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India: 2015 H1N1 Outbreak Led to Huge Financial Burden on Patients: Study

Ronan Kelly

Retired 2020
Swine Flu Led to Huge Financial Burden on Patients: Study
By PTI Published: 03rd August 2015 03:56 PM Last Updated: 03rd August 2015 03:56 PM

NEW DELHI: The outbreak of H1N1 in India in the opening months of the year had a huge socio-economic impact with the expenditure incurred by patients on their treatment being 17 to 62 times of India's monthly per capita income, according to a study.

The study was carried out on 209 hospitalised swine flu patients from January 1 to March 31, 2015.

The H1N1 influenza outbreak caused various problems with huge financial burden on individuals as well as insurance providers, the study found.
...
However, the actual economic burden of H1N1 could be much higher as the study could not take into account absenteeism from work or school and decrease in production and tourism.

Dr Atul Kakar, author of the study and senior consultant at SGRH said preventive measures with vaccination before the start of epidemic would help drastically reduce the cost of hospitalisation and socio-economic burden on the patient.
http://www.newindianexpress.com/nati...cle2955460.ece

Socioeconomic impact of the recent outbreak of H1N1
Pratyush Kumar a,*
, Anurag Sachan b
, Atul Kakar c
, Atul Gogia d
a DNB Resident, Department of Family Medicine, Sir Gangaram Hospital, India
b Intern, Sir Gangaram Hospital, India
c DNB, Senior Consultant, Department of Medicine, Sir Gangaram Hospital, India
d DNB, Consultant, Department of Medicine, Sir Gangaram Hospital, India
...
abstract
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 457
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 ? 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.
Copyright ? 2015, Sir Ganga Ram Hospital. Published by Reed Elsevier India Pvt. Ltd. All
rights reserved.
...
http://www.sarkarimirror.com/wp-cont...pact-study.pdf

Comment: For more on India's 2015 flu season go here. Activity is currently increasing across several states suggesting the onset of a monsoon wave. - Ro
 
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