Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 15, Number 12—December 2009

Research

Cost-effectiveness Analysis of Hospital Infection Control Response to an Epidemic Respiratory Virus Threat

Yock Young Dan, Paul A. TambyahComments to Author , Joe Sim, Jeremy Lim, Li Yang Hsu, Wai Leng Chow, Dale A. Fisher, Yue Sie Wong, and Khek Yu Ho
Author affiliations: National University Health System, Singapore (Y.Y. Dan, P.A. Tambyah, J. Sim, L.Y. Hsu, D.A. Fisher, K.Y. Ho); Singapore General Hospital, Singapore (J. Lim, W.L. Chow, Y.S. Wong)

Main Article

Table 3

Results of cost-effectiveness analysis of potential outbreaks and responses, Singapore*

Alert level and disease No. infected No. deaths Additional cost Cost/case prevented† Cost/death prevented† Incremental cost/case‡ Incremental
cost/death‡
None
Pandemic (H1N1) 2009 2,580 10 25,200
Spanish influenza 3,210 161 80,000
SARS
825
83
99,200




Green
Pandemic (H1N1) 2009 316 1 326,430 95 23,644
Spanish influenza 624 31 468,000 107 2,140
SARS
105
11
220,500
120
1,195


Yellow
Pandemic (H1N1) 2009 59 0.2 1,485,500 414 103,274 3,221 827,907
Spanish influenza 120 6 2,212,000 493 9,857 2,472 49,829
SARS
43
4
1,188,000
995
9,945
11,146
121,241
Orange
Pandemic (H1N1) 2009 24 0.1 1,836,000 506 126,807 7,153 2,503,600
Spanish influenza 59 2.95 2,856,000 629 12,590 7,541 153,333
SARS 12 1.2 1,537,000 1,263 12,601 8,041 7,541

*SARS, severe acute respiratory syndrome. All costs given in US$.
†Compared with no policy.
‡Compared with 1 alert level down.

Main Article

TOP