Excess healthcare costs of a large waterborne outbreak in Finland

Background: The economic effects of waterborne outbreaks have rarely been reported. A large waterborne outbreak occurred in the town of Nokia in Finland in 2007 with half of the population in the contaminated area suffering from gastroenteritis. We studied the healthcare costs of this outbreak. Meth...

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Bibliographic Details
Published in:Scandinavian journal of public health 2013-11, Vol.41 (7), p.761-766
Main Authors: HUOVINEN, ELISA, LAINE, JANNE, VIRTANEN, MIKKO J., SNELLMAN, MARJA, HUJANEN, TIMO, KIISKINEN, URPO, KUJANSUU, EILA, LUMIO, JUKKA, RUUTU, PETRI, KUUSI, MARKKU
Format: Article
Language:English
Subjects:
Biological and medical sciences
Disease Outbreaks - economics
Drinking Water - microbiology
Effects of contamination of water
Environment. Living conditions
Feces - microbiology
Finland
Finland - epidemiology
Gastroenteritis
Gastroenteritis - economics
Gastroenteritis - epidemiology
Health care
Health Care Costs - statistics & numerical data
Health costs
Hospitals
Humans
Medical sciences
Methodology
Miscellaneous
Outbreaks
Prevention
Public health. Hygiene
Public health. Hygiene-occupational medicine
Registers
Registries
Samples
Water Microbiology
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Summary:Background: The economic effects of waterborne outbreaks have rarely been reported. A large waterborne outbreak occurred in the town of Nokia in Finland in 2007 with half of the population in the contaminated area suffering from gastroenteritis. We studied the healthcare costs of this outbreak. Methods: Healthcare costs were studied using register data from the Nokia Health Care Centre, data collected in the regional university hospital, and data from laboratory register on stool samples. Results: Total excess healthcare costs were EUR 354,496, which is approximately EUR 10 per resident of Nokia. There were 2052 excess visits because of gastroenteritis in Nokia Health Care Centre, 403 excess episodes in the university hospital, and altogether over 2000 excess stool samples due to the outbreak. Care in the Nokia Health Care Centre accounted for 44% and care in the university hospital for 42% of the excess healthcare costs while stool samples accounted for only 10%. Conclusions: Despite the high morbidity, the total cost was low because most patients had a relatively mild illness. The situation would have been worse if the microbes involved had been more hazardous or if the financial situation of the community had been worse. Prevention of waterborne outbreaks is important, as there is a risk of severe short- and long-term health effects and substantial health-economic costs.
ISSN:1403-4948
1651-1905
DOI:10.1177/1403494813490450