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手足口病的经济负担——中国北京市,2016 - 2019年

Economic Burden of Hand, Foot, and Mouth Disease - Beijing Municipality, China, 2016-2019.

作者信息

Shen Ying, Li Siqi, Huo Da, Dong Shuaibing, Yang Yang, Jia Lei, Wang Quanyi, Wang Xiaoli

机构信息

Beijing Center for Disease Prevention and Control, Beijing, China.

Beijing Research Center for Respiratory Infectious Diseases, Beijing, China.

出版信息

China CDC Wkly. 2023 Oct 27;5(43):953-957. doi: 10.46234/ccdcw2023.180.

Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Current research regarding hand, foot, and mouth disease (HFMD) has primarily concentrated on the economic impacts, drawing from retrospective or sentinel hospital-based data. This approach often overlooks cases that were either not consulted or were misdiagnosed.

WHAT IS ADDED BY THIS REPORT?: This research systematically examined the iceberg phenomenon of HFMD and its economic implications in Beijing. Our findings indicate that each confirmed case represents 9.1 actual infections, imposing financial burdens of 25.58 United States dollars (USD) per unconsulted individual, 265.75 USD per misdiagnosed individual, 366.50 USD per individual with mild cases, and 2355.89 USD per individual with severe cases. The annual economic losses attributed to HFMD in the area range from 7.03 million USD to 13.31 million USD.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: This study offers insight into the actual prevalence of HFMD in Beijing, as well as conducting an economic burden analysis on a per-case, per-category basis. This could facilitate a cost-effectiveness analysis of prevention and control strategies for HFMD.

摘要

关于该主题已知的信息有哪些?:目前关于手足口病(HFMD)的研究主要集中在经济影响方面,数据来源于回顾性研究或基于定点医院的数据。这种方法常常忽略未就诊或误诊的病例。

本报告新增了哪些内容?:本研究系统地调查了北京手足口病的冰山现象及其经济影响。我们的研究结果表明,每例确诊病例代表9.1例实际感染,未就诊个体每人造成25.58美元的经济负担,误诊个体每人造成265.75美元的经济负担,轻症个体每人造成366.50美元的经济负担,重症个体每人造成2355.89美元的经济负担。该地区手足口病每年造成的经济损失在703万美元至1331万美元之间。

对公共卫生实践有何启示?:本研究深入了解了北京手足口病的实际流行情况,并按病例、类别进行了经济负担分析。这有助于对手足病防控策略进行成本效益分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f08f/10652087/8b70e508b251/ccdcw-5-43-953-1.jpg

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