Medical and Indirect Costs Associated with a Rocky Mountain Spotted Fever Epidemic in Arizona, 2002-2011
- PMID: 26033020
- PMCID: PMC4559696
- DOI: 10.4269/ajtmh.15-0104
Medical and Indirect Costs Associated with a Rocky Mountain Spotted Fever Epidemic in Arizona, 2002-2011
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.
© The American Society of Tropical Medicine and Hygiene.
References
-
- 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. Rocky Mountain spotted fever from an unexpected tick vector in Arizona. N Engl J Med. 2005;353:587–594. - PubMed
-
- Traeger MS, Regan JJ, Humpherys D, Mahoney DL, Martinez M, Emerson GL, Tack DM, Geissler A, Yasmin S, Lawson R. Rocky Mountain spotted fever characterization and comparison to similar illnesses in a highly endemic area—Arizona, 2002–2011. Clinical Infectious Diseases. 2015;60:1650–1658. - PMC - PubMed
-
- 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. Risk factors for fatal outcome from Rocky Mountain spotted fever in a highly endemic area: Arizona, 2002–2011. Clin Infect Dis. 2015;60:1659–1666. - PMC - PubMed
-
- Arizona RMSF Statistics, Arizona Department of Health Services http://www.azdhs.gov/phs/oids/vector/rmsf/stats.htm Available at. Accessed January 24, 2014.
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