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. 2021 Feb 5;6(3):e184–e191. doi: 10.1016/S2468-2667(21)00002-5

Table.

Optimal testing and isolation strategies and price thresholds for cost-effective testing for each potential Re for SARS-CoV-2 transmission

Optimal strategy (assuming $5 per test)
Testing threshold (cost per test)
Testing frequency (days between tests)* Isolation period Probability of error
1·1 28 1 week 0·65 $75
1·2 28 1 week 0·66 $125
1·3 14 1 week 0·69 $175
1·4 14 1 week 0·65 $350
1·5 7 1 week 0·72 $325
1·6 7 1 week 0·63 $375
1·7 7 1 week 0·62 $425
1·8 7 1 week 0·62 $475
1·9 7 2 weeks 0·45 $450
2·0 7 2 weeks 0·40 $375
2·1 7 2 weeks 0·40 $350
2·2 7 2 weeks 0·43 $400
2·5 1 2 weeks 0·43 $400
3 1 2 weeks 0·18 $275

The middle columns give the optimal testing and isolation strategies and probability of error for each Re scenario, assuming that each test costs US$5 and assuming a societal willingness to pay per YLL averted of $100 000. The rightmost column gives a threshold price above which the status-quo strategy (ie, symptom-based testing and isolation) is expected to be more cost-effective than all eight testing strategies considered. The threshold value was identified by assessing all strategies across a range of costs per test up to $2000 at $25 increments. The low transmission and high transmission scenarios in Figure 2, Figure 3 correspond to Re of 1·2 for low transmission and 2·2 for high transmission. Re=effective reproduction number. SARS-CoV-2=severe acute respiratory syndrome coronavirus 2. YLLs=years of life lost.

*

A 7-day testing frequency means that individuals are tested once every 7 days, on a rotating basis.