Social and Economic Impacts of School Influenza Outbreaks in England: Survey of Caregivers
| Autor: | Paul Cleary, Sooria Balasegaram, Dominic Thorrington, Catherine Hay, Ken T. D. Eames |
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| Rok vydání: | 2017 |
| Předmět: |
Employment
medicine.medical_specialty Pediatrics Cost effectiveness Disease Outbreaks Education 03 medical and health sciences 0302 clinical medicine Cost of Illness Quality of life Surveys and Questionnaires Influenza Human Health care Epidemiology medicine Humans 030212 general & internal medicine Retrospective Studies Schools business.industry Health Policy 030503 health policy & services Public Health Environmental and Occupational Health Attendance virus diseases Outbreak Health Services Confidence interval Vaccination Philosophy Caregivers England Quality of Life Health Expenditures 0305 other medical science business Demography |
| Zdroj: | Journal of School Health. 87:209-216 |
| ISSN: | 0022-4391 |
| DOI: | 10.1111/josh.12484 |
| Popis: | BACKGROUND Influenza is a cause of considerable morbidity in England, particularly among children. A total of 39% of all influenza-attributable general practitioner consultations and 37% of all influenza-attributable hospital admissions occur in those aged under 15 years. Few studies have quantified the impact of influenza outbreaks on families. We assessed this impact during 2 influenza seasons. METHODS We used questionnaires to obtain data in primary schools that reported an outbreak of an influenza-like-illness (ILI). We sought data on the loss of productivity, costs borne by families and loss in health-related quality of life (HRQoL). ILIs were identified using the symptoms criteria from the European Centre for Disease Prevention and Control and the UK Flusurvey. RESULTS For each child reporting ILI, mean school absence was 3.8 days (95% confidence interval [CI]): 3.0-4.8) with mean work absence for caregivers reported as 3.7 days (95% CI: 2.7-4.8). The mean loss in HRQoL was 2.1 quality-adjusted life days (95% CI: 1.5-2.7). The estimated total pediatric burden of disease for reported school-based outbreaks during the 2 influenza seasons was 105.3 QALYs (95% CI: 77.7-139.0). CONCLUSIONS This study shows the potential social and economic benefit of vaccination of children during mild influenza seasons. |
| Databáze: | OpenAIRE |
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