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

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collection.link.157
https://openknowledge.worldbank.org/handle/10986/9388
collection.name.157
Miscellaneous Knowledge Notes
dc.contributor.author
Reed, Tristan
dc.contributor.author
Waites, William
dc.contributor.author
Manheim, David
dc.contributor.author
de Walque, Damien
dc.contributor.author
Vallini, Chiara
dc.contributor.author
Gatti, Roberta
dc.contributor.author
Hallett, Timothy B.
dc.date.accessioned
2021-02-19T22:50:05Z
dc.date.available
2021-02-19T22:50:05Z
dc.date.issued
2021-02-23
dc.date.lastModified
2021-09-16T21:09:09Z
dc.description.abstract
Supplies 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.identifier
http://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.uri
http://hdl.handle.net/10986/35150
dc.language
English
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
Research and Policy Brief;No. 43
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.subject
CORONAVIRUS
dc.subject
COVID-19
dc.subject
PANDEMIC RESPONSE
dc.subject
VIRUS TESTING
dc.subject
COST-EFFECTIVENESS
dc.subject
CLINICAL TRIAGE
dc.subject
WORKER SCREENING
dc.subject
POPULATION SURVEILLANCE
dc.subject
TEST-TRACE-ISOLATE
dc.subject
BORDERING SCREENING
dc.title
Five Ways that COVID-19 Diagnostics Can Save Lives
en
dc.title.subtitle
Prioritizing Uses of Tests to Maximize Cost-Effectiveness
en
dc.type
Brief
en
okr.date.disclosure
2021-02-19
okr.doctype
Publications & Research
okr.doctype
Publications & Research :: Brief
okr.docurl
http://documents.worldbank.org/curated/en/426741613767908998/Five-Ways-that-COVID-19-Diagnostics-Can-Save-Lives-Prioritizing-Uses-of-Tests-to-Maximize-Cost-Effectiveness
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
090224b08833e29d_3_0
okr.identifier.internaldocumentum
32848134
okr.identifier.report
156888
okr.imported
true
en
okr.language.supported
en
okr.pdfurl
http://documents.worldbank.org/curated/en/426741613767908998/pdf/Five-Ways-that-COVID-19-Diagnostics-Can-Save-Lives-Prioritizing-Uses-of-Tests-to-Maximize-Cost-Effectiveness.pdf
en
okr.topic
Health, Nutrition and Population :: Disease Control & Prevention
okr.topic
Health, Nutrition and Population :: Health Policy and Management
okr.topic
Health, Nutrition and Population :: Health Service Management and Delivery
okr.topic
Health, Nutrition and Population :: Public Health Promotion
okr.unit
DECRG: Macroeconomics & Growth (DECMG)

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