The economic impact of quarantine: SARS in Toronto as a case study
Identifieur interne : 000F64 ( Ncbi/Merge ); précédent : 000F63; suivant : 000F65The economic impact of quarantine: SARS in Toronto as a case study
Auteurs : Anu G. Gupta [États-Unis] ; Cheryl A. Moyer [États-Unis] ; David T. Stern [États-Unis]Source :
- The Journal of Infection [ 0163-4453 ] ; 2004.
Descripteurs français
- KwdFr :
- MESH :
- économie : Quarantaine.
- épidémiologie : Canada, Syndrome respiratoire aigu sévère.
- Analyse coût-bénéfice, Flambées de maladies, Humains, Population urbaine, Syndrome respiratoire aigu sévère.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Canada.
- economics : Quarantine.
- epidemiology : Severe Acute Respiratory Syndrome.
- prevention & control : Severe Acute Respiratory Syndrome.
- Cost-Benefit Analysis, Disease Outbreaks, Humans, Urban Population.
Abstract
Over time, quarantine has become a classic public health intervention and has been used repeatedly when newly emerging infectious diseases have threatened to spread throughout a population. Here, we weigh the economic costs and benefits associated with implementing widespread quarantine in Toronto during the SARS outbreaks of 2003.
We compared the costs of two outbreak scenarios: in Scenario A, SARS is able to transmit itself throughout a population without any significant public health interventions. In Scenario B, quarantine is implemented early on in an attempt to contain the virus. By evaluating these situations, we can investigate whether or not the use of quarantine is justified by being either cost-saving, life saving, or both.
Our results indicate that quarantine is effective in containing newly emerging infectious diseases, and also cost saving when compared to not implementing a widespread containment mechanism.
This paper illustrates that it is not only in our humanitarian interest for public health and healthcare officials to remain aggressive in their response to newly emerging infections, but also in our collective economic interest. Despite somewhat daunting initial costs, quarantine saves both lives and money.
Url:
DOI: 10.1016/j.jinf.2004.08.006
PubMed: 15907545
PubMed Central: 7112515
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PMC:7112515Le document en format XML
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Gupta</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moyer, Cheryl A" sort="Moyer, Cheryl A" uniqKey="Moyer C" first="Cheryl A." last="Moyer">Cheryl A. Moyer</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Stern, David T" sort="Stern, David T" uniqKey="Stern D" first="David T." last="Stern">David T. Stern</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. 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Here, we weigh the economic costs and benefits associated with implementing widespread quarantine in Toronto during the SARS outbreaks of 2003.</p></sec><sec><title>Methods</title><p>We compared the costs of two outbreak scenarios: in Scenario A, SARS is able to transmit itself throughout a population without any significant public health interventions. In Scenario B, quarantine is implemented early on in an attempt to contain the virus. By evaluating these situations, we can investigate whether or not the use of quarantine is justified by being either cost-saving, life saving, or both.</p></sec><sec><title>Results</title><p>Our results indicate that quarantine is effective in containing newly emerging infectious diseases, and also cost saving when compared to not implementing a widespread containment mechanism.</p></sec><sec><title>Conclusions</title><p>This paper illustrates that it is not only in our humanitarian interest for public health and healthcare officials to remain aggressive in their response to newly emerging infections, but also in our collective economic interest. Despite somewhat daunting initial costs, quarantine saves both lives and money.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, M L" uniqKey="Lee M">M.L. Lee</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. Chen</name></author><author><name sortKey="Su, I J" uniqKey="Su I">I.J. Su</name></author><author><name sortKey="Chen, K T" uniqKey="Chen K">K.T. Chen</name></author><author><name sortKey="Yeh, C C" uniqKey="Yeh C">C.C. Yeh</name></author><author><name sortKey="King, C C" uniqKey="King C">C.C. King</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitka, M" uniqKey="Mitka M">M. Mitka</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, M L" uniqKey="Lee M">M.L. Lee</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. Chen</name></author><author><name sortKey="Su, I J" uniqKey="Su I">I.J. Su</name></author><author><name sortKey="Chen, K T" uniqKey="Chen K">K.T. Chen</name></author><author><name sortKey="Yeh, C C" uniqKey="Yeh C">C.C. Yeh</name></author><author><name sortKey="King, C C" uniqKey="King C">C.C. King</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Avendano, M" uniqKey="Avendano M">M. Avendano</name></author><author><name sortKey="Derkach, P" uniqKey="Derkach P">P. Derkach</name></author><author><name sortKey="Swan, S" uniqKey="Swan S">S. Swan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Booth, C M" uniqKey="Booth C">C.M. Booth</name></author><author><name sortKey="Matukas, L M" uniqKey="Matukas L">L.M. Matukas</name></author><author><name sortKey="Tomlinson, G A" uniqKey="Tomlinson G">G.A. Tomlinson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><double pmid="15907545"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The economic impact of quarantine: SARS in Toronto as a case study</title><author><name sortKey="Gupta, Anu G" sort="Gupta, Anu G" uniqKey="Gupta A" first="Anu G." last="Gupta">Anu G. Gupta</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moyer, Cheryl A" sort="Moyer, Cheryl A" uniqKey="Moyer C" first="Cheryl A." last="Moyer">Cheryl A. Moyer</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Stern, David T" sort="Stern, David T" uniqKey="Stern D" first="David T." last="Stern">David T. Stern</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Departments of Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff3">Ann Arbor Veterans Affairs Hospital, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Ann Arbor Veterans Affairs Hospital, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">15907545</idno><idno type="pmc">7112515</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112515</idno><idno type="RBID">PMC:7112515</idno><idno type="doi">10.1016/j.jinf.2004.08.006</idno><date when="2004">2004</date><idno type="wicri:Area/Pmc/Corpus">001189</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001189</idno><idno type="wicri:Area/Pmc/Curation">001189</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001189</idno><idno type="wicri:Area/Pmc/Checkpoint">001442</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001442</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The economic impact of quarantine: SARS in Toronto as a case study</title><author><name sortKey="Gupta, Anu G" sort="Gupta, Anu G" uniqKey="Gupta A" first="Anu G." last="Gupta">Anu G. Gupta</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moyer, Cheryl A" sort="Moyer, Cheryl A" uniqKey="Moyer C" first="Cheryl A." last="Moyer">Cheryl A. Moyer</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Stern, David T" sort="Stern, David T" uniqKey="Stern D" first="David T." last="Stern">David T. Stern</name><affiliation wicri:level="2"><nlm:aff id="aff1">Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Departments of Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff3">Ann Arbor Veterans Affairs Hospital, Ann Arbor, MI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Ann Arbor Veterans Affairs Hospital, Ann Arbor, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Infection</title><idno type="ISSN">0163-4453</idno><idno type="eISSN">1532-2742</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title><italic>Objectives</italic></title><p>Over time, quarantine has become a classic public health intervention and has been used repeatedly when newly emerging infectious diseases have threatened to spread throughout a population. Here, we weigh the economic costs and benefits associated with implementing widespread quarantine in Toronto during the SARS outbreaks of 2003.</p></sec><sec><title>Methods</title><p>We compared the costs of two outbreak scenarios: in Scenario A, SARS is able to transmit itself throughout a population without any significant public health interventions. In Scenario B, quarantine is implemented early on in an attempt to contain the virus. By evaluating these situations, we can investigate whether or not the use of quarantine is justified by being either cost-saving, life saving, or both.</p></sec><sec><title>Results</title><p>Our results indicate that quarantine is effective in containing newly emerging infectious diseases, and also cost saving when compared to not implementing a widespread containment mechanism.</p></sec><sec><title>Conclusions</title><p>This paper illustrates that it is not only in our humanitarian interest for public health and healthcare officials to remain aggressive in their response to newly emerging infections, but also in our collective economic interest. Despite somewhat daunting initial costs, quarantine saves both lives and money.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, M L" uniqKey="Lee M">M.L. Lee</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. Chen</name></author><author><name sortKey="Su, I J" uniqKey="Su I">I.J. Su</name></author><author><name sortKey="Chen, K T" uniqKey="Chen K">K.T. Chen</name></author><author><name sortKey="Yeh, C C" uniqKey="Yeh C">C.C. Yeh</name></author><author><name sortKey="King, C C" uniqKey="King C">C.C. King</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitka, M" uniqKey="Mitka M">M. Mitka</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lee, M L" uniqKey="Lee M">M.L. Lee</name></author><author><name sortKey="Chen, C J" uniqKey="Chen C">C.J. Chen</name></author><author><name sortKey="Su, I J" uniqKey="Su I">I.J. Su</name></author><author><name sortKey="Chen, K T" uniqKey="Chen K">K.T. Chen</name></author><author><name sortKey="Yeh, C C" uniqKey="Yeh C">C.C. Yeh</name></author><author><name sortKey="King, C C" uniqKey="King C">C.C. King</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Avendano, M" uniqKey="Avendano M">M. Avendano</name></author><author><name sortKey="Derkach, P" uniqKey="Derkach P">P. Derkach</name></author><author><name sortKey="Swan, S" uniqKey="Swan S">S. Swan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Booth, C M" uniqKey="Booth C">C.M. Booth</name></author><author><name sortKey="Matukas, L M" uniqKey="Matukas L">L.M. Matukas</name></author><author><name sortKey="Tomlinson, G A" uniqKey="Tomlinson G">G.A. Tomlinson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The economic impact of quarantine: SARS in Toronto as a case study.</title><author><name sortKey="Gupta, Anu G" sort="Gupta, Anu G" uniqKey="Gupta A" first="Anu G" last="Gupta">Anu G. Gupta</name><affiliation wicri:level="2"><nlm:affiliation>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moyer, Cheryl A" sort="Moyer, Cheryl A" uniqKey="Moyer C" first="Cheryl A" last="Moyer">Cheryl A. Moyer</name></author><author><name sortKey="Stern, David T" sort="Stern, David T" uniqKey="Stern D" first="David T" last="Stern">David T. Stern</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:15907545</idno><idno type="pmid">15907545</idno><idno type="doi">10.1016/j.jinf.2004.08.006</idno><idno type="wicri:Area/PubMed/Corpus">002725</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002725</idno><idno type="wicri:Area/PubMed/Curation">002725</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002725</idno><idno type="wicri:Area/PubMed/Checkpoint">002434</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002434</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The economic impact of quarantine: SARS in Toronto as a case study.</title><author><name sortKey="Gupta, Anu G" sort="Gupta, Anu G" uniqKey="Gupta A" first="Anu G" last="Gupta">Anu G. Gupta</name><affiliation wicri:level="2"><nlm:affiliation>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moyer, Cheryl A" sort="Moyer, Cheryl A" uniqKey="Moyer C" first="Cheryl A" last="Moyer">Cheryl A. Moyer</name></author><author><name sortKey="Stern, David T" sort="Stern, David T" uniqKey="Stern D" first="David T" last="Stern">David T. Stern</name></author></analytic><series><title level="j">The Journal of infection</title><idno type="ISSN">0163-4453</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Canada (epidemiology)</term><term>Cost-Benefit Analysis</term><term>Disease Outbreaks</term><term>Humans</term><term>Quarantine (economics)</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term><term>Urban Population</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Canada (épidémiologie)</term><term>Flambées de maladies</term><term>Humains</term><term>Population urbaine</term><term>Quarantaine (économie)</term><term>Syndrome respiratoire aigu sévère ()</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Quarantine</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Quarantaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cost-Benefit Analysis</term><term>Disease Outbreaks</term><term>Humans</term><term>Urban Population</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Flambées de maladies</term><term>Humains</term><term>Population urbaine</term><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over time, quarantine has become a classic public health intervention and has been used repeatedly when newly emerging infectious diseases have threatened to spread throughout a population. Here, we weigh the economic costs and benefits associated with implementing widespread quarantine in Toronto during the SARS outbreaks of 2003.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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