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Volume 27, Number 1—January 2021
Dispatch

Economic Burden of Legionnaires’ Disease, United States, 2014

Madeleine Baker-GoeringComments to Author , Kakoli Roy, Chris Edens, and Sarah Collier
Author affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

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%.

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References
  1. 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.
  2. 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;65:57684. DOIPubMedGoogle Scholar
  3. 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;64:11903. DOIPubMedGoogle Scholar
  4. 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
  5. Grosse  SD, Krueger  KV, Mvundura  M. Economic productivity by age and sex: 2007 estimates for the United States. Med Care. 2009;47(Suppl 1):S94103. DOIPubMedGoogle Scholar
  6. 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
  7. Zhang  W, Bansback  N, Anis  AH. Measuring and valuing productivity loss due to poor health: A critical review. Soc Sci Med. 2011;72:18592. DOIPubMedGoogle Scholar
  8. 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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Page created: October 09, 2020
Page updated: December 21, 2020
Page reviewed: December 21, 2020
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.
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