Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 25, Number 6—June 2019

Assessment of Economic Burden of Concurrent Measles and Rubella Outbreaks, Romania, 2011–2012

Joseph Njau1, Denisa Janta, Aurora Stanescu, Sarah S. Pallas, Adriana Pistol, Nino Khetsuriani2, Susan Reef, Daniel Ciurea, Cassandra Butu, Aaron S. Wallace, and Laura ZimmermanComments to Author 
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J. Njau, S.L. Pallas, S. Reef, A.S. Wallace, L. Zimmerman); National Public Health Institute, Bucharest, Romania (D. Janta, A. Stanescu, A. Pistol); Centers for Disease Control and Prevention, Tbilisi, Georgia (N. Khetsuriani); Center for Health Policies and Services, Bucharest (D. Ciurea); World Health Organization Country Office, Bucharest (C. Butu)

Main Article

Table 5

Estimated overall cost per case of measles, rubella, or congenital rubella syndrome during concurrent outbreaks, Romania, 2011–2012*

Cost type
Cost per case (sensitivity analysis lower bound–upper bound; 2013 US $)
Rubella, not CRS
Household direct medical and nonmedical $71 ($21–$127) $19 ($6–$46) NA
Household indirect $63 ($47–$86) $42 ($34–$57) NA
Healthcare provider $264 ($237–290) $27 ($25–30) NA
National outbreak response $42 ($37–46) $42 ($38–47) NA
CRS cases direct medical NA NA $4,820 ($1,742–$7,191)
CRS cases lifetime discounted indirect NA NA $39,231 (UB: $80,195)
Estimated total societal/case $439 ($389–494) $132 ($118–$158) $44,051 ($40,973–$85,015)

*CRS, congenital rubella syndrome; NA, not applicable; UB, upper bound of sensitivity analysis.

Main Article

1Current affiliation: JoDon Consulting Group LLC, Atlanta, Georgia, USA.

2Current affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Page created: May 20, 2019
Page updated: May 20, 2019
Page reviewed: May 20, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.