Economic Burden of Long COVID: Lost Labor Costs in US Adults, 2025, Liu-Galvin et al.

SNT Gatchaman

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Economic Burden of Long COVID: Lost Labor Costs in US Adults
Rachel Liu-Galvin; Frank A Orlando; Arch G Mainous

INTRODUCTION
Long COVID (LC) is associated with significantly more days of work missed due to illness. Given this impact on the workforce, we estimated the lost labor costs associated with these additional missed workdays among individuals with LC in the US in 2022.

METHODS
104,889,622 (weighted) adult full-time workers in the 2022 Medical Expenditure Panel Survey were categorized as: never had COVID-19, had COVID-19 without LC, and had LC. The estimated cost of lost labor from days of work missed due to illness/injury in 2022 was calculated as: (hours worked per week ÷ 5) × (hourly wage) × (days of work missed). Differences in mean costs were assessed using one-way ANOVA. The population-level lost labor cost associated with LC was estimated as (mean lost labor cost for LC − mean lost labor cost for never had COVID-19) × (number of full-time workers ≥18 years in the US in 2022 × prevalence of LC in the study population).

RESULTS
The total estimated lost labor cost from days of work missed due to illness/injury for individuals with LC was $15,863,994,281 (SE, $1,748,160,632). The mean lost labor cost for individuals with LC was more than twice that of individuals who never had COVID-19 and significantly higher than those who had COVID-19 without LC. The population-level lost labor cost associated with LC was estimated to be $12,784,168,675.20 (SE, $1,946,074,821.60).

DISCUSSION
These findings highlight the substantial economic impact of LC, totaling more than $12 billion in lost labor costs in 2022, emphasizing the need for targeted prevention and treatment strategies.

Web | DOI | PDF | The Journal of the American Board of Family Medicine | Open Access
 
Good to see them mention prevention in the abstract. I was hoping they would advice testing, enabling people to stay home when sick, masks, improvement of indoor ventilation etc, but in the paper they say:

these consequences underscore the need to prioritize prevention through vaccination − the best available strategy to reduce the risk of LC
The best strategy is surely to avoid infections all together, unless someone is able to develop sterilising vaccines that can prevent transmission all together.
 
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