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. 2021 Mar 25;16(3):e0248783. doi: 10.1371/journal.pone.0248783

Table 1. Selected testing strategies ranked by reduction in cumulative infections, with and without confirmatory testing, for scenarios costing less than $10 per person per day*.

Daily symptom tracking assumed.

Community Prevalence: Low
Sensitivity Specificity Delay (days) Frequency (days) Pool Size Cumulative Infections Experienced (over 100 days) Cumulative Infections Caught (over 100 days) Cumulative False Positives (over 100 days) Per Person, Per Day Cost Without Confirmatory Testing ($) Per Person, Per Day Cost With Confirmatory Testing ($) % Reduction in Cumulative Infections Experienced
0.98 0.995 0 3 5 2 5 255 $ 7.92 $ 8.78 99.8%
0.98 0.995 0 3 10 3 5 255 $ 3.96 $ 5.65 99.8%
0.98 0.995 0 3 30 5 8 255 $ 1.32 $ 6.20 99.7%
0.98 0.995 0 7 2 35 68 112 $ 8.40 $ 8.63 97.4%
0.98 0.995 0 7 5 100 180 112 $ 3.36 $ 4.21 92.6%
0.98 0.995 0 7 10 241 388 111 $ 1.68 $ 4.23 82.0%
0.98 0.995 0 7 30 515 628 110 $ 0.56 $ 6.58 61.5%
0.6 0.9 0 3 1 560 536 5034 $ 6.60 $ 10.22 58.2%
0.98 0.995 0 14 1 588 649 58 $ 8.40 $ 8.73 56.1%
0.98 0.995 2 3 5 666 446 246 $ 6.60 $ 8.96 50.3%
0.98 0.995 2 3 30 706 467 246 $ 1.10 $ 9.87 47.3%
0.8 0.9 0 7 1 712 675 2195 $ 7.00 $ 8.76 46.9%
0.98 0.995 2 7 2 877 542 104 $ 7.00 $ 7.66 34.5%
0.98 0.995 2 7 5 880 542 104 $ 2.80 $ 4.18 34.3%
0.98 0.995 2 7 10 884 543 104 $ 1.40 $ 3.61 34.0%
0.98 0.995 2 7 30 899 545 104 $ 0.47 $ 4.52 32.9%
0.6 0.9 0 7 1 916 638 2198 $ 2.80 $ 4.47 31.6%
0.98 0.995 2 14 1 924 551 51 $ 7.00 $ 7.26 31.1%
0.8 0.9 0 14 1 977 631 1171 $ 3.50 $ 4.44 27.1%
0.6 0.9 0 14 1 1050 603 1171 $ 1.40 $ 2.30 21.6%
Community Prevalence: High
Sensitivity Specificity Delay (days) Frequency (days) Pool Size Cumulative Infections Experienced (over 100 days) Cumulative Infections Caught (over 100 days) Cumulative False Positives (over 100 days) Per Person, Per Day Cost Without Confirmatory Testing Per Person, Per Day Cost With Confirmatory Testing % Reduction in Cumulative Infections Experienced
0.98 0.995 0 3 5 97 267 254 $ 7.92 $ 9.56 93.2%
0.98 0.995 0 3 10 112 283 254 $ 3.96 $ 7.23 92.2%
0.98 0.995 0 3 30 187 366 253 $ 1.32 $ 11.01 87.0%
0.98 0.995 0 7 2 442 723 109 $ 8.40 $ 9.31 69.2%
0.98 0.995 0 7 5 480 749 109 $ 3.36 $ 5.50 66.5%
0.98 0.995 0 7 10 538 781 109 $ 1.68 $ 5.50 62.5%
0.98 0.995 0 7 30 704 823 109 $ 0.56 $ 7.51 50.9%
0.6 0.9 0 3 1 733 698 5015 $ 6.60 $ 10.28 48.9%
0.98 0.995 0 14 1 853 845 57 $ 8.40 $ 8.79 40.5%
0.8 0.9 0 7 1 859 799 2186 $ 7.00 $ 8.80 40.1%
0.98 0.995 2 3 5 863 578 246 $ 6.60 $ 9.43 39.9%
0.98 0.995 2 3 30 892 590 245 $ 1.10 $ 11.70 37.8%
0.98 0.995 2 7 2 1006 624 103 $ 7.00 $ 7.72 29.9%
0.98 0.995 2 7 5 1008 624 103 $ 2.80 $ 4.33 29.7%
0.98 0.995 2 7 10 1013 625 103 $ 1.40 $ 3.90 29.4%
0.98 0.995 2 7 30 1031 627 103 $ 0.47 $ 5.24 28.1%
0.6 0.9 0 7 1 1038 720 2191 $ 2.80 $ 4.50 27.7%
0.8 0.9 0 14 1 1062 750 1158 $ 3.50 $ 4.50 26.0%
0.98 0.995 2 14 1 1080 645 51 $ 7.00 $ 7.26 24.7%
0.6 0.9 0 14 1 1134 681 1161 $ 1.40 $ 2.33 21.0%

* Cost calculation assumes a test with a 98% sensitivity and 0-day delay in returning results costs $120, a 98% sensitive test with a 2-day delay in results costs $100, an 80% sensitive test costs $50, and a 60% sensitive test costs $20. All (true and false) positive tests are confirmed using a $100 test. The distribution of positive tests among pooled samples is uniform as is consistent with the homogeneous mixing assumptions of the SIR model, and we assume everyone in a pool that is positive will undergo a confirmatory test.