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. 2021 Jun 11;19(5):673–697. doi: 10.1007/s40258-021-00659-z

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