Impact of quadrivalent influenza vaccine on public health and influenza-related costs in Australia
Identifieur interne : 003892 ( Ncbi/Checkpoint ); précédent : 003891; suivant : 003893Impact of quadrivalent influenza vaccine on public health and influenza-related costs in Australia
Auteurs : Aurélien Jamotte [France] ; Chui Fung Chong [Singapour] ; Andrew Manton ; Bérengère Macabeo [France] ; Mondher Toumi [France]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Enfant, Enfant d'âge préscolaire, Grippe humaine (), Grippe humaine (économie), Grippe humaine (épidémiologie), Humains, Jeune adulte, Modèles théoriques, Mâle, Nourrisson, Santé publique, Sous-type H1N1 du virus de la grippe A (immunologie), Sous-type H3N2 du virus de la grippe A (immunologie), Sujet âgé, Vaccination (économie), Vaccins antigrippaux (administration et posologie), Victoria, Virus influenza B (immunologie).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- immunologie : Sous-type H1N1 du virus de la grippe A, Sous-type H3N2 du virus de la grippe A, Virus influenza B.
- économie : Grippe humaine, Vaccination.
- épidémiologie : Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Enfant, Enfant d'âge préscolaire, Grippe humaine, Humains, Jeune adulte, Modèles théoriques, Mâle, Nourrisson, Santé publique, Sujet âgé, Victoria.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Child, Preschool, Cost-Benefit Analysis, Humans, Infant, Influenza A Virus, H1N1 Subtype (immunology), Influenza A Virus, H3N2 Subtype (immunology), Influenza B virus (immunology), Influenza Vaccines (administration & dosage), Influenza, Human (economics), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male, Middle Aged, Models, Theoretical, Public Health, Vaccination (economics), Victoria, Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- economics : Influenza, Human, Vaccination.
- epidemiology : Influenza, Human.
- immunology : Influenza A Virus, H1N1 Subtype, Influenza A Virus, H3N2 Subtype, Influenza B virus.
- prevention & control : Influenza, Human.
- Adolescent, Adult, Aged, Child, Child, Preschool, Cost-Benefit Analysis, Humans, Infant, Male, Middle Aged, Models, Theoretical, Public Health, Victoria, Young Adult.
Abstract
Annual trivalent influenza vaccines (TIV) containing three influenza strains (A/H1N1, A/H3N2, and one B) have been recommended for the prevention of influenza. However, worldwide co-circulation of two distinct B lineages (Victoria and Yamagata) and difficulties in predicting which lineage will predominate each season have led to the development of quadrivalent influenza vaccines (QIV), which include both B lineages. Our analysis evaluates the public health benefit and associated influenza-related costs avoided which would have been obtained by using QIV rather than TIV in Australia over the period 2002–2012.
A static model stratified by age group was used, focusing on people at increased risk of influenza as defined by the Australian vaccination recommendations. B-lineage cross-protection was accounted for. We calculated the potential impact of QIV compared with TIV over the seasons 2002–2012 (2009 pandemic year excluded) using Australian data on influenza circulation, vaccine coverage, hospitalisation and mortality rates as well as unit costs, and international data on vaccine effectiveness, influenza attack rate, GP consultation rate and working days lost. Third-party payer and societal influenza-related costs were estimated in 2014 Australian dollars. Sensitivity analyses were conducted.
Using QIV instead of TIV over the period 2002–2012 would have prevented an estimated 68,271 additional influenza cases, 47,537 GP consultations, 3,522 hospitalisations and 683 deaths in the population at risk of influenza. These results translate into influenza-related societal costs avoided of $46.5 million. The estimated impact of QIV was higher for young children and the elderly. The overall impact of QIV depended mainly on vaccine effectiveness and the influenza attack rate attributable to the mismatched B lineage.
The broader protection offered by QIV would have reduced the number of influenza infections and its related complications, leading to substantial influenza-related costs avoided.
The online version of this article (doi:10.1186/s12889-016-3297-1) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12889-016-3297-1
PubMed: 27449665
PubMed Central: 4957923
Affiliations:
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type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Toumi, Mondher" sort="Toumi, Mondher" uniqKey="Toumi M" first="Mondher" last="Toumi">Mondher Toumi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Creativ-Ceutical, 215 rue du Faubourg Saint Honoré, 75008 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Creativ-Ceutical, 215 rue du Faubourg Saint Honoré, 75008 Paris</wicri:regionArea><wicri:noRegion>75008 Paris</wicri:noRegion><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Public Health Laboratory, Faculty of Medicine, Aix-Marseille University, 27 boulevard Jean Moulin, 13385 Marseille Cedex 05, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Public Health Laboratory, Faculty of Medicine, Aix-Marseille University, 27 boulevard Jean Moulin, 13385 Marseille Cedex 05</wicri:regionArea><wicri:noRegion>13385 Marseille Cedex 05</wicri:noRegion><wicri:noRegion>13385 Marseille Cedex 05</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Cost-Benefit Analysis</term><term>Humans</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype (immunology)</term><term>Influenza A Virus, H3N2 Subtype (immunology)</term><term>Influenza B virus (immunology)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (economics)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Models, Theoretical</term><term>Public Health</term><term>Vaccination (economics)</term><term>Victoria</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse coût-bénéfice</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Grippe humaine ()</term><term>Grippe humaine (économie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Jeune adulte</term><term>Modèles théoriques</term><term>Mâle</term><term>Nourrisson</term><term>Santé publique</term><term>Sous-type H1N1 du virus de la grippe A (immunologie)</term><term>Sous-type H3N2 du virus de la grippe A (immunologie)</term><term>Sujet âgé</term><term>Vaccination (économie)</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Victoria</term><term>Virus influenza B (immunologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Influenza, Human</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term><term>Sous-type H3N2 du virus de la grippe A</term><term>Virus influenza B</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza A Virus, H3N2 Subtype</term><term>Influenza B virus</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Grippe humaine</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Cost-Benefit Analysis</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Models, Theoretical</term><term>Public Health</term><term>Victoria</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse coût-bénéfice</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Modèles théoriques</term><term>Mâle</term><term>Nourrisson</term><term>Santé publique</term><term>Sujet âgé</term><term>Victoria</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Annual trivalent influenza vaccines (TIV) containing three influenza strains (A/H1N1, A/H3N2, and one B) have been recommended for the prevention of influenza. However, worldwide co-circulation of two distinct B lineages (Victoria and Yamagata) and difficulties in predicting which lineage will predominate each season have led to the development of quadrivalent influenza vaccines (QIV), which include both B lineages. Our analysis evaluates the public health benefit and associated influenza-related costs avoided which would have been obtained by using QIV rather than TIV in Australia over the period 2002–2012.</p></sec><sec><title>Methods</title><p>A static model stratified by age group was used, focusing on people at increased risk of influenza as defined by the Australian vaccination recommendations. B-lineage cross-protection was accounted for. We calculated the potential impact of QIV compared with TIV over the seasons 2002–2012 (2009 pandemic year excluded) using Australian data on influenza circulation, vaccine coverage, hospitalisation and mortality rates as well as unit costs, and international data on vaccine effectiveness, influenza attack rate, GP consultation rate and working days lost. Third-party payer and societal influenza-related costs were estimated in 2014 Australian dollars. Sensitivity analyses were conducted.</p></sec><sec><title>Results</title><p>Using QIV instead of TIV over the period 2002–2012 would have prevented an estimated 68,271 additional influenza cases, 47,537 GP consultations, 3,522 hospitalisations and 683 deaths in the population at risk of influenza. These results translate into influenza-related societal costs avoided of $46.5 million. The estimated impact of QIV was higher for young children and the elderly. The overall impact of QIV depended mainly on vaccine effectiveness and the influenza attack rate attributable to the mismatched B lineage.</p></sec><sec><title>Conclusion</title><p>The broader protection offered by QIV would have reduced the number of influenza infections and its related complications, leading to substantial influenza-related costs avoided.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-016-3297-1) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harper, Sa" uniqKey="Harper S">SA Harper</name></author><author><name sortKey="Fukuda, K" uniqKey="Fukuda K">K Fukuda</name></author><author><name sortKey="Uyeki, Tm" uniqKey="Uyeki T">TM Uyeki</name></author><author><name sortKey="Cox, Nj" uniqKey="Cox N">NJ Cox</name></author><author><name 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Beardsworth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belshe, Rb" uniqKey="Belshe R">RB Belshe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ambrose, Cs" uniqKey="Ambrose C">CS Ambrose</name></author><author><name sortKey="Levin, Mj" uniqKey="Levin M">MJ Levin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Irving, Sa" uniqKey="Irving S">SA Irving</name></author><author><name sortKey="Patel, Dc" uniqKey="Patel D">DC Patel</name></author><author><name sortKey="Kieke, Ba" uniqKey="Kieke B">BA Kieke</name></author><author><name sortKey="Donahue, Jg" uniqKey="Donahue J">JG Donahue</name></author><author><name sortKey="Vandermause, Mf" uniqKey="Vandermause M">MF Vandermause</name></author><author><name sortKey="Shay, Dk" uniqKey="Shay D">DK Shay</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Singapour</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li><li>Île-de-France</li></region><settlement><li>Lyon</li><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Manton, Andrew" sort="Manton, Andrew" uniqKey="Manton A" first="Andrew" last="Manton">Andrew Manton</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Jamotte, Aurelien" sort="Jamotte, Aurelien" uniqKey="Jamotte A" first="Aurélien" last="Jamotte">Aurélien Jamotte</name></region><name sortKey="Macabeo, Berengere" sort="Macabeo, Berengere" uniqKey="Macabeo B" first="Bérengère" last="Macabeo">Bérengère Macabeo</name><name sortKey="Toumi, Mondher" sort="Toumi, Mondher" uniqKey="Toumi M" first="Mondher" last="Toumi">Mondher Toumi</name><name sortKey="Toumi, Mondher" sort="Toumi, Mondher" uniqKey="Toumi M" first="Mondher" last="Toumi">Mondher Toumi</name></country><country name="Singapour"><noRegion><name sortKey="Chong, Chui Fung" sort="Chong, Chui Fung" uniqKey="Chong C" first="Chui Fung" last="Chong">Chui Fung Chong</name></noRegion><name sortKey="Chong, Chui Fung" sort="Chong, Chui Fung" uniqKey="Chong C" first="Chui Fung" last="Chong">Chui Fung Chong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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