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Cost of Responding to the 2017 University of Washington Mumps Outbreak: A Prospective Analysis

机译:回应2017年华盛顿大学腮腺大学爆发的成本:预期分析

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Objectives: To estimate costs of labor and materials by the University of Washington (UW) and state and local public health departments (PHDs) to respond to the February to June 2017 UW mumps outbreak, where 42 cases were identified among students (primarily sorority and fraternity members), staff, and associated community members. Design: We applied standard cost analysis methodology using a combined public health and university perspective to examine the cost of responding to the outbreak. Setting: UW's Seattle campus encompasses 703 acres with approximately 32 000 undergraduate students. Nearly 15% of the undergraduate population are members of fraternities or sororities. Housing for the fraternities and sororities is adjacent to the UW campus and consists of 50 houses. Participants: During the outbreak, customized costing tools based on relevant staff or faculty positions and activities were provided to the UW and Public Health–Seattle & King County, populated by each person participating in the outbreak response, and then collected and analyzed. Laboratory hours and material costs were collected from the Washington Department of Health and the Minnesota Department of Health. Main Outcome Measure: Labor and material costs provided by the UW and PHDs during the outbreak were collected and categorized by payer and activity. Results: Total costs to the UW and PHDs in responding to the outbreak were $282 762 ($6692 per case). Of these, the UW spent $160 064, while PHDs spent $122 098. Labor accounted for 77% of total outbreak costs, and UW response planning and coordination accounted for the largest amount of labor costs ($75 493) overall. Conclusions: Given the current university and public health department budget constraints, the response to the outbreak amounted to a significant use of resources. Labor was the largest driver of costs for the outbreak response; UW labor costs—related to campus response planning and coordination—dominated the total economic burden from public health and university perspectives.
机译:目标:由华盛顿大学(UW)和国家和地方公共卫生部门(PHDS)估算劳动力和材料成本,以回应2017年2月至2017年6月UW腮腺炎爆发,其中42例患者(主要是女士和巫术兄弟会成员),工作人员和相关的社区成员。设计:我们使用合并的公共卫生和大学视角来应用标准成本分析方法,以检查回应爆发的成本。环境:UW'S Seattle Campus拥有703英亩,大约32000名本科生。近15%的本科人口是兄弟会或女主人的成员。兄弟会的住房和姐妹们毗邻UW校园,包括50个房屋。参与者:在爆发期间,基于相关人员或教师职位和活动的定制成本化工具向UW和公共卫生 - 西雅图和国王县提供,每个人参与爆发反应,然后收集和分析。从华盛顿卫生署和明尼苏达卫生部收集了实验室小时和物质成本。主要成果措施:爆发期间UW和PHDS提供的劳动力和物质成本被收款人和活动分类。结果:uW和否定爆发的氟氯化铅的总成本为282美元762美元(每箱6692美元)。其中,UW花费了160美元064,而PHDS花费了122美元098年。劳工占爆发成本的77%,而UW响应规划和协调占整个劳动力成本的最高金额(75 493美元)。结论:鉴于目前的大学和公共卫生部的预算限制,对爆发的回应相当于资源的大量利用。劳动力是爆发反应的最大成本驾驶员;劳动力成本与校园响应规划和协调主导地位,主导了公共卫生和大学视角的经济总负担。

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