Publication:
Five Ways that COVID-19 Diagnostics Can Save Lives: Prioritizing Uses of Tests to Maximize Cost-Effectiveness

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dc.contributor.authorReed, Tristan
dc.contributor.authorWaites, William
dc.contributor.authorManheim, David
dc.contributor.authorde Walque, Damien
dc.contributor.authorVallini, Chiara
dc.contributor.authorGatti, Roberta
dc.contributor.authorHallett, Timothy B.
dc.date.accessioned2021-02-19T22:50:05Z
dc.date.available2021-02-19T22:50:05Z
dc.date.issued2021-02-23
dc.description.abstractSupplies of diagnostic tests for SARS-CoV-2, the virus that causes COVID-19 (coronavirus), are still limited in many countries, and there is uncertainty about how to allocate the scarce supply across alternative types of testing (use cases). This Research & Policy Brief quantifies the cost-effectiveness of five alternative diagnostic use cases in terms of tests required per death averted. Across use cases, a single death can be averted by administering 940 to 8,838 tests, implying a large and positive return on investment in all use cases-even assuming a very low value for loss of life. That is, all five use cases pay for themselves many times over. When prevalence of SARS-CoV-2 is high, the most cost-effective uses of SARS-CoV-2 diagnostics seem to be clinical triage of patients, at-risk worker screening, and population surveillance. Test-trace-isolate programs and border screening are alsoworthwhile, although they are more resource intensive per death averted if done comprehensively. These latter two interventions become relativelymore cost effective when prevalence is low, and can stop the virus from entering a community completely. While governments should seekwidespread deployment of tests in all five use cases, prioritizing them in this way is likely to maximize the cost-effectiveness of their use. As morecontagious strains emerge, each use case will become more valuable than ever.en
dc.identifierhttp://documents.worldbank.org/curated/en/426741613767908998/Five-Ways-that-COVID-19-Diagnostics-Can-Save-Lives-Prioritizing-Uses-of-Tests-to-Maximize-Cost-Effectiveness
dc.identifier.urihttps://hdl.handle.net/10986/35150
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesResearch and Policy Brief;No. 43
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectCORONAVIRUS
dc.subjectCOVID-19
dc.subjectPANDEMIC RESPONSE
dc.subjectVIRUS TESTING
dc.subjectCOST-EFFECTIVENESS
dc.subjectCLINICAL TRIAGE
dc.subjectWORKER SCREENING
dc.subjectPOPULATION SURVEILLANCE
dc.subjectTEST-TRACE-ISOLATE
dc.subjectBORDERING SCREENING
dc.titleFive Ways that COVID-19 Diagnostics Can Save Livesen
dc.title.subtitlePrioritizing Uses of Tests to Maximize Cost-Effectivenessen
dc.typeBriefen
dc.typeFichefr
dc.typeResumenes
dspace.entity.typePublication
okr.date.disclosure2021-02-19
okr.doctypePublications & Research
okr.doctypePublications & Research::Brief
okr.docurlhttp://documents.worldbank.org/curated/en/426741613767908998/Five-Ways-that-COVID-19-Diagnostics-Can-Save-Lives-Prioritizing-Uses-of-Tests-to-Maximize-Cost-Effectiveness
okr.guid426741613767908998
okr.identifier.externaldocumentum090224b08833e29d_3_0
okr.identifier.internaldocumentum32848134
okr.identifier.report156888
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/426741613767908998/pdf/Five-Ways-that-COVID-19-Diagnostics-Can-Save-Lives-Prioritizing-Uses-of-Tests-to-Maximize-Cost-Effectiveness.pdfen
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Policy and Management
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.unitDECRG: Macroeconomics & Growth (DECMG)
relation.isAuthorOfPublicationb5740416-f4ef-5235-974a-47bd257d61a4
relation.isAuthorOfPublication80e2e087-17b5-5934-9ff6-34ceb2ef6223
relation.isAuthorOfPublication.latestForDiscoveryb5740416-f4ef-5235-974a-47bd257d61a4
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