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Published on: December 3, 2011
Cost-effectiveness of EGCRISC application versus hepatitis C virus mass screening in Egypt
1Tropical Health Department, High Institute of Public Health, Alexandria University, 165 El-Horreya Avenue, Alexandria, Egypt.
Background:
The Egyptian model of care against hepatitis C virus (HCV) has a great success in treatment and treatment accessibility, but still screening efforts must be strengthened. HCV is a silent infection when most of infected people are unaware of their infection. EGCRISC is a newly developed and validated risk-based HCV screening tool in Egypt that has shown a considerably good performance but is still underused. This brief communication is to analyze its use cost-effectiveness versus mass screening.
Study Design:
Mathematical comparative analysis for economic evaluation.
Methods:
Its performance data as published recently were used, and a minimum cost of L.E. 20 was considered per one antibody testing. The 2015 health issue survey and population census were used for estimating the population, infected individuals and susceptibles.
Results:
The analysis showed that using EGCRISC would save LE 0.43 billion accounting for about 21,646,227 unnecessary tests, while missing less than 70,000 cases when compared to mass screening.
Conclusion:
EGCRISC is a cost-effective tool that must be adopted nationwide as soon as possible in Egypt for the best outcome of HCV control.
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