Skip to main content

Table 2 Base case scenario parameters. Selected parameters for cost-effectiveness of California tuberculosis B-notifications. Full details and additional parameters are given in the Appendix [see Additional file 1]. Note 1: California TB surveillance for individuals from major countries of origin, 2002. Note 2: one minus the relative risk of disease given completion of LTBI therapy relative to no therapy, assuming isoniazid-sensitive infection. Note 3: assuming no false positives due to prior BCG vaccination. Note 4: rate per 100 000 person-years. See Appendix [Additional file 1] for further details and complete references.

From: Cost-effectiveness of tuberculosis evaluation and treatment of newly-arrived immigrants

Description

Values

Mean age (Note 1)

53.3

INH resistance

0.129

Drug-induced hepatitis rates

0.0008 to 0.0028

Efficacy of completed regimen (Note 2)

70%

Mean time to passive diagnosis

74 days

TST sensitivity

93%

TST specificity (Note 3)

99%

Probability of fast progression to TB after infection

0.05

Probability of finding a TB contact

80%

Fraction of individuals with B-notification

 

   with active disease

3%

   in class TB4

60%

   in class TB2

22%

Fraction of

 

   baseline active cases smear positive

7.5%

   TB4s eligible for LTBI therapy

63%

Hospitalization probability

 

   actively detected smear-positive

0.35

   actively detected smear-negative

0.081

   passively detected smear-positive

0.66

   passively detected smear-negative

0.51

Transmission (new infections per year)

 

   smear-positive source case

8

   smear-negative source case

0.8

Attrition cascade for domestic follow-up after B-notification

 

   Evaluation rate

60%

   Starting rate, LTBI therapy

80%

   Completion rate, LTBI therapy

75%

Reactivation rate at baseline, Note 4

 

   class TB4

600

   class TB2

217