IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v33y2013i7p920-936.html
   My bibliography  Save this article

Too Much of a Good Thing? When to Stop Catch-Up Vaccination

Author

Listed:
  • David W. Hutton
  • Margaret L. Brandeau

Abstract

During the 20th century, deaths from a range of serious infectious diseases decreased dramatically due to the development of safe and effective vaccines. However, infant immunization coverage has increased only marginally since the 1960s, and many people remain susceptible to vaccine-preventable diseases. “Catch-up vaccination†for age groups beyond infancy can be an attractive and effective means of immunizing people who were missed earlier. However, as newborn vaccination rates increase, catch-up vaccination becomes less attractive: the number of susceptible people decreases, so the cost to find and vaccinate each unvaccinated person may increase; in addition, the number of infected individuals decreases, so each unvaccinated person faces a lower risk of infection. This article presents a general framework for determining the optimal time to discontinue a catch-up vaccination program. We use a cost-effectiveness framework: we consider the cost per quality-adjusted life year gained of catch-up vaccination efforts as a function of newborn immunization rates over time and consequent disease prevalence and incidence. We illustrate our results with the example of hepatitis B catch-up vaccination in China. We contrast results from a dynamic modeling approach with an approach that ignores the impact of vaccination on future disease incidence. The latter approach is likely to be simpler for decision makers to understand and implement because of lower data requirements.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:medema:v:33:y:2013:i:7:p:920-936
    DOI: 10.1177/0272989X13493142
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X13493142
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X13493142?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. World Bank, 2008. "World Development Indicators 2008," World Bank Publications - Books, The World Bank Group, number 28241, December.
    3. World Bank, 2008. "World Development Indicators 2008," World Bank Publications - Books, The World Bank Group, number 11855, December.
    4. Brenzel, Logan & Claquin, Pierre, 1994. "Immunization programs and their costs," Social Science & Medicine, Elsevier, vol. 39(4), pages 527-536, August.
    5. World Bank, 2007. "World Development Indicators 2007," World Bank Publications - Books, The World Bank Group, number 8150, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Margaret L. Brandeau, 2016. "Creating impact with operations research in health: making room for practice in academia," Health Care Management Science, Springer, vol. 19(4), pages 305-312, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. James, Jennifer S. & Pardey, Philip G. & Alston, Julian M., 2008. "Agricultural R&D Policy: A Tragedy of the International Commons," Staff Papers 43094, University of Minnesota, Department of Applied Economics.
    2. Bryan K. Ritchie, 2010. "Systemic Vulnerability and Sustainable Economic Growth," Books, Edward Elgar Publishing, number 13731.
    3. Niklas Potrafke, 2012. "Political cycles and economic performance in OECD countries: empirical evidence from 1951–2006," Public Choice, Springer, vol. 150(1), pages 155-179, January.
    4. Christian Bjørnskov & Niklas Potrafke, 2012. "Political Ideology and Economic Freedom Across Canadian Provinces," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 38(2), pages 143-166.
    5. ., 2010. "The Korean Economy: Transition to a Knowledge-based Economy," Chapters, in: The Korean Economy in Transition, chapter 4, Edward Elgar Publishing.
    6. Fagerberg, Jan & Srholec, Martin & Verspagen, Bart, 2010. "Innovation and Economic Development," Handbook of the Economics of Innovation, in: Bronwyn H. Hall & Nathan Rosenberg (ed.), Handbook of the Economics of Innovation, edition 1, volume 2, chapter 0, pages 833-872, Elsevier.
    7. Mohammed Yelwa & S.A.J. Obansa Awe & Emmanuel Omonoyi, 2015. "Informality, Inclusiveness and Economic Growth in Nigeria," International Journal of Management Science and Business Administration, Inovatus Services Ltd., vol. 1(10), pages 33-44, September.
    8. Niklas Potrafke, 2011. "Does government ideology influence budget composition? Empirical evidence from OECD countries," Economics of Governance, Springer, vol. 12(2), pages 101-134, June.
    9. Angus Deaton & Alan Heston, 2010. "Understanding PPPs and PPP-Based National Accounts," American Economic Journal: Macroeconomics, American Economic Association, vol. 2(4), pages 1-35, October.
    10. Nghiem Thi Hong Nhung, 2016. "Optimal Forest Management for Carbon Sequestration: A Case Study of Eucalyptus urophylla and Acacia mangium in Yen Bai Province, Vietnam," EEPSEA Research Report rr2016046, Economy and Environment Program for Southeast Asia (EEPSEA), revised Apr 2016.
    11. Kaushik Basu, 2016. "Beyond the Invisible Hand: Groundwork for a New Economics," Economics Books, Princeton University Press, edition 1, number 9299.
    12. Michikazu Kojima & Etsuyo Michida, 2011. "Trade and the Environment," Chapters, in: Masahisa Fujita & Ikuo Kuroiwa & Satoru Kumagai (ed.), The Economics of East Asian Integration, chapter 18, Edward Elgar Publishing.
    13. Haq, Zahoor Ul & Meilke, Karl D., 2009. "The Role of Income Growth in Emerging Markets and the BRICs in Agrifood Trade," Working Papers 48122, Canadian Agricultural Trade Policy Research Network.
    14. Aloui, Zouhaier, 2019. "The impact of remittancess on poverty : What relations in Sub-saharan Africa and latin America ?," MPRA Paper 95953, University Library of Munich, Germany.
    15. Nkonya, Ephraim & Phillip, Dayo & Mogues, Tewodaj & Pender, John & Kato, Edward, 2012. "Impacts of Community-driven Development Programs on Income and Asset Acquisition in Africa: The Case of Nigeria," World Development, Elsevier, vol. 40(9), pages 1824-1838.
    16. Takeshima, Hiroyuki & Nkonya, Ephraim M. & Deb, Sayon, 2012. "Impact of fertilizer subsidies on the commercial fertilizer sector in Nigeria:: Evidence from previous fertilizer subsidy schemes," NSSP working papers 23, International Food Policy Research Institute (IFPRI).
    17. Alberto Chilosi, 2010. "Poverty, Population, Inequality, and Development: the Historical Perspective," European Journal of Comparative Economics, Cattaneo University (LIUC), vol. 7(2), pages 469-501, December.
    18. Andersen, Thomas Barnebeck & Dalgaard, Carl-Johan, 2013. "Power outages and economic growth in Africa," Energy Economics, Elsevier, vol. 38(C), pages 19-23.
    19. Anderson, Kym & Valenzuela, Ernesto, 2010. "Agricultural and trade policy reforms in Latin America: impacts on markets and welfare," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), April.
    20. Wouterse, F. S., 2008. "Migration, poverty, and inequality: Evidence from Burkina Faso," IFPRI discussion papers 786, International Food Policy Research Institute (IFPRI).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:33:y:2013:i:7:p:920-936. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.