skip to the content
Impact-of-Influenza

Economic impact of influenza

Seasonal influenza imposes a substantial demand on healthcare resources and the economy each year as a result of increased primary care consultations, referrals, hospitalisations, clinical complications, drug treatment and work absenteeism. [1]

During an influenza epidemic a large amount of healthcare resources are consumed, such as doctors’ and other health professionals’ time, prescribed medicines, laboratory investigations and hospital stays. Nearly half of all patients with influenza visit a doctor or hospital physician, [2, 3] and more than half of these consultations result in a prescription for cold and cough remedies, antibiotics, or both. [4, 5]

In addition to direct medical costs, there are indirect costs associated with influenza, most of which are related to the amount of work time lost. It has been estimated that 1 in every 10 work days missed is due to influenza. [4] On average, the amount of time that people are absent from work caused by an influenza-related illness is 3 days. [3] On returning to work after influenza illness, many people find that their performance at work is reduced. [6]

Taking direct, indirect and other costs into consideration, the economic burden of influenza is considerable. The estimated economic burden of influenza for several countries is shown below. 

Region/ country Age group Direct costs Indirect costs Total costs
Europe [7] All ages €25 per primary care visit 
€3,160 per patient hospitalised
France* [8] All ages €225 million €1.7 billion €2 billion
Germany *[8] All ages €73 million €788 million €861 million
Italy [9] 2–5 years €235 per patient €348 per patient €582 per patient
United States* [8] All ages €750 million –€2.3 billion €8–11 billion €8–14 billion
United States [10] 50–64 years €5,457 per patient hospitalised
≥65 years €6,209 per patient hospitalised
All ages €149 per outpatient

*Costs provided in US dollars have been converted to Euros at a rate of US$1 = €0.75.

 

  1. Oxford J. Oseltamivir in the management of influenza. Expert Opin Pharmacother 2005; 6: 2493–500.
  2. Couch RB. Advances in influenza virus vaccine research. Ann NY Acad Sci 1993; 685: 803–12.
  3. Kavet J. A perspective on the significance of pandemic influenza. Am J Public Health 1977; 67: 1063–70.
  4. Keech M, Scott AJ, Ryan PJ. The impact of influenza and influenza-like illness on productivity and healthcare resource utilization in a working population. Occup Med (Lond) 1998; 48: 85–90.
  5. Carrat F, Tachet A, Housset B, Valleron AJ, Rouzioux C. Influenza and influenza-like illness in general practice: drawing lessons for surveillance from a pilot study in Paris, France. Br J Gen Pract 1997; 47: 217–20.
  6. Adams PF, Marano MA. Current estimates from the National Health Interview Survey, 1994. Vital Health Stat 10 1995: 1–260.
  7. Ryan J, Zoellner Y, Gradl B, Palache B, Medema J. Establishing the health and economic impact of influenza vaccination within the European Union 25 countries. Vaccine 2006; 24: 6812–22.
  8. Szucs T. The socio-economic burden of influenza. J Antimicrob Chemother 1999; 44 Suppl B: 11–5.
  9. Esposito S, Marchisio P, Bosis S, et al. Clinical and economic impact of influenza vaccination on healthy children aged 2–5 years. Vaccine 2006; 24: 629–35.
  10. Maciosek MV, Solberg LI, Coffield AB, Edwards NM, Goodman MJ. Influenza vaccination health impact and cost effectiveness among adults aged 50 to 64 and 65 and older. Am J Prev Med 2006; 31: 72–9.
  • "I would describe flu as something that makes you feel very, very ill. You get a headache, aching bones, and are generally fed up"
  • "When I get flu symptoms I feel like a train has run over me"
  • "I felt very sick and, during the first week, I had high temperature. Flu was very different to a cold. I went back to work after two and a half weeks. Then I suffered a setback for another week"
  • "I run a guesthouse; flu would be a real pest for me. I couldn’t cook, I shouldn’t cook, and I wouldn’t cook, so I would need to get a lot of extra help in. It would cost me a lot more money. So flu’s a real problem, a right downturn"
  • "I work on my own and when I can’t work, I have to try not to infect my little children, so they avoid getting the flu as well"
  • "I feel a little numb, like I’m in another dimension. Because in general I have sore throat, headache, I feel all clogged-up. Usually a sensation like I’m floating in the air"
  • "Shivers, sweats, makes you ache. Last time I had flu I was off for two weeks"
  • "I think that I would probably be concerned that I would pass flu onto my children, who might not be able to deal with it as well as I would"
  • "Flu makes you feel like you’ve been hit over the head with a baseball bat. You don’t feel like you can get yourself out of bed as all your energy is drawn from you"
  • "I was incapable of working. It just wasn’t possible at all… and my flu dragged on for more than a week"
  • "I have no strength. It annoys me because I can do nothing, it seems like I’m wasting my time"
  • "Flu’s like being hit by a truck because you feel completely gone. There is no energy left in your body. You are suffering from high temperature. You’re sweating a lot and you feel really unwell"
  • "First of all infinite tiredness, then I feel like sleeping and don’t want to eat"
  • "I felt really miserable because my muscles and my bones were aching. Well, I can hardly describe it, I just felt really awful, absolutely miserable"
  • "It’s like there’s something huge treading on your head, like a deafening noise that destroys the eardrums"
  • "The fever was constantly rising – I immediately measured my temperature as soon as I got home. It was 41°C and it kept rising and I was wondering what’s going on. I was really scared! Everything was hurting and it all happened so fast. Flu came out of the blue"
  • "I always feel like my limbs have iron weights tied to them and I’m going to fall over any minute, a really stuffy runny nose and feel antisocial"
  • "I was totally dependent on others! I was incapable of doing anything at all"
  • "The real flu knocks you for six – you just don’t want to move or do anything. It’s not very nice"
  • "Not being able to go to work. Not being able to do the things I have to do at home and the commitments that I have day by day"