Volume 14, Number 2—February 2008
Research
Cost-effectiveness of Antiviral Stockpiling and Near-Patient Testing for Potential Influenza Pandemic
Table
Total NHS costs and QALY loss (discounted at 3.5%) resulting from an influenza pandemic occurring in 30 years assuming 1918 or 1957/69 CFR*
Treatment program | Pandemic influenza cases (millions) | Pandemic influenza deaths (millions) | Discounted NHS costs (million £) | Discounted QALY loss (millions) | Incremental cost per QALY (£) |
---|---|---|---|---|---|
1918 scenario | |||||
No intervention | 15 | 0.344 | 113 | 2.23 | |
Treat only | 15 | 0.236 | 1,361 | 1.56 | 1,861† |
Test-treat | 15 | 0.231 | 2,356 | 1.53 | 31,031‡ |
1957–69 scenario | |||||
No intervention | 15 | 0.044 | 113 | 0.395 | |
Treat only | 15 | 0.030 | 1,361 | 0.303 | 13,668† |
Test-treat | 15 | 0.030 | 2,356 | 0.299 | 227,896‡ |
*NHS, National Health Service; QALY, quality-adjusted life years; CFR, case-fatality ratio.
†Cost per QALY gained over no intervention program.
‡Cost per QALY gained over treat-only program.