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Economic Evaluation of Wastewater Surveillance Combined with Clinical COVID-19 Screening Tests, Japan

Emerging infectious diseases, 2023-08, Vol.29 (8), p.1608-1617 [Peer Reviewed Journal]

COPYRIGHT 2023 U.S. National Center for Infectious Diseases ;Published 2023. This article is a U.S. Government work and is in the public domain in the USA. ;2023 ;ISSN: 1080-6040 ;EISSN: 1080-6059 ;DOI: 10.3201/eid2908.221775 ;PMID: 37486197

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Title:
Economic Evaluation of Wastewater Surveillance Combined with Clinical COVID-19 Screening Tests, Japan
Author: Yoo, Byung-Kwang ; Iwamoto, Ryo ; Chung, Ungil ; Sasaki, Tomoko ; Kitajima, Masaaki
Subjects: Analysis ; Antigens ; Asymptomatic ; Comparative analysis ; Control ; coronavirus disease ; Cost benefit analysis ; Cost control ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - epidemiology ; Diagnosis ; Economic aspects ; Economic Evaluation of Wastewater Surveillance Combined with Clinical COVID-19 Screening Tests, Japan ; Epidemics ; Evaluation ; Health aspects ; Health surveillance ; Hospitalization ; Humans ; Infections ; Japan ; Japan - epidemiology ; Medical care, Cost of ; Medical screening ; Medical tests ; Methods ; Mortality ; Pandemics ; respiratory infections ; SARS ; SARS-CoV-2 ; Sentinel health events ; Severe acute respiratory syndrome coronavirus 2 ; Wastewater ; Wastewater-Based Epidemiological Monitoring ; Water ; Water treatment
Is Part Of: Emerging infectious diseases, 2023-08, Vol.29 (8), p.1608-1617
Description: The COVID-19 pandemic has imposed substantial burdens on the global society. To find an optimal combination of wastewater surveillance and clinical testing for tracking COVID-19, we evaluated the economic efficiency of hypothetical screening options at a single facility in Japan. To conduct cost-benefit analyses, we developed standard decision models in which we assumed model parameters from literature and primary data, such as screening policies used at the Tokyo Olympic and Paralympic Village in 2021. We compared hypothetical 2-step screening options that used clinical PCR to diagnose COVID-19 after a positive result from primary screening using antigen tests (option 1) or wastewater surveillance (option 2). Our simulation results indicated that option 2 likely would be economically more justifiable than option 1, particularly at lower incidence levels. Our findings could help justify and promote the use of wastewater surveillance as a primary screening at a facility level for COVID-19 and other infectious diseases.
Publisher: United States: U.S. National Center for Infectious Diseases
Language: English
Identifier: ISSN: 1080-6040
EISSN: 1080-6059
DOI: 10.3201/eid2908.221775
PMID: 37486197
Source: Centers for Disease Control and Prevention
US Government Documents
GFMER Free Medical Journals
MEDLINE
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals

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Economic Evaluation of Wastewater Surveillance Combined with Clinical COVID-19 Screening Tests, Japan

COPYRIGHT 2023 U.S. National Center for Infectious Diseases ;Published 2023. This article is a U.S. Government work and is in the public domain in the USA. ;2023 ;ISSN: 1080-6040 ;EISSN: 1080-6059 ;DOI: 10.3201/eid2908.221775 ;PMID: 37486197

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