Volume 27, Number 1—January 2021
Dispatch
Economic Burden of Legionnaires’ Disease, United States, 2014
Madeleine Baker-Goering
, Kakoli Roy, Chris Edens, and Sarah Collier
, Kakoli Roy, Chris Edens, and Sarah Collier
Table 1
Inputs used to estimate economic burden of Legionnaires’ disease, United States, 2014*
| Input | Value (range) | Source |
|---|---|---|
| Cases of Legionnaires’ diseases, no. | 11,000 (7,430–13,300) | Collier et al. (1), [[ANCHOR###T1###Table 1###Anchor]], domestically acquired waterborne cases |
| Hospitalizations, no. | 10,800 (7,280–13,100) | Collier et al. (1), [[ANCHOR###T2###Table 2###Anchor]], domestically acquired waterborne cases requiring hospitalization |
| Workdays lost per hospitalization. no. | 10 (8–12) | ABCs 2011–2015 (3), length of stay (6 d), plus assumed additional prior to hospitalization and for recovery (4 d), minus weekend (2 d). Range assumed. |
| Proportion of hospitalized cases occurring among working-age patients, % | 60 | ABCs 2011–2015 (3) |
| Loss per day because of absenteeism, USD | $363 | National Occupational Employment and Wage Estimates, Bureau of Labor Statistics hourly earnings for all occupations, 2014 (4) |
| Deaths, no. | 995 (655–1,310) | Collier et al. (1), Table 2, fatal, domestically acquired, waterborne cases |
| Value per premature death (weighed average), USD | $413,727 | Grosse et al. (5),† updated to 2014 USD by using employment cost index (6) |
*ABCs, Active Bacterial Core surveillance; USD, 2014 US dollars. †We used the estimates of the present value of lifetime production, which were discounted at 3%.
References
- Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, et al. Estimate of burden and direct healthcare cost of infectious waterborne disease in the United States. Emerg Infect Dis. 2021;27:140-90.
- Garrison LE, Kunz JM, Cooley LA, Moore MR, Lucas C, Schrag S, et al. Vital signs: deficiencies in environmental control identified in outbreaks of Legionnaires’ disease—North America, 2000–2014. MMWR Morb Mortal Wkly Rep. 2016;65:576–84. DOIPubMedGoogle Scholar
- Dooling KL, Toews KA, Hicks LA, Garrison LE, Bachaus B, Zansky S, et al. Active Bacterial Core surveillance for legionellosis—United States, 2011–2013. MMWR Morb Mortal Wkly Rep. 2015;64:1190–3. DOIPubMedGoogle Scholar
- Bureau of Labor Statistics. May 2014 National Occupational Employment and Wage Estimates United States. Washington: US Department of Labor; March 2015 [cited 2018 Apr 12]. https://www.bls.gov/oes/2014/may/oes_nat.htm#00-0000
- Grosse SD, Krueger KV, Mvundura M. Economic productivity by age and sex: 2007 estimates for the United States. Med Care. 2009;47(Suppl 1):S94–103. DOIPubMedGoogle Scholar
- Bureau of Labor Statistics. Employment cost index historical listing V3. Current dollar, March 2001–September 2017. Table 4: employment cost index for total compensation, for civilian workers, by occupation and industry. Washington: US Department of Labor; April 2018 [cited 2018 Apr 12]. https://www.bls.gov/web/eci/echistrynaics.pdf
- Zhang W, Bansback N, Anis AH. Measuring and valuing productivity loss due to poor health: A critical review. Soc Sci Med. 2011;72:185–92. DOIPubMedGoogle Scholar
- Office of the Assistant Secretary for Planning and Evaluation. Guidelines for regulatory impact analysis. Washington: US Department of Health and Human Services; 2016 [cited 2018 Apr 12]. https://aspe.hhs.gov/system/files/pdf/242926/HHS_RIAGuidance.pdf
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