ArticleBMC public health2007
Health burden and economic impact of measles-related hospitalizations in Italy in 2002-2003.
Article in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Measles Surveillance in Tuscany (Italy), 2019-2024: A Six-Year Epidemiological Analysis.Vaccines · 2026Article
- Progress and Challenges in Measles and Rubella Elimination in the WHO European Region.Vaccines · 2024Article
- Economic burden of measles and its influencing factors in Fujian, China.Human vaccines & immunotherapeutics · 2021Article
- Seroepidemiology of Measles, Mumps, Rubella and Varicella in Italian Female School Workers: A Cross-Sectional Study.Vaccines · 2021Article
- Measles epidemic in pediatric population in Greece during 2017-2018: Epidemiological, clinical characteristics and outcomes.PloS one · 2021Article
- Vaccine confidence: the keys to restoring trust.Human vaccines & immunotherapeutics · 2020Article
- Indirect costs associated with deaths of children aged 0-14 years from measles in a weak health system and conflict and fragile zone: the case of Somalia.Epidemiology and infection · 2019Article
- Measles-Related Hospitalizations in Italy, 2004-2016: The Importance of High Vaccination Coverage.Annals of global health · 2019Observational
- Economic burden and associated factors of measles patients in Zhejiang Province, China.Human vaccines & immunotherapeutics · 2019Article
- Seroprevalences of Specific IgG Antibodies to Measles, Mumps, and Rubella in Korean Infants.Journal of Korean medical science · 2016Article
- Economic Costs of Measles Outbreak in the Netherlands, 2013-2014.Emerging infectious diseases · 2015Article
- Measles elimination efforts and 2008-2011 outbreak, France.Emerging infectious diseases · 2013Article
- Molecular epidemiology of measles virus in Italy, 2002-2007.Virology journal · 2012Article
- Description of two measles outbreaks in the Lazio Region, Italy (2006-2007). Importance of pockets of low vaccine coverage in sustaining the infection.BMC infectious diseases · 2010Article
- Measles-induced respiratory distress, air-leak and ARDS.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2010Article
- Epidemiological impact of a nationwide measles immunization campaign in Viet Nam: a critical review.Bulletin of the World Health Organization · 2008Article
- Kinetics of decline of maternal measles virus-neutralizing antibodies in sera of infants in France in 2006.Clinical and vaccine immunology : CVI · 2008Article
- [Prevention of respiratory tract diseases].Der Internist · 2008Article
- The public perception of the value of vaccines - the case of Switzerland.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2008Article
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6 authors.
Funding
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Abstract
backgroundA large measles outbreak occurred in Italy in 2002-2003. This study evaluates the health burden and economic impact of measles-related hospitalizations in Italy during the specified period.
methodsHospital discharge abstract data for measles hospitalizations in Italy during 2002-2003 were analysed to obtain information regarding number and rates of measles hospitalizations by geographical area and age group, length of hospital stay, and complications. Hospitalization costs were estimated on the basis of Diagnosis-Related Groups.
resultsA total of 5,154 hospitalizations were identified, 3,478 (67%) of which occurred in children <15 years of age. Most hospitalizations occurred in southern Italy (71 %) and children below 1 year of age presented the greatest hospitalization rates (46.2/100,000 and 19.0/100,000, respectively in 2002 and 2003). Pneumonia was diagnosed in 594 cases (11.5%) and encephalitis in 138 cases (2.7%). Total hospital charges were approximately euro 8.8 million.
conclusionThe nationwide health burden associated with measles during the 2002-2003 outbreak was substantial and a high cost was incurred by the Italian National Health Service for the thousands of measles-related hospitalizations which occurred. By assuming that hospital costs represent 40-50% of the direct costs of measles cases, direct costs of measles for the two years combined were estimated to be between 17.6-22.0 million euros, which equates to the vaccination of 1.5-1.9 million children (3-4 birth cohorts) with one dose of MMR. The high cost of measles and the severity of its complications fully justify the commitment required to reach measles elimination.
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