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benefits of human papillomavirus (HPV) testing, Pap testing, and their combination to screen for cervical cancer. The following table summarizes some of the results (low cost to high cost). Costs include screening and treatment costs, discounted over the individual's expected lifetime. 1. (45 pts total) An article in JAMA by Mandelblatt et al (2002) compared the societal costs and Strategy Cost (S) QALYs Incremental Incremental Incremental CE ratio ICER) SavedCost QALY 0. No screening 5000 6,825 1. Pap every 3 years 6325 27 02 ge 75 to age 75 to age 75 3 years to age 75 7,o 27.0f to age 75 2 years to age 75 7925 21.0 a. (6 pts.) Identify all dominated screening strategies. Recall a strategy is dominated if it to age 75 6.950 GASO 27.02 7,215 27.04 2. HPV every 3 years 3. Pap every 2 years 4. Pap+ HPV every 5. HPV every 2 years 6. Pap +HPV every 27 7,400 27.04 7.450 27.04 74150 27.0 27.05 7.925 costs more than an equally or more effective strategy, or it is less effective than another strategy that costs the same or less. List the strategy number(s) here. (36 pts.) Fill in the table above. Calculate the incremental cost, incremental QALYs, and ICERs for all economically rational strategies (relative to strategy 0, no screening) b. (3 pts.) The local health district has asked your opinion on the "best" strategy from a public health perspective. What do you tell them? C