Table 2

Key study components and recommended sources

UnitsRemarksSources
Medical costCOVID-19 treatment cost
Mild/moderateSG$/caseEstimatedHospital database, Ministry of Health
SevereSG$/caseEstimatedHospital database, Ministry of Health
Very severeSG$/caseEstimatedHospital database, Ministry of Health
DeathSG$/caseEstimatedHospital database, Ministry of Health
Vaccine-related cost
Cost to treat adverse side effect (mild)SG$/caseEstimatedLiterature review, COVID-19 vaccine trial data (when available)
Cost to treat adverse side effect (severe)SG$/caseEstimatedLiterature review, COVID-19 vaccine trials (when available)
Cost per doseSG$/doseEstimatedGovernment purchase agreements, hospital and clinical charges
Cost of vaccine delivery deviceSG$/doseEstimatedGovernment purchase agreements, hospital and clinical charges
Productivity lossNumber of productive days loss
Mild/moderateDaysBased on length of hospital stayHospital database, Ministry of Health
SevereDaysBased on length of hospital stayHospital database, Ministry of Health
Very severeDaysBased on length of hospital stayHospital database, Ministry of Health
DeathDaysBased on length of hospital stayHospital database, Ministry of Health
Population parameters
Average age of infection/populationYearsCalculatedHospital database, Ministry of Health
Age of retirementYearsEstimatedMinistry of Manpower/Labour
Expected life yearsYearsEstimatedWorldometer, WHO
Employed personsPersonsEstimatedMinistry of Manpower/Labour, National Economic Survey
Population of working adults (resident)PersonsIf applicableMinistry of Manpower/Labour, National Economic Survey
Average monthly wageSG$/monthCalculatedMinistry of Manpower/Labour, National Economic Survey
Average annual wageSG$/yearCalculatedMinistry of Manpower/Labour, National Economic Survey
Interest rate%EstimatedLiterature review
Discount rate%EstimatedLiterature review
Wage loss per deathSG$/deathCalculated based on average wage, average age, retirement age, discount rate
Community testingCost per swab testSG$/testEstimatedHospital database, Ministry of Health
Contact tracingAverage monthly wage of contact tracersSG$/monthEstimatedMinistry of Health, Ministry of Manpower
Number of close contacts traced per caseContacts/caseEstimatedMinistry of Health, European Centre For Disease Control and Prevention guidance on contact tracing
Number of close contacts traced per officerContacts/officerEstimatedMinistry of Health, European Centre For Disease Control and Prevention guidance on contact tracing
Community isolation/quarantineNumber of close contact per positive casePersonsEstimatedMinistry of Health, European Centre For Disease Control and Prevention guidance on contact tracing
Numbers of quarantined days for close casesDaysEstimatedMinistry of Health, European Centre For Disease Control and Prevention guidance on contact tracing
Travel restrictionAccommodation receipts lossSG$/yearEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Food and beverages receipt lossSG$/yearEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Shopping receipt lossSG$/yearEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Sightseeing, entertainment and gaming receipt lossSG$/yearEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Others receipt lossSG$/yearEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Monthly visitorVisitor/monthEstimatedExternal research databases, National Tourism survey, Economic surveys tourism sector
Average visitor’s expenditureSG$/visitorTotal tourism receipt/touristsBased on tourism receipts and number of tourist arrivals:
Total tourism receipt/number of tourist arrival
Mask costCost per maskSG$/itemEstimatedMarketplaces price, business to business platform prices with mark up for distribution (if applicable)
Cost of masks distributed to the public per monthSG$/monthCalculated based on cost of mask, population and distribution mark-up factor
Social distancingNumber of social distancing officersPersonEstimatedMinistry of Health
Average monthly wage of social distancing officersSG$/monthEstimatedMinistry of Health, Ministry of Manpower
Cost due to as-needed school closureProbability of one case in school resulting in school cluster/school closureProbabilityEstimatedMinistry of Health, Ministry of Education
Number of children per schoolChildren/schoolEstimatedMinistry of Education
Duration of school closureMonthsEstimatedExpert opinion
Productivity loss of working dependents%EstimatedLiterature review on productivity loss, human resource reports and business management studies
Cost due to as-needed workplace closureProbability of one case in workplace resulting in workplace cluster/workplace closureProbabilityEstimatedMinistry of Health
Number of people affected per closurePeople/caseEstimatedMinistry of Health, Ministry of Manpower
Duration of workplace closureMonthsEstimatedMinistry of Health
Work-from-home (WFH) policyProductivity loss from WFH%EstimatedLiterature review on productivity loss, human resource reports and business management studies
Proportion of workers working from home%EstimatedMinistry of Health, Ministry of Manpower
Impact on retails and services (limited social gathering)Loss in income from retail and other servicesSG$/monthEstimatedNational Economic Survey
Loss in income from retail sales (under full circuit breaker measures)SG$/monthEstimatedNational Economic Survey
Loss in income from food and beverage (under full circuit breaker measures)SG$/monthEstimatedNational Economic Survey
Income loss after reopening%EstimatedNational Economic Survey
Economic loss from unemploymentTotal unemployment increaseCases/monthEstimatedBased on National Economic Survey, reports, international databases
Average duration of unemploymentMonthsEstimatedLiterature review based on unemployment and transitioning
Total wage loss due to unemployment resulted over 12-month periodSG$Unemployment × wage × unemployment durationBased on average wage and duration of unemployment
Unemployment × wage × unemployment duration × time horizon
Vaccines parametersNumber of doses requiredDosesAssumedWHO Target Product Profile, COVID-19 vaccine trials (when available)
Efficacy%EstimatedWHO Target Product Profile, COVID-19 vaccine trials (when available)
Proportion of population covered by vaccine%EstimatedMinistry of Health, WHO subnational vaccine coverage data
Mild adverse reaction (injection reaction and systemic adverse reactions)%EstimatedWHO vaccine reaction rates, COVID-19 vaccine trials (when available)
Severe anaphylaxis%EstimatedWHO vaccine reaction rates, COVID-19 vaccine trials (when available)
Grade 3 adverse reactions requiring hospitalisation%EstimatedWHO vaccine reaction rates, COVID-19 vaccine trials (when available)
Health-utilityCOVID-19 related
HealthyQALYEstimatedLiterature review on COVID-19 health utilities
Mild/moderate symptomsQALYEstimatedLiterature review on COVID-19 health utilities
Severe symptomsQALYEstimatedLiterature review on COVID-19 health utilities
Very severe symptomsQALYEstimatedLiterature review on COVID-19 health utilities
DeathQALYAssumed as 0
Medical isolation
Disutility due to medical isolationQALYEstimatedLiterature review on medical isolation
Vaccine-related side effects
Mild adverse reaction (injection reaction and systemic adverse reactions)QALYEstimatedLiterature review on influenza vaccination
Severe anaphylaxisQALYEstimatedLiterature review on influenza vaccination
Grade 3 adverse reactions requiring hospitalisationQALYEstimatedLiterature review on influenza vaccination
  • QALY, quality-adjusted life years; SG$, Singapore dollars.