Annual Clinical and Economic Burden of Medically Attended Lower Respiratory Tract Illnesses Due to Respiratory Syncytial Virus among US Infants Aged <12 Months

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Abstract

We developed a model to project the expected annual clinical and economic burden of medically attended lower respiratory tract illnesses due to respiratory syncytial virus (RSV-LRTI) among United States (US) infants aged <12 months by combining information on population size, disease rates, mortality rates, and unit costs. Among the 3.7 million US infants aged <12 months each year, a total of 592 700 cases of RSV-LRTI (hospitalizations: 48 499; emergency department visits: 144 599; outpatient clinic visits: 399 602) were projected to occur, yielding total annual costs of $1.6 billion. The annual burden of RSV-LRTI among US infants is considerable, especially among those aged <3 months, who account for 43% of total costs.

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Houde, L., Law, A. W., Averin, A., Weycker, D., Cane, A., Pugh, S., & Shea, K. M. (2025). Annual Clinical and Economic Burden of Medically Attended Lower Respiratory Tract Illnesses Due to Respiratory Syncytial Virus among US Infants Aged <12 Months. Journal of Infectious Diseases, 231(5), 1318–1326. https://doi.org/10.1093/infdis/jiae544

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