I. INTRODUCTION 1.1 Health and Economic Burdens of Norovirus Disease – The health burden of foodborne norovirus is significant (Painter et al., 2013). Norovirus causes a significant morbidity in terms of the number of outbreaks and associated illnesses each year in the United States. Hall et al. (2013) analyzed surveillance data from the Center for Disease Control and Prevention and derived estimates for AGE (acute gastroenteritis) associated with norovirus and found that about 19 to 21 million AGE illnesses, 400,000 emergency room visits, 1.7 to 1.9 million outpatient visits, 56,000 to 71,000 hospitalizations, and 570 to 800 deaths are caused by norovirus disease (Hall et al., 2013). ). There is an estimated 1 million pediatric cases requiring health provider intervention, 1 out of 14 children will require emergency room intervention and 1 out of every 6 children will require outpatient intervention (Wikswo & Hall, 2012; Hall et al., 2013). Norovirus is a major cause of morbidity for the general population. Children, the elderly and individuals with compromised immune systems and co-morbidities (McCabe-Sellers & Beatte, 2004) are particularly vulnerable to the effects of the virus. The economic burden of foodborne norovirus is significant (Painter et al., 2013). Researchers examined 14 foodborne pathogens that account for 95% of all confirmed foodborne illnesses and associated hospitalizations and 98% of deaths in the United States. One of the 14 pathogens evaluated was norovirus. On an annual basis, norovirus-associated hospitalizations are estimated to cost about $500 million (Batz et al., 2011; Bartsch et al, 2012). Healthcare costs and losses in productivity cost about $2 billion and results in the loss of 5,000 Q... ... middle of paper ... ...o measure both health and economic outcomes associated with the standard health strategy or status quo of no norovirus vaccination program and the alternative health strategy of implementation of a norovirus vaccination program. • Estimate the total cost expenditures (direct medical and non-medical) associated with the standard health strategy or status quo of no norovirus vaccination program (treatment of disease). • Estimate the total program cost expenditures and savings (program costs) associated with implementation of a norovirus vaccination program. Specific Aim 2: To estimate the effectiveness (in terms of QALYs) of implementation of a norovirus vaccination program. Specific Aim 3: To calculate the incremental cost-effectiveness ratios based on varying vaccine efficacies. Specific Aim 4: To conduct sensitivity analysis varying parameters such as efficacy.
Communicable diseases are one of the major concerns in public health, as it poses a significant threat to the population. The study of epidemiology allows nurses to understand the cause of the disease and helps determine the levels of prevention to be implemented in order to limit the spread of the disease (Lundy & Janes, 2016). The purpose of this paper is to: a) use an epidemiological model to identify the organism involved in the case study, as well as its pathology, etiology, diagnosis, and prognosis; b) describe the distribution of health events within Schenectady; c) identify the determinants affecting morbidity and mortality; d) determine the deterrents that exists within the affected population; e) calculate the outbreak’s incubation period; f) identify the individuals affected during endemic levels; g) provide a list of foods that were most susceptible to mass contamination; and h) determine the people involved in the food borne outbreak and analyze the possible cause of this occurrence.
In 1994, a stable in Hendra, a suburb of Brisbane, Queensland, Australia broke out with an unknown respiratory disease that resulted in thirteen horses and one horse trainer severely ill, resulting in death. [7, 8] This disease was isolated by scientists and later classified as the Hendra virus. The Hendra virus (HeV), previously unknown, is now classified under the family Paramyxoviridae, genus Henipavirus along with its sister viruses the Nipah Virus and Cedar virus.[7, 9] HeV has the capability of causing fatal diseases in several animal species including humans.[1] The primary host of the Hendra virus was identified as the flying fox species from the genus Pteropus[1,2,3] that resides and migrates through Northeastern Australia[8] or more specifically, the East coast of Australia to Melbourne and west across Northern Australia to Darwin[7].
Many say that history repeats itself, and throughout history, the spread of food-borne diseases has been constantly threatening humans. Salmonella, a disease which attacks numerous people a year, has returned, infected, and put people under panic of what they are eating. According to Foodborne Diseases, it is stated that “Salmonella comprises a large and diverse group of Gram-negative rods. Salmonellae are ubiquitous and have been recovered from some insects and nearly all vertebrate species, especially humans, livestock, and companion animals” (Gray and Fedorka-Cray 55). Because of the flexibility and the ability to reproduce rapidly, this infamous disease still remains as one of the most common threats in our society as well as an unconquerable problem that humans face these days.
Malone, K and Hinaman, A (n.d.) ,Vaccination mandates, the public Imperative and Mandate, http://www.cdc.gov/vaccines/imz-managers/guides-pubs/downloads/vacc_mandates_chptr13.pdf. Accessed on 5/19/2014
HAV is known to be an infectious disease that usually occurs in children and young adults .The disease is usually transmitted from person to person through contaminated food, liquids or oral fecal route. An example would be when someone is carrying the virus and doesn’t wash their hands after using the restroom and then puts food in their mouth. HAV is most common in developing countries because of the living conditions and inadequate water, poor sewage facilities and sanitary conditions. The highest HAV levels in the world are from India,” Earlier reports suggest that India is hyperendemic for HAV infection2,4-6 with very high infection rates,” (Sowmyanarayanan). Most HAV are without severe complications, “Virus HAV infection rarely causes fulminant hepatic failure in people…,” (Vento,p.1) . The symptoms for HAV are high fever, nausea, vomiting and jaundice...
Scott II, D. R. (2009). The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Retrieved from http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf
Mosquitoes, fever and even death may be some of the things that come to mind when we're asked to think about West Nile Virus. Many of us would consider mosquitoes a small trade-off for what the summertime provides, but what if there were more at risk than a bump above your skin and an itch? In a not so distant past West Nile Virus ascended into news broadcasts all throughout the country and alarming it's residents. Today however, that all seems to be an afterthought. The intentions today are to cover the first found cases of West Nile Virus, the symptoms of West Nile Virus, and finally West Nile Virus' impact on the United States. Through the research here, the hope is that we can all have a better understanding of how West Nile Virus works.
Ormond, B., Spillman, B., Waidmann, T., Caswell, K., & Tereshchenko, B.. (2011). Potential National and State Medical Care Savings From Primary Disease Prevention. American Journal of Public Health, 101(1), 157-64. Retrieved February 23, 2011, from ProQuest Psychology Journals. (Document ID: 2233850141).
In 1960 America was ranked 12th in the infant mortality rate among all other nations in the World and by 2005 we were ranked 30th. The United States distributes more vaccines to infants t...
Believe it or not, but investing money in vaccines actually helps our economy. When a person thinks about it, it makes sense. For every vaccine you receive, the less likely you will have to pay medical expenses if you get sick. And that money adds up, “Every $1 invested in immunization returns an estimated $16 in health-care savings and increased economic productivity” (Bustreo par. 4). Using those statistics, every ten dollars a person spends on getting a flu vaccine potentially saves them one hundred-sixty dollars from doctor visits. Imagine what that could do in third world countries where hundreds of people are dying everyday from vaccine-preventable diseases. Imagine how quickly that money could add up. Not only would it save their citizens’ lives, it would actually help their economy
to the vaccinations for Polio, MMR, DTP and many other life-threatening diseases, the death rate
The structure of my paper is the following. First I identify the trend of heath care costs over time, compared to other countries. Then I present an investigation of possible heath care cost ...
A recent study has shown that the US healthcare system deals with nearly 25 million cases of influenza each year. In a typical year, as many as one person in five in the US comes down with the flu, resulting in more than 200,000hospitalizations. The financial costs are huge, not least for employers. For each episode of illness, an employee typically misses between a half day and five days of work. The cost incurred due to reduced productivity and disruption to work flow; together with other indirect costs, is enormous.
Marburg virus belongs to the genus Marburgvirus in the family Filoviridae, and causes a grave hemorrhagic fever, known as Marburg hemorrhagic fever (MHF), in twain humans and nonhuman primates. Basic Safety measures for medical personnel and others who are taking care of presumed individuals who may be contaminated with Marburg disease. Marburg Virus, Akin to the more widely known Ebola hemorrhagic fever, MHF is portrayed by systemic viral replication, lowering the body’s normal immune response to invasion by foreign substances and abnormal inflammatory responses. Ebola and Marburg Virus are very similar in many ways Marburg virus was introduced first in the 1960’s. These pathological features of the disease subsidize to a numerous of systemic dysfunctions including
The most commonly recognized food borne infections are those caused by the bacteria Campylobacter, Salmonella, and E. coli 0157:H7, and by a group of viruses called Calicivirus, also know as the Norwalk viruses. “Thousands of types of bacteria are naturally present in our environment, but not all bacteria cause disease in humans.” (Schmutz 1)