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  1. An economic evaluation of the introduction of vaccination against hepatitis A in a peacekeeping operation. The case of the United Nations Protection Force in Yugoslavia.

    Article - En anglais

    The costs and benefits of vaccinating troops on United Nations tours in Yugoslavia against hepatitis A were compared.

    The marginal cost of one case of hepatitis A avoided by vaccination was calculated and compared with the marginal cost of achieving the same outcome by passive immunization.

    The cost-benefit ratio (medium estimate) for troops at low risk of contracting hepatitis A was 0.01 and for those at high risk was 0.03.

    Vaccinating troops against hepatitis A for a single deployment appears to be an inefficient procedure, especially in troops at low risk.

    However, in professional troops from countries of low hepatitis A endemicity who are likely to be involved in several operational deployments, vaccination becomes more efficient the more times the same troops are deployed.

    Mots-clés Pascal : Hépatite virale A, Virose, Infection, Vaccination, Analyse avantage coût, Economie santé, Analyse coût efficacité, ONU, Militaire, Prévention, Programme sanitaire, Yougoslavie, Europe, Homme, Appareil digestif pathologie, Foie pathologie

    Mots-clés Pascal anglais : Viral hepatitis A, Viral disease, Infection, Vaccination, Cost benefit analysis, Health economy, Cost efficiency analysis, UNO, Military, Prevention, Sanitary program, Yugoslavia, Europe, Human, Digestive diseases, Hepatic disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0591827

    Code Inist : 002B05C02G. Création : 09/06/1995.