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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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. 庄润森, 王声涌. 如何评价疾病的经济负担. 中国预防医学杂志, 2001, 2(4):245-247.
8. 龙泳, 刘学东, 段利平, 等. 失能调整寿命年与人力资本法结合估计间接经济负担的研究. 中华流行病学杂志, 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. 李军宏, 李艺星, 宁夏, 等. 中国2006年流行性脑脊髓膜炎早死所致疾病负担分析. 中国疫苗和免疫, 2008, 14(2):127-129.
11. 李子林, 马福宝, 康国栋, 等. 江苏省2008年乙型脑炎经济负担调查及免疫规划成本效益分析. 实用预防医学, 2010, 17(9):1756-1757.
12. 张晓曙, 王旭霞, 于德山, 等. 西北地区脑炎脑膜炎症候群病原谱分析. 中华预防医学杂志, 2013, 47(10):924-927.
13. 董柏青, 杨进业, 林玫, 等. 广西急性脑炎脑膜炎症候群的监测与研究. 中华预防医学杂志, 2011, 45(6):527-530.
14. 陈勇, 殷菲. 江苏省流行性脑脊髓膜炎经济负担的影响因素研究. 现代预防医学, 2010, 37(22):4254-4256.
15. 王萌. 流行性脑脊髓膜炎疾病负担研究综述. 中国热带医学, 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, 李辉, 应焱燕, 等. 应用DALY评价宁波市糖尿病疾病负担水平及发展趋势. 中国预防医学杂志, 2014, 15(1):53-57.
20. 张永新, 王梅. 1980~2002年我国居民糖尿病疾病负担和变化趋势. 中国卫生经济, 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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