Domain Activity Direct Medical
Total: $8,035,178
Direct Nonmedical
Total: $1,820,681
Indirect Total: $2,446,116 Total: $12,301,975
Medical response and outcomes for cases and contacts (nonuniversity-based care) Acute medical care for cases TOTAL: $453,805
  • Seven emergency room visits: $10,347a
  • Seven initial hospitalizations: $213,358 (facility)b and $230,100 (nonfacility)b
Unavailable/inestimable costs: School health visits, urgent care visits, over-the-counter medications
Not applicable TOTAL: $1,900
  • Patient productivity loss during hospitalization: $1,900c
Unavailable/inestimable costs: Lifetime productivity loss for living case, staff time diverted from regular activities, caregiver productivity loss
TOTAL: $455,705
Close contact chemoprophylactic antibiotics TOTAL: $932
  • Medications: $932f
Not applicable TOTAL: $2,100
  • Close contact productivity loss: $2,100g
TOTAL: $3,032
Mid-/long-term follow-up medical care TOTAL: $165,051
  • Six cases, 12-month all-cause health care costs: $165,051d
Unavailable/inestimable costs: School health visits, over-the-counter medications, unbillable medical care
Not applicable TOTAL: $6,816
  • Patient productivity loss due to lost wages during all-cause health care visits: $6,816h
Unavailable/inestimable costs: Staff time diverted from regular activities, caregiver productivity loss
TOTAL: $171,867
Public health response University health center chemoprophylaxis and vaccination administration TOTAL: $61,789
  • Chemoprophylactic antibiotics administered: $4,871i
  • Chemoprophylactic antibiotics in stock: $13,310i
  • Vaccine administered: $43,608i
TOTAL: $6,600
  • University staff time for increased administrative support: $6,600j
TOTAL: $17,300
  • Patient productivity loss: $17,300k
TOTAL: $85,689
Public health awareness communication campaign and case investigation TOTAL: $3,601
  • Serogrouping of isolates or clinical specimens (by slide agglutination or real-time PCR): $3,601l
TOTAL: $225,027
  • Case investigation and incident command
    • County staff time: $17,159m
    • State staff time: $148,541n
    • Other state costs (e.g., transportation, shipping costs): $16,108n
    • Nonuniversity health system: $2,936o
    • University health system: $21,743p
  • Staff time for close contact investigation: $18,540q
Unavailable/inestimable costs: Staff time diverted from regular activities TOTAL: $228,628
Mass vaccination clinics TOTAL: $7,350,000
  • Total vaccine cost for the 22,000 students at the University of Oregon is estimated at $7.1 million to $7.6 million at retail vaccination pricer
Unavailable/inestimable costs: Vaccine administration fees
TOTAL: $51,097
  • Nonuniversity health system staff time: $14,396p
  • Portland State University Clinic exercise: $1,650s
  • Volunteer time during clinics: $16,380t
  • University staff time during clinics: $18,671p
Unavailable/inestimable costs: State, county, and university staff time for planning; nonvaccine physical resources
TOTAL: $150,000
  • Patient productivity loss: $150,000u
Unavailable/inestimable costs: Staff time diverted from regular activities
TOTAL: $7,551,097
Long-term public health surveillance Not applicable TOTAL: $10,134
  • State public health staff: $4,055v
  • University staff: $6,079v
Unavailable/ inestimable costs: County staff time; nonincident command staff time
Unavailable/inestimable costs: Staff time diverted from regular activities TOTAL: $10,134
Strategic communications Media management Not applicable TOTAL: $14,312
  • Public health staff: $5,406n
  • PR director nonuniversity health system: $801p
  • PR director nonuniversity health system: $8,105p
Unavailable/ inestimable costs: State, county, and university staff time for contact identification and interviews
Unavailable/inestimable costs: Staff time diverted from regular activities TOTAL: $14,312
Engagement with public officials or policymakers Not applicable TOTAL: $13,511
  • Public health staff: $5,406n
  • PR director nonuniversity health system: $8,105u
Unavailable/inestimable costs: Staff time diverted from regular activities TOTAL: $13,511
Other Not applicable TOTAL: $1,500,000
  • Wrongful death lawsuit settlement: $1,500,000w
Unavailable/inestimable costs: Vaccine billing, legal consultation
  • Lifetime productivity loss due to death: $2,268,000e
Unavailable/inestimable costs: Effect on reputation of the school, resulting in actions to preserve/promote enrollment
TOTAL: $3,768,000