Bulletin of the World Health Organization

Further efforts needed to achieve measles elimination in Germany: results of an outbreak investigation

Ole Wichmann, Anette Siedler, Daniel Sagebiel, Wiebke Hellenbrand, Sabine Santibanez, Annette Mankertz, Georg Vogt, Ulrich van Treeck & Gérard Krause

Volume 87, Number 2, February 2009, 108-115

Table 2. Cost items used to calculate health-care provider costs during measles outbreak in Duisburg, North Rhine-Westphalia, Germany, 2006 (n = 614)

Cost item Cost (€) Number of cases
Total cost (€)
Interviewee Non-responder
Total costs for hospitalization
Measles without complications 1 325.0 39 18 75 525
Measles with pneumonia 2 038.0 23 0 46 874
Measles with otitis media 1 088.0 12 0 13 056
Measles with encephalitis 2 867.0 1 0 2 867
Measles with complicated encephalitis 4 384.0 1 0 4 384
Measles with fatal encephalitis, ICU 35 623.0 1 0 35 623
Outpatient consultation 46.5 477 115 27 528
Serological tests at local laboratory 29.4 154 33 5 492
Laboratory confirmation at NRCa
Serological tests 29.4 15 1 470
PCR 58.3 59 36 5 538
Genotyping 116.6 50 30 9 326
Antibiotic treatment 20.0 122 Unknown 2 440
Total costs 499 115 229 122

ICU, intensive care unit; NRC, national reference centre; PCR, polymerase chain reaction.
a For each patient, up to four specimens (serum,urine and oral fluid samples, throat swab) were tested. The number indicates the number of tests performed.

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