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Provider Acceptance

Providers probably have a fairly low perception of their patients’ risk of gonorrhea, but they probably have a higher perception than lay persons of disease severity (through knowledge of PID). Vaccine benefits would be ranked high because the infertility consequences of PID often are not amenable to remedial treatment. Perceived barriers for physicians would include the necessity of dealing with a topic about which there is some social stigma and the fear of possible accusations of encouraging promiscuity.

Cost of Illness

The scope and purpose of the calculations shown below are described in Chapters 4 and 7. These calculations are based on certain simplifying procedures and assumptions that have been judged not to compromise their utility for the purposes of this comparison. The total costs should be taken only as an approximation of the direct cost of this disease.

Cost of Total Disease Burden

Category A—urethritis, discharge

 

 

# of cases=1,495,000

 

 

100% of cases typically receive 1 phys. visit at $30

= $

44,850,000

approx. 50% of cases receive diagnostic workup at $30

= $

22,425,000

[Gram stain, culture and serology]

 

 

100% of cases typically receive treatment at $20

= $

29,900,000

[Penicillin G plus probenecid, ampicillin or tetracycline]

 

 

approx. 25% of cases receive follow-up culture and serology at $30 and 1 follow-up phys. visit at $30

= $

22,425,000

approx. 5% of cases receive 1 additional phys. visit (due to case of penicillin resistant strain) at $30

= $

2,242,000

 

TOTAL (A)

= $

121,842,000

Category B—pelvic inflammatory disease (PID: initial and recurrent, all in women)

 

 

# of cases=400,000

 

 

100% of cases typically receive 1 phys. visit at $30

= $

12,000,000

100% of cases typically receive diagnostic workup at $30/each

= $

12,000,000

[Gram stain, culture and serology]

 

 



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