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Table 3 Estimated total annual economic costs for tuberculosis screening of nonimmigrant visa applicants, by program and country

From: Cost effectiveness analysis of implementing tuberculosis screening among applicants for non-immigrant U.S. work visas

  India (N = 102,909) Mexico (N = 81,439)
No screening Screening No screening Screening
NIV time costs $1,924,937 $23,300,164 $135,841 $2,026,805
NIV out-of-pocket costs $31,694 $1,562,287 $4167 $7,756,105
Hospitalization costs $2,414,143 $317,543 $557,442 $38,758
PHDs’ treatment costs $999,064 $383,877 $343,637 $70,249
PHDs’ follow-up (Class B1)   $492,898 $259,781
Employer-forfeited visa/recruitment costs   $189,118 $0
Total costs (U.S. and international) $5,369,838 $26,245,885 $1,041,087 $10,151,698
Total U.S. costs $5,369,838 $2,213,938 $1,041,087 $442,350
Net multinational costs (U.S. and international)   $20,876,047   $9,110,611
Cost savings to the U.S.   $3,155,900   $598,737
# of U.S. TB cases 224 86 52 11
# of hospitalizations 110 14 25 2
Incremental cost-effectiveness ratio   $151,388   $221,088
  1. Notes: NIV Non-immigrant visa applicants, PHDs Public health departments, U.S. United States
  2. Out-of-pocket costs include worker transportation and forfeited visa fees paid by applicants in the United States, and panel physician exam fees paid by applicants in their home countries
  3. Class B1 indicates persons who have an abnormal chest radiograph during panel physician screening exams
  4. ICER = Incremental Cost-effectiveness Ratio (computed by dividing the difference in costs by the difference in effects)
  5. Totals may not sum up exactly because of rounding effects