University of Washington (UW) and state and local public health departments (PHDs) to respond to the February to June 2017 UW mumps outbreak, where 42 cases were identified among students (primarily sorority and fraternity members), staff, and associated community members.
We applied standard cost analysis methodology using a combined public health and university perspective to examine the cost of responding to the outbreak.
UW's Seattle campus encompasses 703 acres with approximately 32 000 undergraduate students. Nearly 15% of the undergraduate population are members of fraternities or sororities. Housing for the fraternities and sororities is adjacent to the UW campus and consists of 50 houses.
During the outbreak, customized costing tools based on relevant staff or faculty positions and activities were provided to the UW and Public Health-Seattle & King County, populated by each person participating in the outbreak response, and then collected and analyzed. Laboratory hours and material costs were collected from the Washington Department of Health and the Minnesota Department of Health.
Labor and material costs provided by the UW and PHDs during the outbreak were collected and categorized by payer and activity.
Total costs to the UW and PHDs in responding to the outbreak were $282 762 ($6692 per case). Of these, the UW spent $160 064, while PHDs spent $122 098. Labor accounted for 77% of total outbreak costs, and UW response planning and coordination accounted for the largest amount of labor costs ($75 493) overall.
Given the current university and public health department budget constraints, the response to the outbreak amounted to a significant use of resources. Labor was the largest driver of costs for the outbreak response; UW labor costs-related to campus response planning and coordination-dominated the total economic burden from public health and university perspectives.
估算华盛顿大学（UW）以及州和地方公共卫生部门（PHDs）应对2017年2月至6月UW腮腺炎疫情的劳动力和物资成本，此次疫情在学生（主要是兄弟会和姐妹会成员）、教职员工及相关社区成员中确诊了42例病例。
我们采用标准成本分析方法，从公共卫生和大学的综合视角审视应对疫情的成本。
UW西雅图校区占地703英亩，约有32000名本科生。近15%的本科生是兄弟会或姐妹会成员。兄弟会和姐妹会的宿舍毗邻UW校区，共有50栋房屋。
疫情期间，根据相关工作人员或教职岗位及活动定制的成本核算工具被提供给UW以及西雅图-金县公共卫生部门，由参与疫情应对的每个人填写，然后进行收集和分析。实验室工时和物资成本从华盛顿州卫生部和明尼苏达州卫生部收集。
收集UW和PHDs在疫情期间提供的劳动力和物资成本，并按付款方和活动进行分类。
UW和PHDs应对疫情的总成本为282762美元（每例6692美元）。其中，UW支出160064美元，PHDs支出122098美元。劳动力占疫情总成本的77%，UW的应对规划和协调占劳动力成本总额的最大份额（75493美元）。
鉴于当前大学和公共卫生部门的预算限制，应对此次疫情耗费了大量资源。劳动力是疫情应对成本的最大驱动因素；从公共卫生和大学的角度来看，UW与校园应对规划和协调相关的劳动力成本主导了总经济负担。
