Lab Matters Summer 2018 - Page 70

APHL 2018 Annual Meeting Poster Abstracts Sensitivity analyses were performed to validate our model. Results: Forty-five of 132 (34%) local and state CDCPs and PHLs responded to the surveys. The model predicted 10,591 epidemiologically-linked measles contacts throughout the state including contacts investigated in California counties without confirmed measles cases. The total local and state public health epidemiologic and laboratory cost in California was $3.36 to $3.70 million. Local costs are estimated to be $2.75 million ($2.36– $3.27 million): CDCPs, $2.64 million ($2.27 to $3.13 million) and $108,000 ($90,300–$131,000) for local PHLs. State costs for both laboratory and epidemiological response are estimated to be $276,528–$619,145. Conclusions: California public health responses to measles outbreaks require significant financial resources. However, our overall economic assessment is comparable to previous studies. During the 2014–2015 US multi-state measles outbreak, expenditures for contact investigations and local response costs contributed most of the public health expenses across all California counties. Our modeling revealed that population density was a primary driver in determining the epidemiological linked measles contacts. Additionally, our model provides a method that could be used in e fVFr67Bf"gWGW&RV6W2WF'&V2&W6VFW#FFV6&B2vVW26VGV&Ɩ2VF&&F&W2T4fVFr66bV&Ɩ2VF2vVW24SSc"cS33VâFFV6&6VGv`&Bז6&7FW&FVFf6FW6r&VFR5 BDDbFW7Fp66WfW7FR26W&66WW"B6VV֖6vFW'FVBbVFBV6W'f6W26rԐ&V7FfSFR&'vf"ז6&7FW&w&&F'FRV&Ɩ2VF6WGFr2F'VRWBFR&W6V6R`ז6&7FW&VGV&W&7V626WD$26Ɩ67V6V0B7VGW&W26FfRf"6Bf7B&6ƒFR֖6vFW'FV@bVFBV6W'f6W2D2vv2F7&VFRv&FW6r&VFR5"BDDbFW7FrFf&2F@vVBFFRGW&&VBFRbFRv2ז6&7FW&VФF&V7BDBƖf6FB2FW7G27GVGFW6vD2&VvF2F6'fƖFFr&VFR5 FW7Bf"6Ɩ67V6V2&F&W7&F'B&W7&F'6W&6W2B'&F7VGW&W2vF#BW'2b&V6VBFP&&F'66vfR&W7VBbD$2DFWFV7FV@"BFWFV7FVB'&F7VGW&W2&RFR&Gb7VGW&RGW0&V6VfVBBD2f"FVFf6F'WBFWfR"7V66W70&FRvVF&V7FǒFW7FVBvFDDbW"v&FfƖFFV@FW7FrbFW6R'&F7VGW&W2vFFR&VFR5"76F'VRWBD$2BFVWFƗRFRDDbFf&f"fFVFf6FFRDDbfƖFFf"ז6&7FW&V77VGW&W26VFVB7VGW&W2w&v6ƖBVFBt'&F7V&7VGW&W2bFR&v7VGW&RFR7V&7VGW&W2&RFW7FV@W6rDDbvVFW&V6&FRGW&&FGb24f&B7FF&BW7VǒBF2gFW"7V&F6BЦf7B&6ƒ6FfR7VGW&W26ƖBVFV&RFW7FVBF&V7FǐvFDDb6Ɩ67V6V2B7VGW&RƗVG2&PVBVB&Vf&R&VFR5""DDbFW7Fr2W&f&VBDDbFW7Fr2W&f&VB2W"FRVf7GW&W 7G'V7F2f"ז6&7FW&V7g&''VW"FF72FR&VFR5"FW7B2&&F'FWfVVBFW7B&vǒFW6vV@c"EDU%27VW"#'FRvG7v'F6VFW"ffr6RWG&7F&6VGW&PfvVB'DFWFV7F&W7VG3D22&VV&RFG&6Fg&W6rDB@2FW7FrvFWB6&֗6rGW&&VBFR"67B66W63FR7W'&VBD2v&F&fFW2FR&&F'vF67BVffV7FfRFW7FrvR&fFrFR66vFFP7B&BFVFf6F76&RFBFVBG&VFVB&W6VFW#vR66W%4B֖6vFW'FVBbVFBV6W'f6W26rԒSSr33Rc3rVà66W֖6vv`V6W2BV2B66Vג֖W6F( 0&W76RFF&VRfW&rWF'&V07G&R&W&VR&VVRB&'VB''b'F4B"VgvW#֖W6FFW'FVB`VF7BV&6w&VC&WGvVV&VwW7B#rFR֖W6FFW'FVBbVFD&W7FVBFF&VR67W'&VBf66P&WfVF&RF6V6ReBWF'&V2vRWW&V6VBFR&vW7@7FFRWF'&VbV6W23V'2&vRV2WF'&V6VvR6W6W2B6WfW&6WF'&V2b66Veb2eB&VfW&V6R6VFW"eB$2vR6&fFVBFW7Fp7W'Bf"FvFRV2WF'&VGVRFFRvVW&ǒpFVBf"eBFW7Fr"7FfbfBFW6R762F&WFRFW7Fp&W76&ƗFW2F2rFVB2&VfV7FVBFRWVV@Ff&2v6&RF֗VBf"&BFW7Frb6&F6W2`7V6V2FW6Rf7F'2&V6R"Ɩ֗FF2vVf6VBvFVVBf"&vRfVRFW7Fr6fVRFf&2GW&pFRVbFW6RF&VRWF'&V2&W76SDfV7FW2F6V6RWFV֖w&WfVFB6G&DU2B6V&Ɩ2VF'FW'2WBFǐGW&rFRV6W2WF'&VFF֗R&W76RVff'G2FFFFW7Fr7FfbvW&RG&VBB7Ffbv&66VGVW0FW7FVBF7&V6RFRVwFbFRFW7FrFWVVBv0&W6W'fVBf"WF'&V&W76RW6RvFfW&R&&G66VGVƖpFFF7G'VVG2VFR&F6W2vW&R66VGVV@F&VvWBFRFV6W27V6V2vW&R&&FVBfW V2BebeB$2GW&&VBFW2vW&RBffV7FVB6GW&FFW7Fr66VGVRv2FV&&ǒVVFVBFFG&W70FR7&V6VBFVBBF&BGW&&VBFPW&F22VBv2FVVvFVBFFR6V6FvF7V&֗GFW'2FR2VBv2&fFVBvF7vW'2Fg&WVVFǐ6VBVW7F2F767BvF6V6F2&W7VG3FRWF'&V2&VvvFF&VRvVV2bV6FW"&WV&r&BW6bFR&W76RDFW7FV@32V6W27V6V2S#2V27V6V2Bsbe`7V6V2&F&VvVwW7B#rfW&vRFv7F2GW&Ц&VBFW2vW&RW'2RF2B"RF2f"V6W2V2Beb&W7V7FfVǒRFFF7FfbV&W"v0gVǒG&VBV6W2BV2FW7Fr&W7VFrffR7Ff`V&W'2&RFv&&FFrFW7Fr66VGVRFRW&F07FfbvW&R&RF&W7BVFFVǒF7V&֗GFW"VW7F2&VGV6rFR'W&FVFW7FrW'6V66W63&B&W76RFW2&RWF֖֗rFP7&VBbVW72V6W2V2B66V&Pvǒ6FvW2vFƖ֗FVBG&VFVBF2B6&V6P&W6W&6R֖FV6fRf"V&Ɩ2VFBf"FfGVf֖ƖW2V&Ɩ4VF'0&p