Cost-effectiveness of universal childhood hepatitis A vaccination in Chile

被引:44
|
作者
Valenzuela, MT
Jacobs, RJ [1 ]
Arteaga, O
Navarrete, MS
Meyerhoff, AS
Innis, BL
机构
[1] Univ Chile, Fac Med, Sch Publ Hlth, Santiago, Chile
[2] Capitol Outcomes Res Inc, Alexandria, VA 22310 USA
[3] GlaxoSmithKline, Santiago, Chile
[4] GlaxoSmithKline, King Of Prussia, PA USA
关键词
cost and cost analysis; hepatitis A; vaccination;
D O I
10.1016/j.vaccine.2005.03.021
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Hepatitis A is an important public health problem in Chile. Childhood vaccination has reduced hepatitis A rates in several countries, prompting this evaluation of its cost-effectiveness in Chile. Using a Markov model, we project mass vaccination would reduce hepatitis A cases among birth cohort members and their personal contacts > 80%. Vaccination costs of US$ 5.3-6.4 million would be offset by US$ 9.2-9.4 million reductions in disease costs. Further, approximately 70 fatal infections would be averted and > 4600 quality-adjusted life years would be saved. This analysis supports the cost-effectiveness of universal childhood hepatitis A vaccination in Chile. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:4110 / 4119
页数:10
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