Socioeconomic impact of the recent outbreak of H1N1

Abstract

Available online xxxKeywords: H1N1 Economic Social Morbidity Expenditure a b s t r a c t Background & aim: : Recent outbreak of H1N1 influenza leads to increased morbidity and mortality. High infection rate and virulence created panic among masses and huge health care burden. Socio-economic impact of H1N1 influenza has been underestimated. We describe socio-economic impact of H1N1 by taking hospitalization expenditure model. Method: In a prospective observational study at tertiary care centre in Northern India hospitalization costs were collected from 1st January 2015 to 31st March 2015. Real time reverse transcriptase polymerase chain reaction (RT-PCR) testing on nasopharyngeal swabs was used to confirm diagnosis. Result: Data of 209 patients were analyzed. Age of the patients ranged from 3 months to 85 years. The mean and median age of the patients was 41.5 and 45 years respectively. Female patients constituted 46% of all patients admitted. Hospital stay duration ranged from 1 day to 41 days. Minimum and maximum expenditure was 164 USD and 32548 USD respectively.Mean expenditure was 3326 USD. Mean room rent was 940 USD, investigation cost À457 USD, medicines cost e 808 USD, doctors' consultation-468USD and miscellaneous cost of 653 USD. Mean expenditure in H1N1 ward was 17 times(1983 USD), whereas in isolated single room it was 22 times(2554 USD) and in ICU mean expenditure was 62 times(7172 USD) the monthly per capita income. Expenditure increased with increasing age (P ¼ 0.004) with highest expenditure was seen in age group more than 60 years and lowest among age group less than 20 years. Apart from these direct effects, H1N1 influenza had huge indirect impact on the socio-economic framework in terms of absenteeism, decreased manpower causing economic slowdown, low tourism increased workload and anxiety among healthcare workers. Conclusion: H1N1 influenza outbreak severely affected the socio-economic framework of the country. Isolation wards seem to be cost effective and expenditure has got direct linear association with age. ScienceDirect jo urnal homepage: www .e lsev ie r. co m/ lo cate/ cmrp c u r r e n t m e d i c i n e r e s e a r c h a n d p r a c t i c e x x x ( 2 0 1 5 ) 1 e5 http://dx.Please cite this article in press as: Kumar P, et al., Socioeconomic impact of the recent outbreak of H1N1, Current Medicine Research and Practice (2015), http://dx.

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