School‐Based Influenza Vaccination: Health and Economic Impact of Maine's 2009 Influenza Vaccination Program
Identifieur interne : 000693 ( Pmc/Corpus ); précédent : 000692; suivant : 000694School‐Based Influenza Vaccination: Health and Economic Impact of Maine's 2009 Influenza Vaccination Program
Auteurs : Ricardo Basurto-Dávila ; Martin I. Meltzer ; Dora A. Mills ; Garrett R. Beeler Asay ; Bo-Hyun Cho ; Samuel B. Graitcer ; Nancy L. Dube ; Mark G. Thompson ; Suchita A. Patel ; Samuel K. Peasah ; Jill M. Ferdinands ; Paul Gargiullo ; Mark Messonnier ; David K. ShaySource :
- Health Services Research [ 0017-9124 ] ; 2017.
Abstract
To estimate the societal economic and health impacts of Maine's school‐based influenza vaccination (
Primary and secondary data covering the 2008–09 and 2009–10 influenza seasons.
We estimated weekly monovalent influenza vaccine uptake in Maine and 15 other states, using difference‐in‐difference‐in‐differences analysis to assess the program's impact on immunization among six age groups. We also developed a health and economic Markov microsimulation model and conducted Monte Carlo sensitivity analysis.
We used national survey data to estimate the impact of the
The program was associated with higher immunization among children and lower immunization among adults aged 18–49 years and 65 and older. The program prevented 4,600 influenza infections and generated $4.9 million in net economic benefits. Cost savings from lower adult vaccination accounted for 54 percent of the economic gain. Economic benefits were positive in 98 percent of Monte Carlo simulations.
Url:
DOI: 10.1111/1475-6773.12786
PubMed: 29130266
PubMed Central: 5682124
Links to Exploration step
PMC:5682124Le document en format XML
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<author><name sortKey="Basurto Vila, Ricardo" sort="Basurto Vila, Ricardo" uniqKey="Basurto Vila R" first="Ricardo" last="Basurto-Dávila">Ricardo Basurto-Dávila</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">School‐Based Influenza Vaccination: Health and Economic Impact of Maine's 2009 Influenza Vaccination Program</title>
<author><name sortKey="Basurto Vila, Ricardo" sort="Basurto Vila, Ricardo" uniqKey="Basurto Vila R" first="Ricardo" last="Basurto-Dávila">Ricardo Basurto-Dávila</name>
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<author><name sortKey="Meltzer, Martin I" sort="Meltzer, Martin I" uniqKey="Meltzer M" first="Martin I." last="Meltzer">Martin I. Meltzer</name>
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<author><name sortKey="Mills, Dora A" sort="Mills, Dora A" uniqKey="Mills D" first="Dora A." last="Mills">Dora A. Mills</name>
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<author><name sortKey="Beeler Asay, Garrett R" sort="Beeler Asay, Garrett R" uniqKey="Beeler Asay G" first="Garrett R." last="Beeler Asay">Garrett R. Beeler Asay</name>
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<author><name sortKey="Cho, Bo Yun" sort="Cho, Bo Yun" uniqKey="Cho B" first="Bo-Hyun" last="Cho">Bo-Hyun Cho</name>
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</affiliation>
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<author><name sortKey="Graitcer, Samuel B" sort="Graitcer, Samuel B" uniqKey="Graitcer S" first="Samuel B." last="Graitcer">Samuel B. Graitcer</name>
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</affiliation>
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<author><name sortKey="Dube, Nancy L" sort="Dube, Nancy L" uniqKey="Dube N" first="Nancy L." last="Dube">Nancy L. Dube</name>
<affiliation><nlm:aff id="hesr12786-aff-0004"></nlm:aff>
</affiliation>
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<author><name sortKey="Thompson, Mark G" sort="Thompson, Mark G" uniqKey="Thompson M" first="Mark G." last="Thompson">Mark G. Thompson</name>
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<author><name sortKey="Patel, Suchita A" sort="Patel, Suchita A" uniqKey="Patel S" first="Suchita A." last="Patel">Suchita A. Patel</name>
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<author><name sortKey="Peasah, Samuel K" sort="Peasah, Samuel K" uniqKey="Peasah S" first="Samuel K." last="Peasah">Samuel K. Peasah</name>
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<author><name sortKey="Ferdinands, Jill M" sort="Ferdinands, Jill M" uniqKey="Ferdinands J" first="Jill M." last="Ferdinands">Jill M. Ferdinands</name>
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<author><name sortKey="Gargiullo, Paul" sort="Gargiullo, Paul" uniqKey="Gargiullo P" first="Paul" last="Gargiullo">Paul Gargiullo</name>
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<author><name sortKey="Messonnier, Mark" sort="Messonnier, Mark" uniqKey="Messonnier M" first="Mark" last="Messonnier">Mark Messonnier</name>
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<author><name sortKey="Shay, David K" sort="Shay, David K" uniqKey="Shay D" first="David K." last="Shay">David K. Shay</name>
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<series><title level="j">Health Services Research</title>
<idno type="ISSN">0017-9124</idno>
<idno type="eISSN">1475-6773</idno>
<imprint><date when="2017">2017</date>
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<front><div type="abstract" xml:lang="en"><sec id="hesr12786-sec-0001"><title>Objective</title>
<p>To estimate the societal economic and health impacts of Maine's school‐based influenza vaccination (<styled-content style="fixed-case">SIV</styled-content>
) program during the 2009 A(H1N1) influenza pandemic.</p>
</sec>
<sec id="hesr12786-sec-0002"><title>Data Sources</title>
<p>Primary and secondary data covering the 2008–09 and 2009–10 influenza seasons.</p>
</sec>
<sec id="hesr12786-sec-0003"><title>Study Design</title>
<p>We estimated weekly monovalent influenza vaccine uptake in Maine and 15 other states, using difference‐in‐difference‐in‐differences analysis to assess the program's impact on immunization among six age groups. We also developed a health and economic Markov microsimulation model and conducted Monte Carlo sensitivity analysis.</p>
</sec>
<sec id="hesr12786-sec-0004"><title>Data Collection</title>
<p>We used national survey data to estimate the impact of the <styled-content style="fixed-case">SIV</styled-content>
program on vaccine coverage. We used primary data and published studies to develop the microsimulation model.</p>
</sec>
<sec id="hesr12786-sec-0005"><title>Principal Findings</title>
<p>The program was associated with higher immunization among children and lower immunization among adults aged 18–49 years and 65 and older. The program prevented 4,600 influenza infections and generated $4.9 million in net economic benefits. Cost savings from lower adult vaccination accounted for 54 percent of the economic gain. Economic benefits were positive in 98 percent of Monte Carlo simulations.</p>
</sec>
<sec id="hesr12786-sec-0006"><title>Conclusions</title>
<p><styled-content style="fixed-case">SIV</styled-content>
may be a cost‐beneficial approach to increase immunization during pandemics, but programs should be designed to prevent lower immunization among nontargeted groups.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Serv Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Serv Res</journal-id>
<journal-id journal-id-type="doi">10.1111/(ISSN)1475-6773</journal-id>
<journal-id journal-id-type="publisher-id">HESR</journal-id>
<journal-title-group><journal-title>Health Services Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">0017-9124</issn>
<issn pub-type="epub">1475-6773</issn>
<publisher><publisher-name>John Wiley and Sons Inc.</publisher-name>
<publisher-loc>Hoboken</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">29130266</article-id>
<article-id pub-id-type="pmc">5682124</article-id>
<article-id pub-id-type="doi">10.1111/1475-6773.12786</article-id>
<article-id pub-id-type="publisher-id">HESR12786</article-id>
<article-categories><subj-group subj-group-type="overline"><subject>Public Health Services and Economics</subject>
</subj-group>
<subj-group subj-group-type="heading"><subject>Public Health Services and Economics</subject>
</subj-group>
</article-categories>
<title-group><article-title>School‐Based Influenza Vaccination: Health and Economic Impact of Maine's 2009 Influenza Vaccination Program</article-title>
</title-group>
<contrib-group><contrib id="hesr12786-cr-0001" contrib-type="author" corresp="yes"><name><surname>Basurto‐Dávila</surname>
<given-names>Ricardo</given-names>
</name>
<degrees>Ph.D., M.S.</degrees>
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8589-9884</contrib-id>
<xref ref-type="aff" rid="hesr12786-aff-0001"><sup>1</sup>
</xref>
<address><email>rbasurto@ph.lacounty.gov</email>
</address>
</contrib>
<contrib id="hesr12786-cr-0002" contrib-type="author"><name><surname>Meltzer</surname>
<given-names>Martin I.</given-names>
</name>
<degrees>Ph.D., M.S.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0003" contrib-type="author"><name><surname>Mills</surname>
<given-names>Dora A.</given-names>
</name>
<degrees>M.D., M.P.H.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0003"><sup>3</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0004" contrib-type="author"><name><surname>Beeler Asay</surname>
<given-names>Garrett R.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0005" contrib-type="author"><name><surname>Cho</surname>
<given-names>Bo‐Hyun</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0006" contrib-type="author"><name><surname>Graitcer</surname>
<given-names>Samuel B.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0007" contrib-type="author"><name><surname>Dube</surname>
<given-names>Nancy L.</given-names>
</name>
<degrees>R.N., M.P.H. (ret.)</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0004"><sup>4</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0008" contrib-type="author"><name><surname>Thompson</surname>
<given-names>Mark G.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0009" contrib-type="author"><name><surname>Patel</surname>
<given-names>Suchita A.</given-names>
</name>
<degrees>D.O., M.P.H.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0010" contrib-type="author"><name><surname>Peasah</surname>
<given-names>Samuel K.</given-names>
</name>
<degrees>Ph.D., M.P.H., R.Ph.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0005"><sup>5</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0011" contrib-type="author"><name><surname>Ferdinands</surname>
<given-names>Jill M.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0012" contrib-type="author"><name><surname>Gargiullo</surname>
<given-names>Paul</given-names>
</name>
<degrees>Ph.D. (ret.)</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0013" contrib-type="author"><name><surname>Messonnier</surname>
<given-names>Mark</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="hesr12786-cr-0014" contrib-type="author"><name><surname>Shay</surname>
<given-names>David K.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="hesr12786-aff-0002"><sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="hesr12786-aff-0001"><label><sup>1</sup>
</label>
<institution>Los Angeles County Department of Public Health</institution>
<named-content content-type="city">Los Angeles</named-content>
<named-content content-type="country-part">CA</named-content>
</aff>
<aff id="hesr12786-aff-0002"><label><sup>2</sup>
</label>
<institution>Centers for Disease Control and Prevention</institution>
<named-content content-type="city">Atlanta</named-content>
<named-content content-type="country-part">GA</named-content>
</aff>
<aff id="hesr12786-aff-0003"><label><sup>3</sup>
</label>
<institution>University of New England</institution>
<named-content content-type="city">Portland</named-content>
<named-content content-type="country-part">ME</named-content>
</aff>
<aff id="hesr12786-aff-0004"><label><sup>4</sup>
</label>
<institution>Maine Department of Education</institution>
<named-content content-type="city">Augusta</named-content>
<named-content content-type="country-part">ME</named-content>
</aff>
<aff id="hesr12786-aff-0005"><label><sup>5</sup>
</label>
<institution>Mercer University</institution>
<named-content content-type="city">Atlanta</named-content>
<named-content content-type="country-part">GA</named-content>
</aff>
<author-notes><corresp id="correspondenceTo"><label>*</label>
Address correspondence to Ricardo Basurto‐Dávila, Ph.D., M.S., Los Angeles County Department of Public Health, 313 N Figueroa St, Rm 127, Los Angeles, CA 90012; e‐mail: <email>rbasurto@ph.lacounty.gov</email>
.</corresp>
</author-notes>
<pub-date pub-type="epub"><day>12</day>
<month>11</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2017</year>
</pub-date>
<volume>52</volume>
<issue>Suppl 2</issue>
<issue-id pub-id-type="doi">10.1111/hesr.2017.52.issue-S2</issue-id>
<issue-title content-type="special-issue-title">The Economics of Public Health: Missing Pieces to the Puzzle of Health System Reform</issue-title>
<fpage>2307</fpage>
<lpage>2330</lpage>
<permissions><pmc-comment> © Health Research and Educational Trust </pmc-comment>
<copyright-statement content-type="article-copyright">© Health Research and Educational Trust</copyright-statement>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="file:HESR-52-2307.pdf"></self-uri>
<abstract id="hesr12786-abs-0001"><sec id="hesr12786-sec-0001"><title>Objective</title>
<p>To estimate the societal economic and health impacts of Maine's school‐based influenza vaccination (<styled-content style="fixed-case">SIV</styled-content>
) program during the 2009 A(H1N1) influenza pandemic.</p>
</sec>
<sec id="hesr12786-sec-0002"><title>Data Sources</title>
<p>Primary and secondary data covering the 2008–09 and 2009–10 influenza seasons.</p>
</sec>
<sec id="hesr12786-sec-0003"><title>Study Design</title>
<p>We estimated weekly monovalent influenza vaccine uptake in Maine and 15 other states, using difference‐in‐difference‐in‐differences analysis to assess the program's impact on immunization among six age groups. We also developed a health and economic Markov microsimulation model and conducted Monte Carlo sensitivity analysis.</p>
</sec>
<sec id="hesr12786-sec-0004"><title>Data Collection</title>
<p>We used national survey data to estimate the impact of the <styled-content style="fixed-case">SIV</styled-content>
program on vaccine coverage. We used primary data and published studies to develop the microsimulation model.</p>
</sec>
<sec id="hesr12786-sec-0005"><title>Principal Findings</title>
<p>The program was associated with higher immunization among children and lower immunization among adults aged 18–49 years and 65 and older. The program prevented 4,600 influenza infections and generated $4.9 million in net economic benefits. Cost savings from lower adult vaccination accounted for 54 percent of the economic gain. Economic benefits were positive in 98 percent of Monte Carlo simulations.</p>
</sec>
<sec id="hesr12786-sec-0006"><title>Conclusions</title>
<p><styled-content style="fixed-case">SIV</styled-content>
may be a cost‐beneficial approach to increase immunization during pandemics, but programs should be designed to prevent lower immunization among nontargeted groups.</p>
</sec>
</abstract>
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