PharmacoEconomics & Outcomes News 792, p15 - 2 Dec 2017
Isolated cases of measles create
high public health burden in USA
Isolated cases of measles appear to create a high
public health burden in Colorado, according to findings
of a study published in Morbidity and Mortality Weekly
Researchers tracked the economic burden associated
with investigating and responding to two single cases of
measles in July 2016 and January 2017, respectively, in
patients in Denver who had travelled to countries in
which measles was endemic.
Both cases of measles led to multiple exposures at
healthcare centers and public venues, and resulted in an
immediate complex response by local and state public
health agencies, co-ordinated by the Tri-County Health
After the first case of measles was identified,
31 contacts received postexposure prophylaxis (PEP).
However, due to the delay in diagnosing measles in the
second case, no contacts were eligible for PEP. No
secondary measles cases were identified.
Estimated public health costs were $49 769 for the
first case, which required 756 hours of personnel time,
and $18 423 for the second case, which required
435 hours of personnel time.
"This report highlights the high cost of public health
response to measles introductions in local
communities," said the researchers. "Failure of clinicians
to recognize measles early in the course of illness in
these two cases serves as a reminder that health care
providers might not be familiar with clinical measles or
aware of the risk for measles transmission during
international travel," they commented.
Marx GE, et al. Public Health Economic Burden Associated with Two Single
Measles Case Investigations - Colorado, 2016-2017. Morbidity and Mortality
Weekly Report 66: 1272-1275, No. 46, 24 Nov 2017. Available from: URL: http://
PharmacoEconomics & Outcomes News 2 Dec 2017 No. 7921173-5503/17/0792-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved