HIV Screening of Pregnant Women and Newborns (1991) / Chapter Skim
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Appendix C: Cost Estimates: Early Intervention for HIV Infection
Appendix C: Cost Estimates: Early Intervention for HIV Infection
Pages 135-142
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From page 135... ...
includes cost estimates for a program. Table C-3 provides estimates of the counseling, testing, and partner notification costs per 1,000 HIV-positive individuals identified and, using the state of New Jersey as an example, estimates of total counseling and testing costs if all HIV-infected individuals in the state were identified.
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The estimates include personnel fringe benefits and current overhead rates. Laboratory cost estimates were prepared by the Public Health Practice Program Office, based on a routinely conducted CDC survey of state health department laboratories and selected private laboratories.
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Personnel fringe benefits6.22 Overhead12~5 40% of Trowel Subtotal4~88 Total15836 Medical Surveillance, Prophylaxis, sold Treatment Cost estimates are given for four treatment categories of asymptomatic HIV infection: 1 CD4+ cells ~ 500 Medical monitoring 2 CD4+ cells 200-500 Treatment with zidovudine 3 CD4+ cells ~ 200 Treatment with zidovudine, prophylaxis with trimethoprim-sulfametho~zole Treatment with zidovudine, prophylaxis with aerosol ized penta m id ine 4 CD4+ cells < 200 Three sources of cost estimates were used: 1.
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Smith, M.D., Associate Director, AIDS Service, August 1990. lithe Johns Hopkins cost estimates are for sentences provided in accordance with National Institute of Allergy and Infectious Diseases treatment recommendations, which are summarized in Table C-~ The source of the AIDS Service cost estimates is per-item charges applied to the treatment protocol.
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(3) Johns Hopkins Physician visits: initial, 1-2 wlc follaw-up, then every 3 6 most with CD4; initial lab includes CBC with differential, CD4, HBsAg/Ab, RPR, PPD, influenza, pneumococcal, hepatitis B virus vaccine Treatment Category 2: CD4+ Cells 200 - 500, with Z1do~udine 1,676 (1)
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From page 140... ...
NJ DOH As for Category 2, plus: physician visits every 3 most; 7,304 pentamidine every month; CD4 tests every 6 most (3) Johns Hopkins As for Category 2, plus: physician visits every 2-3 most 6,532 with CBC, SMA-12; pentamidine every month aVDRL a serologic test for syphilis; PPD, purified protein derivative, a skin test for tuberculosis; CBC, complete blood count; HBsAg, hepatitis B surface antigen; HBAb, hepatitis B antibody, RPR, a serologic test for syphilis; SMA-12, 12 blood chemistry tests.
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Total SllS,ooo 43,0~) 315,319 473,319 TABLE C-3b Program Cost Estimates for One State: Counseling and Testing (using CDC cost estimates)
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From page 142... ...
individuals among treatment categories. This proportion is derived from the New Jersey data but is consistent with the Johns Hopkins AIDS Service experience for all adult patients.
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