Page 174 - Timeliness of Infectious Disease Notification & Response Systems - Corien Swaan
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172 Chapter 8
Table 1. EVD-related costs to ambulance care facilities in Euros (X 1000) N=25
 Activity
Preparedness
Coordination
meetings
training
materials
AZN
Subtotal
Response
transport of suspected case
Total costs
Mean costs/ organisation (range)
19.6 (10.9-32.0)
5.4 (4.9-7.3)
14.9 (3.6-35.9)
21.3 (15.0-29.0)
118.4
1.2 (1.0-1.4)
Mean total costsb (range)
491.1 (272.2-799.7)
135.2 (123.0-183.6)
372.9 (89.6-896.8)
531.5 (374.4-725.5)
118.4
1,649.0 (977.6-2,723,9)
14.0 (11.5-17.3)
1,663.0 (989.0-2,741.1)
Base case
Mean costs/ Mean total Percentage organisation costsb %
(range) (range)
16.4 409.2 27.7 (9.1-26.7) (226.8-666.4)
4.5 112.6 7.6 (4.1-6.1) (102.5-153.0)
12.4 310.7 21.0 (3.0-29.9) (74.7-747.3)
21.3 531.5 36.0 (15.0-29,0) (374.4-725.5)
98.7 98.7 6.7
1,462.7 99.1 (877.1-2,390.8)
1.2 14.0
(1.0-1.4) (11.5-17.3) 0.9
1,476.7 100 (888.5-2,408.1)
Costs including overheada
  AZN=Ambulance Zorg Nederland (association of ambulance care services).
a Wages are increased by 20% to account for overhead costs, depreciation, and housing costs
b Extrapolated to all 25 ambulance care services (for preparedness), and to 12 transpor- tations of suspected cases (for response).
Hospitals
Total costs for hospital EVD preparations averaged €4.77 million (UI: €2.39 million-€7.97 million) for all peripheral hospitals and €3.62 million (UI: €1.76 million-€7.14 million) for all academic hospitals (table 2 and Table A3/A4/A5 Appendix File). At one of the three peripheral hospitals where we conducted interviews, a portable clinical instrument was purchased to perform point-of- care laboratory tests for suspected cases that might be admitted, at a cost of €20,000 (not included in Table 2). The costs associated with the infected UN patient were estimated at €0.24 million (see Appendix File Table A6).




















































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