The economic impact of quarantine: SARS in Toronto as a case study
Identifieur interne : 001189 ( Pmc/Curation ); précédent : 001188; suivant : 001190The 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.
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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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></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="1"><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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Gupta</name><affiliation wicri:level="1"><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></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="1"><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></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="1"><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></affiliation><affiliation wicri:level="1"><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></affiliation><affiliation wicri:level="1"><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></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 article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Infect</journal-id><journal-id journal-id-type="iso-abbrev">J. Infect</journal-id><journal-title-group><journal-title>The Journal of Infection</journal-title></journal-title-group><issn pub-type="ppub">0163-4453</issn><issn pub-type="epub">1532-2742</issn><publisher><publisher-name>The British Infection Society. Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15907545</article-id><article-id pub-id-type="pmc">7112515</article-id><article-id pub-id-type="publisher-id">S0163-4453(04)00185-9</article-id><article-id pub-id-type="doi">10.1016/j.jinf.2004.08.006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The economic impact of quarantine: SARS in Toronto as a case study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gupta</surname><given-names>Anu G.</given-names></name><xref rid="aff1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Moyer</surname><given-names>Cheryl A.</given-names></name><email>camoyer@umich.edu</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="cor1" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Stern</surname><given-names>David T.</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff3" ref-type="aff">c</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Global REACH, University of Michigan Medical School, 7C 06 NIB, P.O. Box 0429, Ann Arbor, MI 48109-0429, USA</aff><aff id="aff2"><label>b</label>Departments of Medicine and Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA</aff><aff id="aff3"><label>c</label>Ann Arbor Veterans Affairs Hospital, Ann Arbor, MI, USA</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding author. Tel.: +1-734-998-6827; fax: +1-734-998-6105. <email>camoyer@umich.edu</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>22</day><month>9</month><year>2004</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>6</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>22</day><month>9</month><year>2004</year></pub-date><volume>50</volume><issue>5</issue><fpage>386</fpage><lpage>393</lpage><history><date date-type="accepted"><day>1</day><month>8</month><year>2004</year></date></history><permissions><copyright-statement>Copyright © 2004 The British Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2004</copyright-year><copyright-holder>The British Infection Society</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Keywords</title><kwd>SARS</kwd><kwd>Quarantine</kwd><kwd>Health economics</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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