{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T16:08:36Z","timestamp":1761581316572},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,9,2]]},"abstract":"<jats:p>Rocky Mountain spotted fever (RMSF) is an emerging public health issue on some American Indian reservations in Arizona. RMSF causes an acute febrile illness that, if untreated, can cause severe illness, permanent sequelae requiring lifelong medical support, and death. We describe costs associated with medical care, loss of productivity, and death among cases of RMSF on two American Indian reservations (estimated population 20,000) between 2002 and 2011. Acute medical costs totaled more than $1.3 million. This study further estimated $181,100 in acute productivity lost due to illness, and $11.6 million in lifetime productivity lost from premature death. Aggregate costs of RMSF cases in Arizona 2002\u20132011 amounted to $13.2 million. We believe this to be a significant underestimate of the cost of the epidemic, but it underlines the severity of the disease and need for a more comprehensive study.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0104","type":"journal-article","created":{"date-parts":[[2015,6,2]],"date-time":"2015-06-02T13:47:01Z","timestamp":1433252821000},"page":"549-551","source":"Crossref","is-referenced-by-count":9,"title":["Medical and Indirect Costs Associated with a Rocky Mountain Spotted Fever Epidemic in Arizona, 2002\u20132011"],"prefix":"10.4269","volume":"93","author":[{"given":"Naomi A.","family":"Drexler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc S.","family":"Traeger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer H.","family":"McQuiston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Velda","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlene","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna J.","family":"Regan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"N Engl J Med","first-page":"587","article-title":"Rocky Mountain spotted fever from an unexpected tick vector in Arizona","volume":"353","author":"Demma","year":"2005"},{"key":"ref2","series-title":"Am J Trop Med Hyg","first-page":"174","article-title":"Rocky Mountain spotted fever in the United States, 2000\u20132007: interpreting contemporary increases in incidence","volume":"83","author":"Openshaw","year":"2010"},{"key":"ref3","series-title":"Clinical Infectious Diseases","first-page":"1650","article-title":"Rocky Mountain spotted fever characterization and comparison to similar illnesses in a highly endemic area\u2014Arizona, 2002\u20132011","volume":"60","author":"Traeger","year":"2015"},{"key":"ref4","series-title":"Clin Infect Dis","first-page":"1659","article-title":"Risk factors for fatal outcome from Rocky Mountain spotted fever in a highly endemic area: Arizona, 2002\u20132011","volume":"60","author":"Regan","year":"2015"},{"author":"Arizona RMSF Statistics, Arizona Department of Health Services","key":"ref5"},{"year":"2011","series-title":"Consumer Price Index Inflation Calculator","author":"U.S. Department of Labor","key":"ref6"},{"year":"2011","series-title":"Reimbursement Rates for Calendar Year 2011","author":"Roubideaux","key":"ref7"},{"year":"2011","series-title":"Fee-for-Service and MCO Capped Transportation Rates Effective April 1, 2011 through September 30, 2011","author":"Arizona Health Care Cost Containment System","key":"ref8"},{"key":"ref9","series-title":"Med Care","first-page":"10","article-title":"Economic productivity by age and sex, 2007 estimates for the United States","volume":"47","author":"Grosse","year":"2009"},{"year":"2010","series-title":"American Community Survey 1-Year Estimates, Annual Income by State, Sex and Race","author":"U.S. Census Bureau; American Community Survey","key":"ref10"},{"key":"ref11","series-title":"Vaccine","first-page":"3398","article-title":"Healthcare utilization and cost of pneumococcal disease in the United States","volume":"29","author":"Huang","year":"2011"},{"key":"ref12","series-title":"Am J Trop Med Hyg","first-page":"402","article-title":"Initial and long-term costs of patients hospitalized with West Nile virus disease","volume":"90","author":"Staples","year":"2014"},{"key":"ref13","series-title":"J Thorac Cardiovasc Surg","first-page":"1084","article-title":"Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children","volume":"129","author":"Mahle","year":"2005"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/93\/3\/article-p549.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/93\/3\/article-p549.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/93\/3\/article-p549.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T19:05:44Z","timestamp":1723057544000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/93\/3\/article-p549.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,2]]},"references-count":13,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.15-0104","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2015,9,2]]}}}