tetano
Editor, Senior Moderator
Aust N Z J Public Health. 2018 Aug 8. doi: 10.1111/1753-6405.12818. [Epub ahead of print]
[h=1]Economic evaluation of border closure for a generic severe pandemic threat using New Zealand Treasury methods.[/h] Boyd M[SUP]1[/SUP], Mansoor OD[SUP]2[/SUP], Baker MG[SUP]3[/SUP], Wilson N[SUP]3[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVE:[/h] To perform a comprehensive economic evaluation of border closure for an island nation in the face of severe pandemic scenarios.
[h=4]METHODS:[/h] The costing tool developed by the New Zealand (NZ) Treasury (CBAx) was used for the analyses. Pandemic scenarios were as per previous work;[SUP]1[/SUP] epidemiological data were from past New Zealand influenza pandemics.
[h=4]RESULTS:[/h] The net present value of successful border closure was NZ$7.86 billion for Scenario A (half the mortality rate of the 1918 influenza pandemic) and $144 billion for preventing a more severe pandemic (10 times the mortality of scenario A). Cost-utility analyses found border closure was relatively cost-effective, at $14,400 per QALY gained in Scenario A, and cost-saving for Scenario B (taking the societal perspective).
[h=4]CONCLUSIONS:[/h] This work quantifies the economic benefits and costs from border closure for New Zealand under specific assumptions in a generic but severe pandemic threat (e.g. influenza, synthetic bioweapon). Preparing for such a pandemic response seems wise for an island nation, although successful border closure may only be feasible if planned well ahead. Implications for public health: Policy makers responsible for generic pandemic planning should explore how border closure could be implemented, including practical and legal frameworks.
? 2018 The Authors.
[h=4]KEYWORDS:[/h] border closure; cost-benefit; cost-effectiveness; cost-utility; economic analysis; influenza; pandemic
PMID: 30088691 DOI: 10.1111/1753-6405.12818
[h=1]Economic evaluation of border closure for a generic severe pandemic threat using New Zealand Treasury methods.[/h] Boyd M[SUP]1[/SUP], Mansoor OD[SUP]2[/SUP], Baker MG[SUP]3[/SUP], Wilson N[SUP]3[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVE:[/h] To perform a comprehensive economic evaluation of border closure for an island nation in the face of severe pandemic scenarios.
[h=4]METHODS:[/h] The costing tool developed by the New Zealand (NZ) Treasury (CBAx) was used for the analyses. Pandemic scenarios were as per previous work;[SUP]1[/SUP] epidemiological data were from past New Zealand influenza pandemics.
[h=4]RESULTS:[/h] The net present value of successful border closure was NZ$7.86 billion for Scenario A (half the mortality rate of the 1918 influenza pandemic) and $144 billion for preventing a more severe pandemic (10 times the mortality of scenario A). Cost-utility analyses found border closure was relatively cost-effective, at $14,400 per QALY gained in Scenario A, and cost-saving for Scenario B (taking the societal perspective).
[h=4]CONCLUSIONS:[/h] This work quantifies the economic benefits and costs from border closure for New Zealand under specific assumptions in a generic but severe pandemic threat (e.g. influenza, synthetic bioweapon). Preparing for such a pandemic response seems wise for an island nation, although successful border closure may only be feasible if planned well ahead. Implications for public health: Policy makers responsible for generic pandemic planning should explore how border closure could be implemented, including practical and legal frameworks.
? 2018 The Authors.
[h=4]KEYWORDS:[/h] border closure; cost-benefit; cost-effectiveness; cost-utility; economic analysis; influenza; pandemic
PMID: 30088691 DOI: 10.1111/1753-6405.12818