A cost-benefit analysis of programmatic use of CVD 103-HgR live oral cholera vaccine in a high-risk population.
Cholera spread to Latin America in 1991 ; subsequently, cholera vaccination was considered as an interim intervention until long-term solutions involving improved water supplies and sanitation could be introduced.
Three successive summer cholera outbreaks in northern Argentina and the licensing of the new single-dose oral cholera vaccine, CVD 103-HgR, raised questions of the cost and benefit of using this new vaccine.
This study explored the potential benefits to the Argentine Ministry of Health of treatment costs averted, versus the costs of vaccination with CVD 103-HgR in the relatively confined population of northern Argentina affected by the cholera outbreaks.
Water supplies and sanitation in this area are poor but a credible infrastructure for vaccine delivery exists.
In our cost-benefit model of a 3-year period (1992-1994) with an annual incidence of 2.5 case-patients per 1000 population and assumptions of vaccine efficacy of 75% and coverage of 75%, vaccination of targeted high risk groups would prevent 1265 cases.
Assuming a cost of US$602 per treated case and of US$1.50 per dose of vaccine, the total discounted savings from use of vaccine in the targeted groups would be US$132 100.
The projected savings would be altered less by vaccine coverage (range 75-90%) or efficacy (60-85%) changes than by disease incidence changes. (...)
Mots-clés Pascal : Choléra, Bactériose, Infection, Vaccination, Voie orale, Epidémie, Programme sanitaire, Prévention, Evaluation performance, Analyse avantage coût, Homme, Economie santé, Risque élevé, Argentine, Amérique du Sud, Amérique
Mots-clés Pascal anglais : Cholera, Bacteriosis, Infection, Vaccination, Oral administration, Epidemic, Sanitary program, Prevention, Performance evaluation, Cost benefit analysis, Human, Health economy, High risk, Argentina, South America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0245140
Code Inist : 002B05A02. Création : 11/06/1997.