1921
Volume 93, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Rocky Mountain spotted fever (RMSF) is an emerging public health issue on some American Indian reservations in Arizona. RMSF causes an acute febrile illness that, if untreated, can cause severe illness, permanent sequelae requiring lifelong medical support, and death. We describe costs associated with medical care, loss of productivity, and death among cases of RMSF on two American Indian reservations (estimated population 20,000) between 2002 and 2011. Acute medical costs totaled more than $1.3 million. This study further estimated $181,100 in acute productivity lost due to illness, and $11.6 million in lifetime productivity lost from premature death. Aggregate costs of RMSF cases in Arizona 2002–2011 amounted to $13.2 million. We believe this to be a significant underestimate of the cost of the epidemic, but it underlines the severity of the disease and need for a more comprehensive study.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.15-0104
2015-09-02
2017-11-18
Loading full text...

Full text loading...

/deliver/fulltext/14761645/93/3/549.html?itemId=/content/journals/10.4269/ajtmh.15-0104&mimeType=html&fmt=ahah

References

  1. Demma L, Traeger M, Nicholson W, Paddock C, Blau D, Eremeeva M, Dasch G, Levin M, Singleton J, Zaki S, Cheek J, Swerdlow D, McQuiston J, , 2005. Rocky Mountain spotted fever from an unexpected tick vector in Arizona. N Engl J Med 353: 587594.[Crossref]
  2. Openshaw J, Swerdlow D, Krebs J, Holman R, Mandel E, Harvey A, Haberling D, Massung R, McQuiston J, , 2010. Rocky Mountain spotted fever in the United States, 2000–2007: interpreting contemporary increases in incidence. Am J Trop Med Hyg 83: 174182.[Crossref]
  3. Traeger MS, Regan JJ, Humpherys D, Mahoney DL, Martinez M, Emerson GL, Tack DM, Geissler A, Yasmin S, Lawson R, , 2015. Rocky Mountain spotted fever characterization and comparison to similar illnesses in a highly endemic area—Arizona, 2002–2011. Clinical Infectious Diseases 60: 16501658.[Crossref]
  4. Regan J, Traeger M, Humpherys D, Mahoney D, Martinez M, Emerson G, Tack D, Geissler A, Yasmin S, Lawson R, Williams V, Hamilton C, Levy C, Komatsu K, Yost D, McQuiston J, , 2015. Risk factors for fatal outcome from Rocky Mountain spotted fever in a highly endemic area: Arizona, 2002–2011. Clin Infect Dis 60: 16591666.[Crossref]
  5. Arizona RMSF Statistics, Arizona Department of Health Services. Available at: http://www.azdhs.gov/phs/oids/vector/rmsf/stats.htm. Accessed January 24, 2014.
  6. U.S. Department of Labor, 2011. Consumer Price Index Inflation Calculator. Washington, DC: U.S. Bureau of Labor Statistics.
  7. Roubideaux Y, , 2011. Reimbursement Rates for Calendar Year 2011. A Notice by the Indian Health Service on 05/02/2011. Washington, DC: Federal Register, U. S. Government Printing Office.
  8. Arizona Health Care Cost Containment System, 2011. Fee-for-Service and MCO Capped Transportation Rates Effective April 1, 2011 through September 30, 2011. Available at: www.azahcccs.gov.
  9. Grosse S, Krueger K, Mvundura M, , 2009. Economic productivity by age and sex, 2007 estimates for the United States. Med Care 47: 10.[Crossref]
  10. U.S. Census Bureau; American Community Survey, 2010. American Community Survey 1-Year Estimates, Annual Income by State, Sex and Race. Generated using American FactFinder. Available at: http://factfinder2.census.gov. Accessed January 24, 2014.
  11. Huang S, Johnson K, Ray G, Wroe P, Lieu T, Moore M, Zell E, Linder J, Grijalva C, Metlay J, Finkelstein J, , 2011. Healthcare utilization and cost of pneumococcal disease in the United States. Vaccine 29: 33983412.[Crossref]
  12. Staples J, Shankar M, Sejvar J, Meltzer M, Fischer M, , 2014. Initial and long-term costs of patients hospitalized with West Nile virus disease. Am J Trop Med Hyg 90: 402409.[Crossref]
  13. Mahle W, Forbess J, Kirshbom P, Cuadrado A, Simsic J, Kanter K, , 2005. Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children. J Thorac Cardiovasc Surg 129: 10841090.[Crossref]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.15-0104
Loading
/content/journals/10.4269/ajtmh.15-0104
Loading

Data & Media loading...

  • Received : 05 Feb 2015
  • Accepted : 29 Apr 2015

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error