The 2009 swine flu pandemic cost New Zealand hospitals about $31 million, a university study shows.
But Wellington-based University of Otago researchers reported the true cost of the H1N1 pandemic to the health system would be even higher as their study looked only at hospitals, and not primary care and public health services.
Other costs to society included reduced productivity at work and missed time at school through illness.
"The 2009 pandemic killed 49 people, sent 1122 people to hospital and 102 were so sick that they needed intensive care unit [ICU] treatment," the study said.
"Eighteen per cent of the population had evidence of infection."