Economic and Social Impact of Pertussis Among Adolescents in San Diego County

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Aiden K VaranEric C McDonald

Abstract

During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. The parents of 53 (of 108 [49%]) eligible 2013 pertussis patients were interviewed; 51 (96%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81%), urgent care (11%), and emergency department (9%); all patients received antibiotics. Forty-seven households (89%) received a post-exposure prophylaxis recommendation, and five (9%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. Even among vaccinated adolescents, pertussis can result in considerable societal costs.

References

Dec 4, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Grace M LeeUNKNOWN Massachusetts Pertussis Study Group
Apr 13, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kristin L NicholEdward Ehlinger
Feb 8, 2013·The New England Journal of Medicine·Juventila LikoPaul R Cieslak
Mar 15, 2014·The Journal of Infectious Diseases·Thomas A Clark
Mar 19, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Russell S BarlowAmy D Sullivan

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Citations

Apr 1, 2020·Journal of the Pediatric Infectious Diseases Society·Juventila Liko, Paul R Cieslak

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