From: Economic analysis of pandemic influenza mitigation strategies for five pandemic severity categories
Parameters | Values | Source |
---|---|---|
Epidemiological parameters | ||
Symptomatic infectiousness timeline | 0.5Â day latent (non infectious), 1Â day asymptomatic; 2Â days peak symptomatic; 2.5Â days post-peak symptomatic | [30] |
Asymptomatic infectiousness timeline | 0.5Â day latent; 5.5Â days asymptomatic | [30] |
Asymptomatic infectiousness | 0.5 | [30] |
peak symptomatic infectiousness | 1.0 | - |
post-peak symptomatic infectiousness | 0.5 | [30] |
Probability of asymptomatic infection | 0.32 | [33] |
Probability of adult withdrawal from work if sick | 0.5 (0.25,0.75)* | - |
Probability of child withdrawal from school if sick | 0.9 (0.5,1.0)* | - |
Basic Reproduction Number R0 and Attack Rate (%) | R0 = 1.5, AR = 24.4% (R0 = 1.8 and AR = 32.4%, R0 = 2.5, AR = 43.8%)* | - |
Intervention parameters | ||
Antiviral infectiousness reduction | 66% (33%, 89%)* | |
Antiviral susceptibility reduction | 85% (43%, 90%)* | |
Prophylaxis symptom reduction probability | 50% | [35] |
Diagnosis delay | 12Â h | - |
Diagnosis ratio | 50% | - |
Maximum antiviral courses given for treatment | 1 course per person for 5Â days | - |
Maximum antiviral courses given for prophylaxis | 1 course per person for 10Â days | - |
School Closure Duration | 2Â weeks, 8Â weeks and continuously | - |
School Closure Trigger | 20 to 40 community cases | [5] |
School Closure withdrawal probability | 1.0 (0.5, 0.75)* | - |
Workforce Reduction Duration | 4Â weeks and continuously | - |
Workforce Reduction Trigger | 2Â weeks after first case | - |
Workforce Reduction attendance probability | 0.5 (0.25, 0.75)* | - |
Community Contact Reduction (CCR) Duration | 4Â weeks and continuously | - |
CCR Trigger | 2Â weeks after first case | - |
CCR withdrawal probability | 0.5 (0.25, 0.75)* | - |
Pandemic severity parameters | ||
Severity Category 1 (CFR < 0.1%) | Case Fatality Rate = 0.1% | [42] |
Severity Category 2 (CFR 0.1% - 0.5%) | Case Fatality Rate = 0.25% | [42] |
Severity Category 3 (CFR 0.5% - 1.0%) | Case Fatality Rate = 0.75% | [42] |
Severity Category 4 (CFR 1.0% - 2.0%) | Case Fatality Rate = 1.5% | [42] |
Severity Category 5 (CFR > = 2.0%) | Case Fatality Rate = 2.5% | [42] |
Hospitalisation / fatality ratio | 32:1 | Â |
ICU / fatality ratio | 3:1 | Â |
Average hospital stay (days) | 4 | |
Average ICU stay (days) | 7 | |
Economic analysis parameters | ||
Average wages (per week) | $836 | [44] |
Average school closure cost (per student per day) | $19.22 | [45] |
Average GP visit cost | $106.97 | [46] |
Average hospitalization cost (per day) | $1042 | [46] |
Average ICU cost (per day) | $2084 | |
Antiviral cost per course | $24.81 | [46] |
Antiviral dispensing cost per course | $31.22 | [46] |
Antiviral shelf life | 5Â years | [48] |
Mean time between pandemics | 30.3Â years | - |
Discount Rate (annually) | 3% | [49] |