Navigation Links
CDC, MGH study reveals that preventing malaria in travelers to West Africa reduces health costs
Date:9/23/2013

Not only do U.S. travelers to West Africa who consult health providers before they leave and take prescribed preventive medications substantially reduce their risk of contracting malaria, they also reduce costs to their health insurance providers and, in most cases, to themselves. In a report that has been published online in Clinical Infectious Disease, researchers from the U.S. Centers for Disease Control and Prevention (CDC) and from Massachusetts General Hospital (MGH) report finding that the costs associated with contracting malaria -- to both third-party payers and to individual travelers -- outweigh the costs of preventive care.

"This analysis confirmed that pretravel health consultations for travelers going to areas where the risk of malaria is equivalent to that of West Africa result in cost-savings," says Edward Ryan, MD, director of the Tropical and Geographic Medicine Center in the MGH Division of Infectious Diseases, a co-author of the report and senior advisor for the research team. "We know from other studies that preventive measures reduce the risk of contracting malaria, so the question we were looking at was whether preventive care for travelers saves money. The answer to the question is a resounding yes for health care insurers and carriers and, in many cases, for travelers themselves."

As part of its mission to prevent and track diseases in the U.S. and around the world, the CDC established the Global Travel Epidemiology Network (GTEN), a national network of travel clinics that collects data from individuals planning to travel internationally. Coordinated from the MGH Division of Infectious Diseases, GTEN now includes 26 clinical sites, 18 of which provided data for the current study. Although the CDC recommends that all international travelers consult with a health provider before their departure, most do not for reasons that can include lack of awareness or concern about health risks and the fact that pretravel appointments, vaccinations and preventive medications often are not covered by health insurance.

Since malaria prevention would be a major concern for travelers to areas of the world where the mosquito-borne illness is common, the current study used prevention of malaria in travelers to West Africa as a test case to examine the impact of pretravel consultation on health care expenditures. The research team compiled data collected in GTEN clinics from about 1,000 travelers going to countries in West Africa in 2009 and 2010 -- including how long they were traveling, the purpose of their trip and what anti-malarial drugs were prescribed.

This data was used by the CDC researchers -- led by Kenji Adachi, PhD, and Margaret S. Coleman, PhD -- to construct the economic model analyzing the costs and benefits of the pretravel consultation. For travelers, preventive costs included any co-pays for the appointment, time off from work and costs of prescribed medication. These were compared -- from perspectives of both travelers and coverage providers -- with the costs that would be incurred if a traveler contracted malaria, which usually include hospitalization, sometimes in intensive care.

Depending on factors such as the length of a trip -- which affects both the risk of contracting malaria and the costs of preventive medication -- and the costs and effectiveness of the prescribed drugs, the model revealed that, while the costs to payers for preventive services ranged from $161 to $208, the average costs to treat a case of malaria would be more than $25,000. Overall the analysis found that covering preventive services could save payers from $14 to $371 per patient, with greater savings associated with longer visits to malaria-prone areas. For individual travelers, while out-of-pocket costs for prevention averaged around $45, contracting malaria would cost an average of nearly $3,400. Travelers staying less than 9 days, whose risk of contracting malaria would be considered low, would have a net cost of around $20, but those staying a month or longer would save an average of $32.

Ryan, a professor of Medicine at Harvard Medical School, explains, "We focused this analysis on one illness, malaria, but pre-travel medical care also involves trying to prevent many other illnesses associated with travel. Our analysis suggests that, not only does it make good medical sense for travelers to check in with their health care provider before traveling, it also makes solid economic sense. In this era of trying to maximize the utility of every health-care dollar, studies such as this will play a critical role."


'/>"/>

Contact: Sue McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital
Source:Eurekalert

Related medicine news :

1. Study Suggests Vaccine May Help Kids With Brain Cancer
2. Study reveals how cancer drug causes diabetic-like state
3. Coffee Drinking in Pregnancy Wont Lead to Sleepless Baby: Study
4. Lower GI problems plague many with rheumatoid arthritis, Mayo Clinic study finds
5. Veggies Like Broccoli, Cabbage May Help Fight Breast Cancer: Study
6. No Added Cancer Risk From Hip Replacement Materials: Study
7. Reported Decline in U.S. Pneumonia Deaths May Be False: Study
8. Early Study Finds Some Promise for Lung Cancer Vaccine
9. Narcissists Often Ace Job Interviews, Study Finds
10. Sexual objectification of female artists in music videos exists regardless of race, MU study finds
11. Soy may alleviate hot flashes in menopause, large-scale study finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/28/2017)... Tenn. (PRWEB) , ... April 28, 2017 , ... ... system, today announced an alliance with B. Braun Medical Inc. , a leader ... role in patient care with as many as 90 percent of hospital patients receiving ...
(Date:4/27/2017)... ... April 27, 2017 , ... ... deodorant. On the heels of Thinksport’s award-winning sunscreen they’ve used the same scientific ... actually works! , Countless deodorants flood the aisles that contain harmful chemicals that ...
(Date:4/27/2017)... ... April 27, 2017 , ... Goodcents Deli Fresh Subs announced a franchise expansion ... this year. , The first new location will open at the corner of ... 84th and Northern Lights Drive this fall. And the third location is in the ...
(Date:4/26/2017)... ... April 26, 2017 , ... Jump Technologies, Inc., an innovative ... has completed a round of funding to accelerate its growth strategies. The $3.5 ... Capital is a growth equity firm focused on investments in healthcare and technology ...
(Date:4/26/2017)... ... April 26, 2017 , ... ... describes the adoption of e-prescribing as measured in Part D Medicare data. The ... prescriptions to pharmacies, either using e-prescribing, faxes or paper. The PaPR (pronounced ...
Breaking Medicine News(10 mins):
(Date:4/25/2017)... , April 25, 2017 Endo International plc (NASDAQ: ... May 9, 2017. Members of its senior management team will host ... at 8:30 a.m. ET. The dial-in number to ... International (678) 509-7598, and the passcode is 6086379. Please dial in ... A replay of the call will be available ...
(Date:4/20/2017)... April 20, 2017  Vivify Health, the pioneer and ... been awarded a very significant patent for the advancement ... continual care via digital health.  This landmark patent provides ... and further secures Vivify,s position as the leader in ... was the first company to apply consumer mobile devices, ...
(Date:4/20/2017)... 2017  CVS Pharmacy, the retail division of ... store design to enhance the retail customer experience ... products and expanded beauty selections paired with informational ... new offerings. Together with its innovative digital programs, ... customer experience at CVS Pharmacy.  ...
Breaking Medicine Technology: