Parameter | Values (Lb; Ub) | Source |
Cost-effectiveness parameters | ||
Treatment costs (2021 US$) | ||
Per day, per patient unit cost of management of asymptomatic COVID-19 | US$19.75*testing rate | 23 |
Per day, per patient unit cost of management of mild to moderate COVID-19 | US$19.75*testing rate | 23 |
Per day, per patient unit cost of management of severe COVID-19 | US$129.45 | 23 |
Per day, per patient unit cost of management of critical COVID-19 | US$623.14 | 23 |
Testing rate | ||
†Testing rate in the population | 0.52% | Proportion of reported to modelled cases |
Vaccination costs (2021 US$) | ||
Vaccine procurement costs per dose | US$8.67 (Base cost: US$7 and including importation costs) | 22 |
Supplies procurement costs per dose | US$0.08 | 22 |
Vaccine delivery cost per dose (no vaccination) | US$0 | 22 |
Vaccine delivery cost per dose (30% coverage) | US$6.11 | 22 |
Vaccine delivery cost per dose (50% coverage) | US$4.16 | 22 |
Vaccine delivery cost per dose (70% coverage) | US$3.90 | 22 |
Duration of disease and length of hospitalisation | ||
Length of hospitalisation for severe episode | 7 days (4–11) | Assumption |
Length of ICU stay for critical episode | 7 days (4–11) | 15 |
Duration of asymptomatic disease | 7 days | Assumption |
Duration of mild to moderate disease | 7 days | Assumption |
Duration of severe disease | 12 days | 27 |
Duration of critical disease | 20 days | 27 |
DALYs | ||
Disability weight for asymptomatic episode | 0 | |
Disability weight for mild/moderate episode | 0.051 (0.032; 0.074) | 28 |
Disability weight for severe episode | 0.133 (0.088; 0.191) | 28 |
Disability weight for critical episode | 0.655 (0.579; 0.727) | 29 |
*Average age at death | 9 | |
0–19 years | 9.27 years | |
20–49 years | 31.75 years | |
50–59 years | 54.10 years | |
60–69 years | 63.85 years | |
70–79 years | 73.41 years | |
80+ years | 86.00 years | |
Life expectancy | 26 | |
0–19 years | 64.10 years | |
20–49 years | 40.94 years | |
50–59 years | 24.71 years | |
60–69 years | 17.64 years | |
70–79 years | 11.41 years | |
80+ years | 4.84 years | |
Cost-effectiveness threshold per DALY averted | US$919.11 | 8 30 31 |
Transmission dynamic model parameters | ||
Transmission dynamic model values | See online supplemental table S1 |
*Average age at death is based on the weighted mean age across the different age groups.
†Testing rate: A proxy estimate is used that is calculated as a proportion of reported cases to modelled cases across all severity levels from 1 January 2021 to 19 September 2021.
DALYs, disability-adjusted life-years; ICU, intensive care unit.