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Volume 28, Number 7—July 2022
Research

Targeted Screening for Chronic Q Fever, the Netherlands

Daphne F.M. ReukersComments to Author , Pieter T. de Boer, Alfons O. Loohuis, Peter C. Wever, Chantal P. Bleeker-Rovers, Arianne B. van Gageldonk-Lafeber, Wim van der Hoek, and Aura Timen
Author affiliations: National Institute for Public Health and the Environment, Bilthoven, the Netherlands (D.F.M. Reukers, P.T. de Boer, A.B. van Gageldonk-Lafeber, W. van der Hoek, A. Timen); Q-Support Foundation, ’s-Hertogenbosch, the Netherlands (A.O. Loohuis); Radboud University Medical Center, Nijmegen, the Netherlands (A.O. Loohuis, C.P. Bleeker-Rovers); Jeroen Bosch Hospital, ’s-Hertogenbosch (P.C. Wever); Vrije Universiteit, Amsterdam (A. Timen)

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Table 4

Screening cost per patient in targeted screening program to detect chronic Q fever, the Netherlands, compared with previous cost-effectiveness analysis*

Item Previous analysis Actual
Diagnostic test €7.26 (ELISA/IFA) €25.00 (IFA)
Fee for trusted third party and general practitioner NA €24.36†
Logistics/coordination NA €4.30†
Start-up costs
 NA
 €2.69‡
Total €7.26 €56.35

*Previous study in (7). IFA, immunofluorescence assay; NA, not applicable. †With a participation rate of 50%. ‡Total start-up costs of €135,000 divided by a previously estimated 71,000 eligible high-risk patients living in areas that had a high incidence of Q fever during the outbreak.

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