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Global Surveillance and the Value of Information: The Case of the Global Polio Laboratory Network

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  • Esther De Gourville
  • Radboud J. Duintjer Tebbens
  • Nalinee Sangrujee
  • Mark A. Pallansch
  • Kimberly M. Thompson

Abstract

Effective control and eradication of diseases requires reliable information from surveillance activities, including laboratories, which typically incur real financial costs. This article presents data from a survey we conducted to estimate the costs of the Global Polio Laboratory Network (GPLN), which currently supports aggressive global surveillance for acute flaccid paralysis (AFP) to detect circulating polioviruses. The Global Polio Eradication Initiative (GPEI) of the World Health Organization (WHO) provides resources for some of the laboratory network costs, but the total cost of the network remains relatively poorly characterized given the limited documentation of national contributions. We surveyed network laboratories to quantify AFP surveillance support costs and provide data for cost estimates of potential posteradication surveillance policies related to the laboratories. We estimate that the GPLN currently requires millions (US$ 2002) in total support annually, and that half of the support for national and regional reference laboratories comes from external donors through the WHO or bilateral agreements and half from within nations that host those laboratories. The article also presents the framework for considering the value of information from this global surveillance network and suggests that the expected value of surveillance information from the GPLN currently exceeds its costs. We also provided important insights about how the value of information may change after successful eradication of wild polioviruses.

Suggested Citation

  • Esther De Gourville & Radboud J. Duintjer Tebbens & Nalinee Sangrujee & Mark A. Pallansch & Kimberly M. Thompson, 2006. "Global Surveillance and the Value of Information: The Case of the Global Polio Laboratory Network," Risk Analysis, John Wiley & Sons, vol. 26(6), pages 1557-1569, December.
    • Handle: RePEc:wly:riskan:v:26:y:2006:i:6:p:1557-1569
    DOI: 10.1111/j.1539-6924.2006.00845.x
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    References listed on IDEAS

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    1. Fumie Yokota & Kimberly M. Thompson, 2004. "Value of Information Literature Analysis: A Review of Applications in Health Risk Management," Medical Decision Making, , vol. 24(3), pages 287-298, June.
    2. Kimberly M. Thompson & Radboud J. Duintjer Tebbens & Mark A. Pallansch, 2006. "Evaluation of Response Scenarios to Potential Polio Outbreaks Using Mathematical Models," Risk Analysis, John Wiley & Sons, vol. 26(6), pages 1541-1556, December.
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    1. Kimberly M. Thompson & Dominika A. Kalkowska, 2021. "Reflections on Modeling Poliovirus Transmission and the Polio Eradication Endgame," Risk Analysis, John Wiley & Sons, vol. 41(2), pages 229-247, February.
    2. Zou, Guang & Faber, Michael Havbro & González, Arturo & Banisoleiman, Kian, 2021. "Computing the value of information from periodic testing in holistic decision making under uncertainty," Reliability Engineering and System Safety, Elsevier, vol. 206(C).
    3. Kimberly M. Thompson & Mark A. Pallansch & Radboud J. Duintjer Tebbens & Steve G. Wassilak & Stephen L. Cochi, 2013. "Modeling Population Immunity to Support Efforts to End the Transmission of Live Polioviruses," Risk Analysis, John Wiley & Sons, vol. 33(4), pages 647-663, April.
    4. Radboud J. Duintjer Tebbens & Mark A. Pallansch & Olen M. Kew & Roland W. Sutter & R. Bruce Aylward & Margaret Watkins & Howard Gary & James Alexander & Hamid Jafari & Stephen L. Cochi & Kimberly M. T, 2008. "Uncertainty and Sensitivity Analyses of a Decision Analytic Model for Posteradication Polio Risk Management," Risk Analysis, John Wiley & Sons, vol. 28(4), pages 855-876, August.
    5. Kimberly M. Thompson, 2006. "Poliomyelitis and the Role of Risk Analysis in Global Infectious Disease Policy and Management," Risk Analysis, John Wiley & Sons, vol. 26(6), pages 1419-1421, December.
    6. Kimberly M. Thompson & Radboud J. Duintjer Tebbens & Mark A. Pallansch & Steven G.F. Wassilak & Stephen L. Cochi, 2015. "Polio Eradicators Use Integrated Analytical Models to Make Better Decisions," Interfaces, INFORMS, vol. 45(1), pages 5-25, February.
    7. Kimberly M. Thompson & Dominika A. Kalkowska & Kamran Badizadegan, 2021. "No Role for Reintroducing OPV into the United States with Respect to Controlling COVID‐19 [Response to the letter to the Editor by Chumakov et al.]," Risk Analysis, John Wiley & Sons, vol. 41(2), pages 389-392, February.
    8. Kimberly M. Thompson & Mark A. Pallansch & Radboud J. Duintjer Tebbens & Steve G. Wassilak & Jong‐Hoon Kim & Stephen L. Cochi, 2013. "Preeradication Vaccine Policy Options for Poliovirus Infection and Disease Control," Risk Analysis, John Wiley & Sons, vol. 33(4), pages 516-543, April.
    9. Kimberly M. Thompson, 2013. "Modeling Poliovirus Risks and the Legacy of Polio Eradication," Risk Analysis, John Wiley & Sons, vol. 33(4), pages 505-515, April.
    10. Radboud J. Duintjer Tebbens & Nalinee Sangrujee & Kimberly M. Thompson, 2006. "The Costs of Future Polio Risk Management Policies," Risk Analysis, John Wiley & Sons, vol. 26(6), pages 1507-1531, December.

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