Hygiene and Economic Burden of Acute Meningitis and Encephalitis Syndrome from 2007 to 2014 in Jinan City_Chinese Journal of Evidence-Based Medicine

Authors：

 LIUXiao-xue , ZHANGXian-hui , XUSheng-ping , SONGKai-jun , LINShao-qian ,  ZHANGJi

Center for Disease Control of Jinan City, Jinan 250021, China;

Corresponding?author：

ZHANGJi, Email: zhangji1967@163.com

Keywords：

Meningitis; Encephalitis; Burden of disease; DALY; Cross-sectional survey

DOI：

10.7507/1672-2531.20160061

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the epidemiological and economic burden of acute meningitis and encephalitis syndrome (AMES) in Jinan, so as to provide references for prevention and control of AMES. Methods The monitoring data of the AMES Special Reporting System of Jinan City from 2007 to 2014 was collected and the epidemiological characteristics of AMES were analyzed. A questionnaire survey was performed in AMES patients reported in 2013 to collect the basic information, prognosis, medical and non-medical expenses etc. of patients. The DALYs and economic burden of AMES were estimated by using SPSS 13.0 software. Results The average incidence rate of AMES in Jinan was 8.49/100 000 through 2007 to 2014 and the mortality was 4.96‰. The total DALYs were 36 659.51 and the average DALY was 8.27.77.86% were aged less than 14 years old. The average direct economic burden of each case was 19.5 thousand RMB and the average indirect economic burden caused by DALYs was 69.1 thousand RMB. Conclusion There's heavy burden from AMES, and measures should be made to reduce the incidence and economic burden.

Citation： LIUXiao-xue, ZHANGXian-hui, XUSheng-ping, SONGKai-jun, LINShao-qian, ZHANGJi. Hygiene and Economic Burden of Acute Meningitis and Encephalitis Syndrome from 2007 to 2014 in Jinan City. Chinese Journal of Evidence-Based Medicine, 2016, 16(4): 387-391. doi: 10.7507/1672-2531.20160061 Copy

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1. DCPP. Disease Control Priorities in Developing Countries. 2nd Edition. Oxford University Press and the World Bank, 2006:399.
2. Hinson VK, Tyor WR. Update of viral encephalitis, Inflammatory diseases. Curr Opin Neutral, 2001, 14(3):369-374.
3. KniPe DM, Howley PM, Griffin DE, et al. Fields Virology. Lippincott Williams and Wilkins, 5^th Revised Edition. 2006.
4. Centers for diseases control and prevention. Syndromic surveillance:an applied approach to outbreak detection:united states department of health and human services. Available at:www.cdc.gov/ncphi/disss/nndss.
5. Fox-Rushby J, Hanson K. Calculating and presenting disability adjusted life years (DALYs) in cost-effectiveness analysis. Health policy and planning, 2001, 16(3):326-331.
6. World Health Organization 2004. The global burden of disease:2004 update. Geneva:WHO, 2004:48-50.
7. 莊潤森, 王聲涌. 如何評價疾病的經濟負擔. 中國預防醫學雜志, 2001, 2(4):245-247.
8. 龍泳, 劉學東, 段利平, 等. 失能調整壽命年與人力資本法結合估計間接經濟負擔的研究. 中華流行病學雜志, 2007, 25(7):708-711.
9. Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010:a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012, 380(9859):2197-2223.
10. 李軍宏, 李藝星, 寧夏, 等. 中國2006年流行性腦脊髓膜炎早死所致疾病負擔分析. 中國疫苗和免疫, 2008, 14(2):127-129.
11. 李子林, 馬福寶, 康國棟, 等. 江蘇省2008年乙型腦炎經濟負擔調查及免疫規劃成本效益分析. 實用預防醫學, 2010, 17(9):1756-1757.
12. 張曉曙, 王旭霞, 于德山, 等. 西北地區腦炎腦膜炎癥候群病原譜分析. 中華預防醫學雜志, 2013, 47(10):924-927.
13. 董柏青, 楊進業, 林玫, 等. 廣西急性腦炎腦膜炎癥候群的監測與研究. 中華預防醫學雜志, 2011, 45(6):527-530.
14. 陳勇, 殷菲. 江蘇省流行性腦脊髓膜炎經濟負擔的影響因素研究. 現代預防醫學, 2010, 37(22):4254-4256.
15. 王萌. 流行性腦脊髓膜炎疾病負擔研究綜述. 中國熱帶醫學, 2012, 12(6):770-772.
16. Touch S, Grundy J, Hills S, et al. The rationale for integrated childhood meningoencephalitis surveillance:a case study from Cambodia. Bulletin of the World Health Organization, 2009 (87):320-324.
17. Stoto MA, Schonlau M, Mariano LT. Syndromic surveillance is it worth the effort?. Chance, 2004, 17(1):19-24.
18. Arboleda N, Fleischauer AT, Sejvar J, et al. An emergency department based syndromic surveillance system for meningitis and encephalitis, Maricopa County, AZ 2004. Advances in Disease Surveillance, 2006, 1(4):223-229.
19. 王永, 李輝, 應焱燕, 等. 應用DALY評價寧波市糖尿病疾病負擔水平及發展趨勢. 中國預防醫學雜志, 2014, 15(1):53-57.
20. 張永新, 王梅. 1980~2002年我國居民糖尿病疾病負擔和變化趨勢. 中國衛生經濟, 2009, 28(3):46-78.

Chinese Journal of Evidence-Based Medicine

Hygiene and Economic Burden of Acute Meningitis and Encephalitis Syndrome from 2007 to 2014 in Jinan City

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