Table 1

Characteristics of cost of illness studies of influenza outbreaks*, expressed in Euros (base year 2017)

Study (Publication Year)Setting, yearPerspectiveDirect costs (€, 2017)Indirect costs (€, 2017)
Prager et al (2017)17USA, n/aHealthcare system, governmental, societalSeasonal (no vaccination): €5.92 billion
Seasonal (vaccination): €9.96 billion
Pandemic (no vaccination): €81.18 billion
Pandemic (vaccination): €65.59 billion
Illness-related workdays losses
(a) Vaccination and no vaccination in a seasonal scenario: vaccination contributes to more workday losses than no vaccination
(b) Vaccination and no vaccination in a pandemic scenario: vaccination reduces workday losses by 22.2 million days compared with no vaccination
Morales-Suárez-Varela et al (2016)18Spain, 2009–2010Healthcare system, societalTotal direct cost/patient
Non-pregnant women: €3 908.70
Pregnant women: €2 227.10
Total indirect cost/patient
Non-pregnant women: €107.18
Pregnant women: €63.83
Silva et al (2014)19France, 2010–2011Payer, societalMean direct cost/patient
All ages—€53.43
0–4 years old—€73.91
5–14 years old—€52.79
15–65 years old—€35.26
≥65 years old—€44.13
Total direct costs
All ages—€107 883 835
0–4 years old—€18 908 254
5–14 years old—€52 474 781
15–65 years old—€21 590 741
≥65 years old—€6 940 836
Mean daily allowance cost due to work leave/patient
All ages—€22.38
0–4 years old—€0
5–14 years old—€0
15–65 years old—€97.88
≥65 years old—€0
Higgins et al (2011)20Australia and New Zealand, 2009Healthcare systemTotal mean cost: €19 296 136
Total ICU costs: €6 107 069
Total non-ICU costs: €12 961 942
Mean cost of ICU/patient: €61 368
Mean cost of non-ICU/patient: €10 755
Mean cost in ICU/per patient and per day: €4 767
Non-reported
Wilson et al (2009)21New Zealand, 2009Healthcare systemTotal ICU costs: €40 807 660
Median ICU cost/patient: €22 540
Mean ICU cost/patient: €32 168
Total hospital costs/patient
Median hospital cost: €39 696
Mean hospital cost: 53 553
Treatment costs in ICU per subgroup
(a) Cost/patient with and without pre-existing comorbidity
€16 100 and €28 980, respectively
(b) Cost/patient with viral pneumonitis and with other influenza syndromes
€22 212 and €12 880, respectively
Non-reported
Rodríguez-Rieiro et al (2009)22Spain, 2009Healthcare systemTotal cost: €36 700 000
Median cost per hospitalisation (concomitant chronic disease): €2 205
Median cost per hospitalisation (without a medical condition): €1 172
Non-reported
  • The adjustment was performed from Canadian $, US$, Australian $, British pounds £ and converted to Euro (Germany has been selected as target currency in these cases). Currencies from European Union countries adjusted to their currency.

  • The cost data include all forms of cost derived from inclusion studies, such as overall/total cost, mean/average cost, income loss, labour cost, household cost, savings, cost per case, etc.

  • For studies without currency year indicated, the previous year of publication was selected for adjustment.

  • *Confirmed or extrapolated/hypothetical cases on which they base the economic evaluation.

  • ICU, intensive care unit.