Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan

The government of Kazakhstan, a middle-income country in Central Asia, is considering the introduction of rotavirus vaccination into its national immunization program. We performed a cost-effectiveness analysis of rotavirus vaccination spanning 20 years by using a synthesis of dynamic transmission m...

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Main Authors: Birgitte Freiesleben de Blasio, Elmira Flem, Renat Latipov, Ajnagul Kuatbaeva, Ivar Sønbø Kristiansen
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2014-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/20/1/13-0019_article
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author Birgitte Freiesleben de Blasio
Elmira Flem
Renat Latipov
Ajnagul Kuatbaeva
Ivar Sønbø Kristiansen
author_facet Birgitte Freiesleben de Blasio
Elmira Flem
Renat Latipov
Ajnagul Kuatbaeva
Ivar Sønbø Kristiansen
author_sort Birgitte Freiesleben de Blasio
collection DOAJ
description The government of Kazakhstan, a middle-income country in Central Asia, is considering the introduction of rotavirus vaccination into its national immunization program. We performed a cost-effectiveness analysis of rotavirus vaccination spanning 20 years by using a synthesis of dynamic transmission models accounting for herd protection. We found that a vaccination program with 90% coverage would prevent ≈880 rotavirus deaths and save an average of 54,784 life-years for children <5 years of age. Indirect protection accounted for 40% and 60% reduction in severe and mild rotavirus gastroenteritis, respectively. Cost per life year gained was US $18,044 from a societal perspective and US $23,892 from a health care perspective. Comparing the 2 key parameters of cost-effectiveness, mortality rates and vaccine cost at <US $2.78 per dose, vaccination program costs would be entirely offset. To further evaluate efficacy of a vaccine program, benefits of indirect protection conferred by vaccination warrant further study.
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spelling doaj.art-5f05faad9bbe4e6a8b7c78724edba6942022-12-22T02:00:09ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592014-01-01201293710.3201/eid2001.130019Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, KazakhstanBirgitte Freiesleben de BlasioElmira FlemRenat LatipovAjnagul KuatbaevaIvar Sønbø KristiansenThe government of Kazakhstan, a middle-income country in Central Asia, is considering the introduction of rotavirus vaccination into its national immunization program. We performed a cost-effectiveness analysis of rotavirus vaccination spanning 20 years by using a synthesis of dynamic transmission models accounting for herd protection. We found that a vaccination program with 90% coverage would prevent ≈880 rotavirus deaths and save an average of 54,784 life-years for children <5 years of age. Indirect protection accounted for 40% and 60% reduction in severe and mild rotavirus gastroenteritis, respectively. Cost per life year gained was US $18,044 from a societal perspective and US $23,892 from a health care perspective. Comparing the 2 key parameters of cost-effectiveness, mortality rates and vaccine cost at <US $2.78 per dose, vaccination program costs would be entirely offset. To further evaluate efficacy of a vaccine program, benefits of indirect protection conferred by vaccination warrant further study.https://wwwnc.cdc.gov/eid/article/20/1/13-0019_articlevirusesrotavirusvaccinationcost-effectivenessdynamic modelingherd immunity
spellingShingle Birgitte Freiesleben de Blasio
Elmira Flem
Renat Latipov
Ajnagul Kuatbaeva
Ivar Sønbø Kristiansen
Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
Emerging Infectious Diseases
viruses
rotavirus
vaccination
cost-effectiveness
dynamic modeling
herd immunity
title Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
title_full Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
title_fullStr Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
title_full_unstemmed Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
title_short Dynamic Modeling of Cost-effectiveness of Rotavirus Vaccination, Kazakhstan
title_sort dynamic modeling of cost effectiveness of rotavirus vaccination kazakhstan
topic viruses
rotavirus
vaccination
cost-effectiveness
dynamic modeling
herd immunity
url https://wwwnc.cdc.gov/eid/article/20/1/13-0019_article
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AT ajnagulkuatbaeva dynamicmodelingofcosteffectivenessofrotavirusvaccinationkazakhstan
AT ivarsønbøkristiansen dynamicmodelingofcosteffectivenessofrotavirusvaccinationkazakhstan