WENG Junling 1,2 , LIAN Dai 1,2 , TAO Ying 1,2 , LUO Bingxing 1,2 , LI Fuming 1,2 , YAN Juntao 1,2 , YANG Yi 1,2 , CHEN Yingyao 1,2
  • 1. School of Public Health, Fudan University, Shanghai 200032, P. R. China;
  • 2. National Health Commission Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, P. R. China;
YANG Yi, Email: fd_yangyi@fudan.edu.cn; CHEN Yingyao, Email: yychen@shmu.edu.cn
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Objective To systematically review the economy of non-pharmaceutical interventions (NPIs) for COVID-19. Methods The Web of Science, PubMed, EMbase, Cochrane Library, INAHTA, CNKI, WanFang Data and SinoMed databases were electronically searched to collect studies on health economic evaluations from 1 January 2020 to 20 August 2022. Then the included materials were reviewed, extracted and data integration analysis were conducted based on inclusion and exclusion criteria. Results Seventy-one academic publications were finally included, which contained 25 papers about nucleic acid testing, antigen testing and screening, 5 papers about personal protection, 12 papers about social distancing, quarantine and isolation, 11 papers about regional or national lockdown and 18 papers about multiple NPIs. The results showed that compared with no intervention, nucleic acid testing, antigen testing, screening and personal protection measures were economical. Social distancing, quarantine and isolation were also economical compared with no intervention. However, in low-income countries, movement restriction and factory shutdown may exact a heavy toll on the poorest and most vulnerable. Moreover, compared with a single long-term lockdown, multiple short-term lockdowns could be more economical, but the cost was still huge overall. Conclusion NPIs such as nucleic acid testing, antigen testing, personal protection, social distancing, quarantine, isolation and factory shutdown are economical. Although regional or national lockdown can save lives, it is not suitable for wide use. The researches on specific populations, specific variants (especially Omicron) and in the context of China need to be carried out.

Citation: WENG Junling, LIAN Dai, TAO Ying, LUO Bingxing, LI Fuming, YAN Juntao, YANG Yi, CHEN Yingyao. Health economic evaluation of non-pharmaceutical interventions for COVID-19 prevention and control: a systematic review. Chinese Journal of Evidence-Based Medicine, 2023, 23(6): 654-664. doi: 10.7507/1672-2531.202302021 Copy

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