Estimating the Incidence of Cases and Deaths Resulting from Hand, Foot and Mouth Disease and Its Related Socioeconomic Disease Burden in Republic of Korea (2010 – 2014).
10.24171/j.phrp.2018.9.3.05
- Author:
Donghee SEO
1
Author Information
1. Division of Infectious Disease Surveillance, Korea Centers for Disease Control and Prevention, Cheongju, Korea. donnaseo@gmail.com
- Publication Type:Original Article
- Keywords:
burden of disease;
hand foot and mouth disease;
Republic of Korea
- MeSH:
Caregivers;
Child;
China;
Hand*;
Hand, Foot and Mouth Disease*;
Hepatitis A;
Humans;
Incidence*;
Insurance, Health;
Mortality;
Republic of Korea*;
Sentinel Surveillance;
Social Change;
Virus Diseases
- From:
Osong Public Health and Research Perspectives
2018;9(3):112-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Hand, Foot and Mouth disease (HFMD) is a highly contagious viral disease that affects young children and frequently causes epidemics. A vaccine is available in China (enterovirus 71) and, the Republic of Korea took the first step to develop a new vaccine. New vaccine development requires that disease burden is calculated in advance so the financial cost, morbidity and mortality can be measured. METHODS: Data from National Sentinel Surveillance and health insurance systems of 1 million claimants were used. Direct medical and non-medical costs, indirect (caregiving and premature death) costs, cases and related deaths were summarized. RESULTS: From 2010 to 2014, there were an estimated 3,605 to 9,271 cases of HFMD, with 1 to 3 deaths. The estimated socioeconomic disease burden ranged from 80.5 to 164.2 million USD and was similar to that of hepatitis A (93.6–103.8 million USD). Among each costs, costs of caregiving consisted of highest proportion mainly due to hiring caregivers (50% – 60%) or opportunity costs from day off (62% – 69%). CONCLUSION: Considering the social impact of HFMD, the estimated socioeconomic disease burden is not high and government policies need to focus on reducing the loss of work in caregivers.
