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The results show that AOM can be associated with significant increases in immediate costs incurred by consumers and medical care system. Using its high prevalence over the U.S., pediatric AOM makes up about approximately $2.88 billion in added health care expenses annually and is a significant health-care utilization concern. The study is published in today’s edition of the journal The Laryngoscope. ‘Although the annual incidence of ear infection may be declining in the U.S., the real number of kids affected remains high, and the public health implications of AOM are considerable,’ said study co-author Dr. Nina Shapiro, director of pediatric otolaryngology at Mattel Children's Medical center UCLA and a professor of mind and neck surgery in the David Geffen School of Medicine in UCLA.