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Respiratory Diseases in Children and Air Pollution – The Cost of – Illness Assessment in Ostrava City


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Fig. 1

Division of Ostrava into two parts.Source: Own processing based on NIPH, 2016.
Division of Ostrava into two parts.Source: Own processing based on NIPH, 2016.

Description of the course of the illnesses used in the questionnaire survey

NasopharyngitisBronchitis
Description

Mucosal infection that does not affect the tonsils

Uncomplicated course not requiring antibiotic treatment

Viral or bacterial infection

Antibiotic treatment required

Symptoms

The child has a wet cough

Has a cold

Has a high temperature

Is tired, has a headache

Has enlarged and painful lymph nodes on the neck

The child has a strong, continuous cough

Difficulty breathing, wheezing

First, the child has a dry cough, then coughs up mucous

Has a headache

Has chest pain

Has fever accompanied by chills

Restrictions

The child does not attend kindergarten/school for a maximum of 5 days

Takes paracetamol, ibuprofen, and cough and cold medications

The mother or another relative is at home for 5 days

The child takes antibiotics and other supportive medications

The child must see a doctor or go to a hospital

The mother or another close person is at home with the child for at least 10 days

Duration

High temperature, difficulty breathing and other symptoms last for 5 days

The child is at home for 10 days and does not go to school, and after that does not attend physical education classes for at least 14 days

Loss of productivity for acute bronchitis based on the individual course of the illness from the social perspective (EUR, 2017)

Loss of productivity based on labour costsLoss of productivity based on sickness insurance benefitsTotal loss of productivityper case
Number of working daysAge 0–3Age 4–15Number of calendar daysAge 0–3Age 4–15Age 0–3Age 4–15
8€574.6€569.510€0€168.6€574.6€738.1

Social costs per year associated with the incidence of acute nasopharyngitis and acute bronchitis in Ostrava due to diminished air quality (EUR, 2017)

RegionNasopharyngitisBronchitis
Ostrava – west€2,321,773€2,189,623
Ostrava – east€7,926,359€6,480,889
Total€10,248,132€8,670,512

Prevalence of respiratory diseases in Ostrava and the Czech Republic

RegionNasopharyngitis (%)Bronchitis (%)
Ostrava – west28.1317.89
Ostrava – east30.5618.75
Czech Republic18.828.67
Difference between west Ostrava and the Czech Republic9.319.22
Difference between east Ostrava and the Czech Republic11.7410.08

Social costs per case of acute nasopharyngitis (EUR, 2017)

COI – direct costsCOI – indirect costsTotal social costs per case
AgeHealth insurance costsHousehold costsWork-related costsSickness insurance benefits
0€2.1€14.4€359.1€0€ 375.6
1–3€2.1€14.4€359.1€0€375.6
4–5€2.1€14.4€356.0€118.0€490.5
6–10€2.1€14.4€356.0€118.0€490.5
11–15€2.1€11.3€356.0€118.0€487.4

Social costs per one case of acute bronchitis (EUR, 2017)

COI – direct costsCOI – indirect costsTotal social costs per case
AgeHealth insurance costsHousehold costsWork-related costsSickness insurance benefits
0€14.7€20.5€574.6€0€609.8
1–3€14.7€20.5€574.6€0€609.8
4–5€14.7€20.5€569.5€168.6€773.3
6–10€14.7€20.5€569.5€168.6€773.3
11–15€14.7€17.4€569.5€168.6€770.2

COI – direct costs per case of acute nasopharyngitis (EUR, 2017*)

Medical proceduresMedicationTotal
Health insurance costsHealth insurance costsHousehold costsTotal costs per case
Age 0–10€2.1€0€14.4€16.5
Age 11–15€2.1€0€11.3€13.4

Loss of productivity in acute nasopharyngitis based on the individual course of the illness from the social perspective (EUR, 2017)

Loss of productivity based on labour costsLoss of productivity based on sickness insurance benefitsTotal loss of productivity per case
No. of working daysAge 0–3Age 4–15No. of calendar daysAge 0–3Age 4–15Age 0–3Age 4–15
5€359.1€356.07€0€118.0€359.1€474

COI – direct costs per case of acute bronchitis (EUR, 2017)

Medical proceduresMedicationTotal
Health insurance costsHealth insurance costsHousehold costsTotal costs per case
Age 0–10€8.4€6.3€20.5€35.2
Age 11–15€8.4€6.3€17.4€33.2