Table 3.
Identified outbreak costing studies that contained cost or labour information on non-pharmaceutical interventions
1st author, Publication year [Reference] | Year of intervention | Country | Pathogen | Target group | Intervention characteristic | Cost measured | Cost |
---|---|---|---|---|---|---|---|
Isolating infectious individuals | |||||||
Christie, 1995 [9] | 1993 | USA | Pertussis | Healthcare workers during pandemic influenza | Furloughing isolated infected individuals | Cost per case | 971.26 |
Case confirmation | Laboratory testing (per sample) | 71.42 | |||||
Wahl, 2011 [10] | 2009 | Norway | Escherichia coli | Parents of children in child-care | Isolating infected children | Work-days lost by parents per infected case | 25.38 |
Ma, 2017 [11] | 2015 | China | Measles | Office workers | Isolating infected | Mean work-days lost | 8.7 (95 % CI 8.5–8.9) |
Mean wages lost | 593.14 (95 % CI: 546.03–640.24) | ||||||
Galante, 2012 [12] | 2009–2010 | Spain | H1N1 | Community | Isolating infected | Cost of work absenteeism | 672.05 |
Cost of work absenteeism due to caregiving responsibilities | 57.51 | ||||||
Mota, 2011 [13] | 2009 | Brazil | H1N1 | Physician in community outbreak | Isolating infected | Staff replacement (cost per day) | 276.66 |
Productivity loss (cost per day) | 122.85 | ||||||
Nurse in community outbreak | Isolating infected | Staff replacement (cost per day) | 82.84 | ||||
Productivity loss (cost per day) | 98.98 | ||||||
Nurse assistant in community outbreak | Isolating infected | Staff replacement (cost per day) | 53.85 | ||||
Productivity loss (cost per day) | 50.65 | ||||||
Sugerman, 2010 [14] | 2008–2009 | USA | Measles | Children | Isolating infected children | Mean cost per case | 946.57 |
Case confirmation | Laboratory work (hours per confirmed case) | 322 | |||||
Laboratory materials and work (cost per confirmed case) | 641.35 | ||||||
Gallagher, 2013 [15] | 2009 | USA | Escherichia coli | Parents of isolating children | Isolating infected children | In-home childcare cost | 1814.05 |
Ooi, 2005 [16] | 2003 | Singapore | SARS | Community | Quarantine enforcement and surveillance | Cost per case | 340.23 |
Quarantine command centre | Cost per case | 71.63 | |||||
Quarantine allowance | Cost per case | 322.32 | |||||
Emergency call centre and ambulance | Cost per case | 71.63 | |||||
Wang, 2012 [17] | 2009 | China | H1N1 | Community | Isolation of infected | Inspection cost per case | 29.48 |
Disinfectant cost per case | 20.95 | ||||||
Home medical observation cost per case | 90.75 | ||||||
Coleman, 2012 [18] | 2010 | USA | Measles | Community | Case confirmation | Labour hours (per sample) | 0.5 |
Labour costs (per sample) | 17.86 | ||||||
Screening kit cost (per sample) | 141.9 | ||||||
Quarantine of infected individuals | Labour hours per case at quarantine stations | 4 | |||||
Labour costs per case at quarantine stations | 330.28 | ||||||
Bownds, 2003 [19] | 1998 | USA | Hepatitis A | Community | Case quarantine | Cost of laboratory tests and procedures (per sample) | 20.05 |
Productivity loss due to staying at home when ill (per case) | 4038.23 | ||||||
Tracing and quarantine of contacts | |||||||
Wang, 2012 [17] | 2009 | China | H1N1 | Community | Contact quarantine | Quarantine at home (per person) | 40.73 |
Quarantine at hospital (per person) | 724.94 | ||||||
Quarantine in hotel (per person) | 1062.32 | ||||||
Contact observation | Isolated observation | 4778.33 | |||||
Laboratory costs | Network laboratory | 140.33 | |||||
Specimen collection | 26.41 | ||||||
Virus isolation and identification | 237.65 | ||||||
Nucleic acid detection | 528.1 | ||||||
Serology tests | 66.01 | ||||||
Parker, 2006 [23] | 2005 | USA | Measles | Community | Contact tracing | Investigation hours | 11.9 |
Laboratory work hours | 9.33 | ||||||
Pike, 2020 [24] | 2016–2017 | USA | Mumps | Community | Contact tracing for outbreak containment | Overall costs (total) | 941104.38 |
Labour costs (total) | 503687.63 | ||||||
Travel costs (total) | 88927.80 | ||||||
Personnel hours (total) | 12585 | ||||||
Laboratory costs | Tests (per sample) | 18.53 | |||||
Supplies and equipment (total) | 114861.53 | ||||||
Rosen, 2018 [25] | 2013 | USA | Measles | Community | Contact tracing activities | Community outreach (h per identified contact) | 0.29 |
Administration (h per identified contact) | 0.13 | ||||||
Advertising (h per identified contact) | 8.63 | ||||||
Laboratory | Laboratory personnel (h per sample) | 57.63 | |||||
Laboratory supplies and testing ($ per sample) | 214.96 | ||||||
Sugerman, 2010 [14] | 2008 | USA | Measles | Children | Contact tracing | Investigation (h per contact) | 0.49 |
Dayan, 2005 [26] | 2004 | USA | Measles | Community | Contact tracing | Investigation (h per contact) | 0.75 |
Public information (cost per contact) | 1.80 | ||||||
Flego, 2013 [27] | 2011 | Australia | Measles | Community | Contact tracing | Personnel cost (per contact) | 23.96 |
Personnel time (mean h per contact) | 0.63 | ||||||
Laboratory (cost per tested contact) | 25.88 | ||||||
Telephone (cost per contact call) | 0.51 | ||||||
Stationery and mail (cost per contacted contact) | 2.8 | ||||||
Ma, 2017 [11] | 2015 | China | Measles | Contact tracing and surveillance | Cost (per contact) | 42.99 | |
Time (h per contact) | 2.12 | ||||||
Field investigation | Cost of contact tracing and sample collection (per contact) | 1.01 | |||||
Hours taken to contact trace (per contact) | 0.07 | ||||||
Laboratory testing of contacts | Cost of laboratory work (per sample) | 11.83 | |||||
Hours of laboratory work (per sample) | 101.91 | ||||||
Cost of kit (per sample) | 37.76 | ||||||
Gallagher, 2013 [15] | 2009 | USA | Escherichia coli | Children | Laboratory testing of contacts | Cost (per sample) | 183.15 |
Social distancing | |||||||
Borse, 2011 [28] | 2009 | USA | H1N1 | Parents of elementary school children | School closure | Households where at least 1 adult took time off work (%) | 17 |
Households where no adults took time off work (%) | 83 | ||||||
Chen, 2011 [29] | 2009 | Taiwan | H1N1 | Parents of elementary school children | School closure | Average income loss (per household) | 33.76 |
Gift, 2010 [30] | 2009 | USA | H1N1 | Parents of elementary school children | 1 week school closure | % of households where 0 days of work were lost | 78.5 |
% of households where 1 days of work were lost | 6.1 | ||||||
% of households where 2 days of work were lost | 3.3 | ||||||
% of households where 3 days of work were lost | 1.9 | ||||||
% of households where 4 days of work were lost | 1.9 | ||||||
% of households where 5 days of work were lost | 8.4 | ||||||
Johnson, 2008 [31] | 2006 | USA | Influenza B | Households with elementary school children | 2-week school closure | Households where adults missed at least 1 day of work (%) | 3.2 |
Russell, 2016 [32] | 2013 | USA | ILI | Households with school children | 4 work-day school closure | Cost of childcare for households that required it (median, min-max) | 111.95 (34.70–167.92) |
Personal protection and hygiene measures | |||||||
Tracht, 2012 [33] | 2009 | USA | H1N1 | Community | N95 mask | Cost per mask | 2.14 |
Ma, 2017 [11] | 2015 | China | Measles | Office workers | Disposable mask | Cost per mask | 0.32 |
Hand sanitiser | Cost per bottle | 5.09 | |||||
Mukerji, 2017 [34] | 2008–2010 | China | Influenza | Healthcare workers during community transmission | Medical mask | Cost per mask | 0.15 |
N95 mask | Cost per mask | 0.87 | |||||
Baracco, 2015 [35] | 2013 | USA | Influenza | Healthcare workers during community transmission | N95 mask | Min/max cost per mask | 0.28–0.73 |
Reusable mask | Min/max cost per mask | 27.99-55.97 | |||||
Set of filters for reusable mask | Cost per set | 2.8 | |||||
Air-purifying device | Min/max cost per device | 559.75–895.60 | |||||
Air-purifying device battery | Cost per battery | 279.87 | |||||
Additional hood for purifier | Cost per hood | 33.58 | |||||
Additional tubes for purifier | Cost per tube | 33.58 |
All costs converted to 2020 USD unless indicated otherwise, original costs presented in supplementary spreadsheet
AUD Australian Dollars, CAD Canadian Dollars, CGE Computable General Equilibrium, GDP Gross Domestic Product, h hours, ICER incremental cost-effectiveness ratio, R0 basic reproduction number, SEIR susceptible-exposed-infected-recovered, SEIQR susceptible-exposed-infected-quarantined-recovered, SI susceptible-infected, SIR susceptible-infected-recovered