Volume 23, Number 10—October 2017
Economic Assessment of Waterborne Outbreak of Cryptosporidiosis
|Characteristic||Value and assumption||Source|
|Cost of extra bottled water||48% reported buying bottled water; 80% increased bottled water use from 3.2 L to 16 L/wk; 20% increased use from 3.2 L to 20 L/wk; €0.50/L||HSE, 2007; estimated bottled water retail price|
|Cost of boiling water||Use of boiled water/household: drinking >12%, 2.1L/adult/d, 1 L/child/d; cooking >30%, 2 L/household/d; dishwashing >43%, 10 L/household/d; hygiene >14% 250 mL/person/d; €0.01/L||(15)|
|No. reported||242||HSE, 2007|
|No. not reported||498, 71% not reported||(16); HSE, 2007|
|GP visits||€50/visit, 1 GP visit/confirmed case; all reported patients consulted GP; GMS cost €50.46 (assumed to be €50)||HSE primary care reimbursement service, 2008|
|Self-medication||€9.26 for antidiarrheal medication; €6.99 for ORS (1 pack); 30% self-medication for reported; 17.6% self-medication for not reported||Pharmacy prices; (7)|
|Loss of income||€122.85/d; 5 d of work missed (all nonhospitalized reported patients and 17.4% of not reported patients); 10 d of work missed for hospitalized patients||Central Statistics Office, 2007; HSE, 2007|
|Loss of income for caregivers||€122.85/day; children <15 and persons >65 years of age (n = 195); 1 caregiver took 5 d off from work; average 10 d off from work for hospitalized patients||Central Statistics Office, 2007; (4); HSE, 2007|
|Cost of missing college/school||Reported: €69.20/student/d; 5 d missed (10 d for hospitalized patients); not reported: 19% took time off from school/college; average 5 d missed, €69.20/student/d||Central Statistics Office, 2007; (16); HSE, 2007|
|Cost to businesses|
|Productivity loss||€134/person/d; average 5 d; 10 d for hospitalized persons and caregivers||Health and Safety Times, 2011|
|Hotels, B and Bs, hostels|
|Extra water||4.2 L/room/d; 2.1 L/person/day||(18)|
|Cancellations||13% cancelation rate; 57% occupancy rate||IPSOS Mori survey|
|Other assumptions||No. businesses: 70 hotels, 134 B and B, and 18 hostels; no. rooms: 79/hotel, 5/B and B, and 134/hostel; price: €66 hotels, €65 B and B, and €17 hostels|
|Bottled water||2.1 L/person/d||(18)|
|Boiled water||1.5 L/person/d|
|Other factors||18 nursing homes in boil water–alert area; average no. residents 41, total no. residents for analysis 742; 168 nurseries/day care centers and 19 child minders; assume 3 children/child minder; average 29 children/nursey or day care center; no. children in nurseries or day care centers 4,929|
|Public sector costs, €|
|Galway City Council||3,388,840.33||Galway City Council|
|Galway County Council||2,472,837||Galway County Council|
|Emergency department cost||100; 1.3% of reported patients visited ED||HSE, (14)|
|5,810 extra species detection tests||46.06||University Hospital Galway (no. laboratory tests); commercial service provider (cost)|
|3,000 extra fecal culture tests||59.58||University Hospital Galway (no. laboratory tests); commercial service provider (cost)|
|Hospital admissions||753/person/d; 35% admitted to hospital for 10 d||HSE, 2007|
|Response team (representatives from all public sector categories)|
|Opportunity cost of labor||356/consultant/meeting; 16 persons; 28 meetings||IPS|
*B and Bs, bed and breakfast; ED, emergency department; EPA, Environmental Protection Agency of Ireland; GMS, general medical scheme; GP, general practitioner; HSE, Health Service Executive; IPS, Institute of Public Administration; ORS, oral rehydration solution.
†Nursing homes, nurseries, and day care centers.
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