Estimating the burden and cost of infectious intestinal disease in the Maltese community

Sub-title
AuthorsCharmaine Gauci MD., MPH., Ph.D
H Gilles
S O'Brien
Julian Mamo MD.
Isabel Stabile LRCP., MRCS., FRCOG., Ph.D
F M Ruggeri
N Calleja
G. Spiteri
AbstractThe aim of this study was to estimate the burden of infectious intestinal disease (IID) and cost of illness at the community level from a societal aspect. A retrospective, age-stratified cross-sectional telephone study was carried out in Malta in 2004-2005. The number of cases, resources used and cost of resources were computed. The resources involved direct costs (health-care services, stool culture tests, medicines and personal costs) and indirect costs (costs from lost employment by cases and caregivers). This study estimated 0.421 (95% CI 0.092-0.771) separate episodes of IID per person per year in Malta which corresponds to 164471 (95% CI 35941-301205) episodes of IID per year or 450 (95% CI 98-825) episodes of IID each day. The largest proportion of cost is due to provision of health-care services with euro10454901 [Maltese liri (Lm) 4558970] per year; followed by euro963295 (Lm 2209393) in lost productivity; euro1286286 (Lm 561078) in medicines; euro152335 (Lm 66452) in stool culture testing and euro71487 (Lm 31183) in personal costs, giving a total cost of illness of over euro16 million (7 million Lm) per year. The burden and cost of IID are high enough to justify efforts to control the illness. Such estimates are important to assess the cost-effectiveness of proposed specific interventions.

Published in:
JournalEpidemiol Infect.
Volume21
Pages1 - 9
Date01/02/2007
Key wordsburden, cost effectiveness, infectious intestinal disease

Compiled by: Dr. I. Stabile    Dr. J. Pace