Preparing for a “dirty bomb” attack: the optimum mix of medical countermeasure resources

Table 3 Costs of a statistical life year depending on the threshold level fixed for the indication of decorporation treatment and a resource mix corresponding to optimum efficiency

Threshold level (mSv)	Cesium-137		Americium-241
Threshold level (mSv)	Total lifetime saved (years)	Costs per life year saved (€/year)	Total lifetime saved (years)	Costs per life year saved (€/year)
20	7.432	338,598	7.483	3,223,431
50	18.58	135,439	18.71	1,289,200
100	37.16	67,720	37.41	644,772
200	74.32	33,860	74.83	322,343
300	111.47	22,575	112.24	214,905
500	185.8	13,544	187.1	128,920

Assumptions: Scenario with 60,000 potentially contaminated people and 1% of them actually needing treatment; purchasing cost of a monitoring portal 100,000 € and screening capacity of 10,000 people/day and unit; purchasing cost of a whole-body counter 500,000 € and screening capacity of 100 people/day and unit

ISSN: 2054-9369