Objectives To evaluate the cost effectiveness of an asymptomatic SARS-CoV-2 whole area testing pilot.
Design Epidemiological modelling and cost effectiveness analysis.
Setting The community of Merthyr Tydfil County Borough between20 Nov and 21 Dec 2020.
Participants A total of 33,822 people tested as part of the pilot in Merthyr Tydfil County Borough, 712 of whom tested positive by lateral flow test and reported being asymptomatic.
Main outcome measures Estimated number of cases, hospitalisations, ICU admissions and deaths prevented, and associated costs per quality-adjusted life years (QALYs) gained and monitory cost to the healthcare system.
Results An initial conservative estimate of 360 (95% CI: 311 – 418) cases were prevented by the mass testing, representing a would-be reduction of 11% of all cases diagnosed in Merthyr Tydfil residents during the same period....
Too long to wait: the impact of COVID-19 on elective surgery.
As health-care systems worldwide scrambled to cope with the first wave of COVID-19, many countries made the necessary decision to cancel all non-emergency surgical procedures to free up personnel and resources to care for patients with COVID-19. Nearly 10 million people in the UK are now waiting for surgical procedures, up from 4 million before the pandemic hit. Among them are nearly 100 000 patients whose joint replacement surgeries were cancelled during the first COVID-19 wave, many of whom are left struggling with daily activities because of severe pain and limited mobility. The UK is not alone in this dilemma; a US report projected a backlog of more than 1 million joint and spinal surgeries by mid-2022. Drastic measures will be required to clear these backlogs.Although elective surgeries resumed in the UK (and many other countries) in mid-2020, most hospitals are functioning...
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus that causes coronavirus disease 2019. At the time of writing (October 2020), the number of cases of COVID-19 had been approaching 38 million and more than 1 million deaths were attributable to it. SARS-CoV-2 appears to be highly transmissible and could rapidly spread in hospital wards. The work undertaken aimed to estimate the clinical effectiveness and cost-effectiveness of viral detection point-of-care tests for detecting SARS-CoV-2 compared with laboratory-based tests. A further objective was to assess occupancy levels in hospital areas, such as waiting bays, before allocation to an appropriate bay. The perspective was that of the UK NHS in 2020. The setting was a hypothetical hospital with an accident and emergency department. An individual patient model was constructed that simulated the spread of...
This webinar intends to bring together those two communities to discuss the challenges of combining macroeconomic and epidemiological modelling , with a focus on LMICs. We will first discuss the work of Marcus Keogh Brown and Henning Jensen, Associate Professors at the London School of Hygiene and Tropical Medicine (LSHTM) on the macroeconomic impact on the Pakistan economy of Covid-19 and non-pharmaceutical interventions.