Table 1.3. Estimate of Indirect, Direct, and Total Cost Burden of Asthma, by State, for 50 States, District of Columbia, and Puerto Rico, 2004

Asthma Care Quality Improvement: A Resource Guide for State Action

 StatePopulation estimate1Percent of population with asthma2Asthma prevalenceIndirect asthma costs for State3Direct asthma costs for State3Total asthma costs for State4
Nationwide296,786,0588.124,186,627$11,546,882,780$15,288,466,328.1$26,835,349,108
Alabama4,506,5748.6386,069184,312,317244,035,789428,348,106
Alaska660,9759.059,25828,290,26037,457,26965,747,529
Arizona5,750,4757.2412,436196,899,955260,702,251457,602,206
Arkansas2,740,1917.4201,99196,432,174127,679,484224,111,658
California35,629,6667.72,732,8921,304,703,6491,727,472,0973,032,175,746
Colorado4,600,0508.7398,659190,322,970251,994,098442,317,068
Connecticut3,475,3519.7335,807160,317,085212,265,285372,582,370
Delaware825,68210.082,24939,266,50251,990,18791,256,690
District of Columbia579,5219.253,11025,355,16333,571,10058,926,263
Florida17,313,8117.31,259,028601,069,835795,836,9471,396,906,782
Georgia8,910,7417.4656,849313,584,755415,196,903728,781,658
Hawaii1,251,5328.3103,47649,400,28565,407,661114,807,945
Idaho1,390,3298.0110,79752,895,28670,035,161122,930,447
Illinois12,665,7188.41,059,813505,962,700669,911,8581,175,874,557
Indiana6,210,8018.4519,693248,105,448328,500,069576,605,517
Iowa2,942,7396.6193,47192,364,500122,293,745214,658,245
Kansas2,731,0697.4201,31996,111,154127,254,444223,365,598
Kentucky4,135,5678.3341,927163,238,485216,133,317379,371,801
Louisiana4,487,8306.2277,171132,323,655175,201,029307,524,683
Maine1,307,9049.6125,07459,711,29779,059,792138,771,088
Maryland5,538,9897.8430,373205,463,417272,040,566477,503,983
Massachusetts6,437,4149.7622,018296,956,322393,180,291690,136,612
Michigan10,090,2808.3834,260398,282,029527,338,980925,621,009
Minnesota5,078,0147.5379,381181,119,228239,808,030420,927,258
Mississippi2,884,5967.1204,01697,398,607128,959,075226,357,683
Missouri5,742,6509.1520,563248,521,028329,050,311577,571,338
Montana925,9698.679,32637,870,78450,142,20988,012,993
Nebraska1,741,4506.9119,69657,143,85175,660,406132,804,256
Nevada2,323,8757.1164,35878,465,819103,891,419182,357,238
New Hampshire1,292,06410.3132,56963,289,35283,797,259147,086,612
New Jersey8,620,7708.6738,524352,576,945466,823,891819,400,836
New Mexico1,889,2669.3175,02383,557,504110,632,983194,190,487
New York19,301,1138.91,711,167816,924,1991,081,635,4801,898,559,679
North Carolina8,523,1997.5636,772303,999,796402,506,091706,505,887
North Dakota636,1967.748,79823,296,52030,845,38754,141,908
Ohio11,445,0958.5969,077462,644,846612,557,5431,075,202,389
Oklahoma3,511,9608.3290,367138,623,562183,542,320322,165,882
Oregon3,576,2629.7345,558164,972,085218,428,663383,400,748
Pennsylvania12,335,6528.8101,346516,243,007683,523,3351,199,766,343
Puerto Rico3,893,9316.2240,492114,812,544152,015,722266,828,266
Rhode Island1,071,0959.6102,42848,899,97464,745,232113,645,205
South Carolina4,196,7997.6317,725151,684,485200,835,428352,519,914
South Dakota773,5396.751,62724,647,13432,633,64557,280,778
Tennessee5,906,9369.0529,572252,821,600334,744,415587,566,015
Texas22,424,8847.11,586,019757,177,9441,002,529,4031,759,707,346
Utah2,439,8528.0194,43592,824,554122,902,873215,727,427
Vermont618,4328.552,36424,998,86433,099,34858,098,213
Virginia7,454,6887.3542,091258,798,487342,658,017601,456,503
Washington6,179,6459.2566,332270,371,403357,980,952628,352,356
West Virginia1,803,31210.1181,43186,616,703114,683,466201,300,169
Wisconsin5,508,7898.6471,927225,301,452298,306,801523,608,252
Wyoming502,8167.738,56718,412,35024,378,57942,790,928

1 U.S. Census annual estimates of the population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1, 2004. Accessed at: http://www.census.gov/popest/states/NST-ann-est2004.html
2 Prevalence based on BRFSS 2004 estimates for adults augmented for differential between all ages and adults nationwide. For BRFSS go to: http://apps.nccd.cdc.gov/brfss/list.asp?cat=AS&yr=2003&qkey=4416&state=All and for CDC national prevalence by age go to: hhttp://205.207.175.93/HDI/TableViewer/tableView.aspx?ReportId=60
3 Calculations of direct cost per person, are based on Weiss et al. (2000), inflated by medical care component of CPI to 2004. Indirect cost per person are based on Weiss et al. (2000) inflated by percent change in average annual wages through 2004. Weiss KB, Sullivan SD, Lyttle CS. Trends in the cost of illness for asthma in the United States, 1985-1994. J Allergy Clin Immunol 2000 Sep;106(3):493-9.
4 The sum of the state estimates differ from the national estimate in the first row by about 1 percent due to rounding.

Current as of September 2009
Internet Citation: Table 1.3. Estimate of Indirect, Direct, and Total Cost Burden of Asthma, by State, for 50 States, District of Columbia, and Puerto Rico, 2004: Asthma Care Quality Improvement: A Resource Guide for State Action. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/asthmacare/table1-3.html