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Policy analysis of the use of hepatitis B, Haemophilus influenzae type b‐, Streptococcus pneumoniae‐conjugate and rotavirus vaccines in national immunization schedules

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  • Mark A. Miller
  • Laura McCann

Abstract

After the development of national vaccine programmes to deliver six vaccines to infants, new vaccine adoption has been limited. Analysis of the health and economic implications of new vaccination options can help national policy‐makers. Country specific quantitative policy analyses were conducted to estimate the impact of vaccination against hepatitis B (HB), Haemophilus influenzae type b (Hib), Streptococcus pneumoniae (SP) and rotavirus. Disease burden, programme costs and the potential reduction of disease from vaccination was assessed for each vaccine. Without vaccination, these four vaccine preventable diseases contribute up to 4.1 million deaths in each successive birth cohort. Routine scheduled use of HB and Hib vaccines could prevent up to 1.7 million deaths; SP and rotavirus vaccines, an additional 1.4 million deaths, annually. The global cost per life‐year saved ranged from $29 to $150 with great variation by income and economic groups. With a few exceptions for a few countries, these vaccines would cost a fraction of average per‐capita gross domestic product to save a life‐year. The addition of HB and Hib vaccines, should be considered for integration in all national immunization programmes. SP and rotavirus vaccines, with the given assumptions, would also be cost‐effective. Proactive analysis of the economic and epidemiologic impact of these vaccines can hasten their introduction into national vaccination schedules. Copyright © 2000 John Wiley & Sons, Ltd.

Suggested Citation

  • Mark A. Miller & Laura McCann, 2000. "Policy analysis of the use of hepatitis B, Haemophilus influenzae type b‐, Streptococcus pneumoniae‐conjugate and rotavirus vaccines in national immunization schedules," Health Economics, John Wiley & Sons, Ltd., vol. 9(1), pages 19-35, January.
    • Handle: RePEc:wly:hlthec:v:9:y:2000:i:1:p:19-35
    DOI: 10.1002/(SICI)1099-1050(200001)9:1<19::AID-HEC487>3.0.CO;2-C
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    File URL: https://doi.org/10.1002/(SICI)1099-1050(200001)9:13.0.CO;2-C
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    Cited by:

    1. Bjarne Robberstad & John Cairns, 2007. "Time Preferences for Health in Northern Tanzania," PharmacoEconomics, Springer, vol. 25(1), pages 73-88, January.
    2. Jacob M. Puliyel & Mark Miller, 2004. "Letter to the editor," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1147-1148, November.
    3. Joke Bilcke & Philippe Beutels, 2009. "Reviewing the Cost Effectiveness of Rotavirus Vaccination," PharmacoEconomics, Springer, vol. 27(4), pages 281-297, April.
    4. David W. Hutton & Margaret L. Brandeau, 2013. "Too Much of a Good Thing? When to Stop Catch-Up Vaccination," Medical Decision Making, , vol. 33(7), pages 920-936, October.
    5. Phusit Prakongsai & Natasha Palmer & Preecha Uay-Trakul & Viroj Tangcharoensathien & Anne Mills, 2009. "The implications of benefit package design: the impact on poor Thai households of excluding renal replacement therapy," Journal of International Development, John Wiley & Sons, Ltd., vol. 21(2), pages 291-308.

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