Dataset Information

Cost-effectiveness analysis of universal varicella vaccination in Turkey using a dynamic transmission model.

ABSTRACT:

Background

In 2013, Turkey introduced one-dose universal varicella vaccination (UVV) at 12 months of age. Inclusion of a second dose is being considered.

Methods

We developed a dynamic transmission model to evaluate three vaccination strategies: single dose at 12 months (1D) or second dose at either 18 months (2D-short) or 6 years of age (2D-long). Costs and utilization were age-stratified and separated into inpatient and outpatient costs for varicella and herpes zoster (HZ). We ran the model including and excluding HZ-related costs and impact of exogenous boosting.

Results

Five years post-introduction of UVV (1D), the projected varicella incidence rate decreases from 1,674 cases pre-vaccine to 80 cases/100,000 person-years. By 25 years, varicella incidence equilibrates at 39, 12, and 16 cases/100,000 person-years for 1D, 2D-short, and 2D-long strategies, respectively, using a highly effective vaccine. With or without including exogenous boosting impact and/or HZ-related costs and health benefits, the 1D strategy is least costly, but 2-dose strategies are cost-effective considering a willingness-to-pay threshold equivalent to the gross domestic product. The model predicted a modest increase in HZ burden during the first 20-30 years, after which time HZ incidence equilibrates at a lower rate than pre-vaccine.

Conclusions

Our findings support adding a second varicella vaccine dose in Turkey, as doing so is highly cost-effective across a wide range of assumptions regarding the burden associated with varicella and HZ disease.

SUBMITTER: Wolfson LJ

PROVIDER: S-EPMC6692038 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Cost-effectiveness analysis of universal varicella vaccination in Turkey using a dynamic transmission model.

Wolfson Lara J LJ Daniels Vincent J VJ Pillsbury Matthew M Kurugöl Zafer Z Yardimci Cuneyt C Kyle Jeffrey J Dinleyici Ener Cagri EC

PloS one 20190813 8

<h4>Background</h4>In 2013, Turkey introduced one-dose universal varicella vaccination (UVV) at 12 months of age. Inclusion of a second dose is being considered.<h4>Methods</h4>We developed a dynamic transmission model to evaluate three vaccination strategies: single dose at 12 months (1D) or second dose at either 18 months (2D-short) or 6 years of age (2D-long). Costs and utilization were age-stratified and separated into inpatient and outpatient costs for varicella and herpes zoster (HZ). We r ...[more]

PMID: 31408505

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Dataset Information

Cost-effectiveness analysis of universal varicella vaccination in Turkey using a dynamic transmission model.

Background

Methods

Results

Conclusions

Publications

Cost-effectiveness analysis of universal varicella vaccination in Turkey using a dynamic transmission model.

Similar Datasets

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