Should health care providers be compelled to work during declared public health emergencies?

Carl Coleman say no.   Working during a pandemic is a supererogatory behavior — i.e., acts that are commendable if done voluntarily, but that go beyond what is expected.  Coleman argues that “…while health care professionals can legitimately be sanctioned for violating voluntarily-assumed employment or contractual agreements, they should not be compelled to assume life-threatening risks…

Calculating Optimal Trial Sample Sizes: EVSI

Chapter 7 of Decision Modelling for Health Economic Evaluation looks at the calculating the Expected Value of Sample Information (EVSI).  In particular, EVSI can answer the question of optimal sample sizes. The Wrong Way How do scientists currently decide on sample sizes?  Often they will do one of the following: “(i) estimate potential grant funding…

Swine Flu Update: Wednesday

U.S. has its first swine flu death. “The L.A. coroner’s office said this afternoon that further testing indicated neither of two flu-related deaths being investigated in Los Angeles County appeared to be linked to the swine flu.” – L.A. Times. Slate has a great article which answers the question “Why does the swine flu seem to be…

Expected Value of Perfect Information

You have just done a study comparing the cost-effectiveness of drug A and drug B.  Should you just rest on these laurels or is further research on drug B warranted.  Decision Modelling for Health Economic Evaluation claims that there are 3 criteria that should determine whether or not you decide to collect more information: The…

Swine Flu Update: Tuesday

Where has the swine flu been detected?   A map of the H1N1 Swine Flu lists all confirmed, unconfirmed, and negative cases of the swine flu around the world. Mexico City has decided to close all restaurants in the capital, only allowing them to serve food ‘to go.’    Restaurant associations are asking for the restaurant ban to be lifted.…

FDA bans import of Indian Pharmaceuticals

Marketplace reports that the FDA has blocked sales from one of India’s largest drug producers, Ranbaxy Pharmaceuticals.  “It prevented sales of Ranbaxy’s generic versions of the antibiotic Cipro and the cholesterol pill Zocor.” This begs the question: should the FDA put office in foreign countries?  On the one hand, it is important to ensure that imported…

Swine Flu Update: Monday

The World Health Organization increased the epidemiological alarm level from 3 to 4 (out of 6). Closing public spaces may be a good idea to stop the spread of the flu: Public Health Interventions during the 1918 influenza pandemic – Healthcare Economist How (and How Not) to Battle Flu: A Tale of 23 Cities –…