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Table 3 Total cost of vaccination strategies for moderate pandemics (R = 1.9 and CFR = 0.25%) and severe pandemics (R = 2.7 and CFR = 1.5%)

From: A model-based economic analysis of pre-pandemic influenza vaccination cost-effectiveness

 

Moderate pandemics (R = 1.9 and CFR = 0.25%)

Scenarios

SD and AV intervention

Total cost ($) per 10,000 population

Pre-emptive vaccination

Reactive vaccination

Scenario 1: no pandemic

none

$2,430,000

$0

 

Pre-emptive + Reactive vaccination

Reactive vaccination

Scenario 2: pandemic with virus which does not match pre-emptive vaccine i.e. vaccine efficacy of 0%

none

$6,510,000

$4,080,000

8 weeks SD + AV

$7,510,000

$5,080,000

Sustained SD + AV

$10,460,000

$8,030,000

Unmitigated pandemic cost (no intervention)

$3,200,000

 

Pre-emptive vaccination

Reactive vaccination

Scenario 3: pandemic with virus which matches pre-emptive vaccine with efficacy of 30%

none

$4,250,000

$4,080,000

8 weeks SD + AV

$5,020,000

$5,080,000

Sustained SD + AV

$6,820,000

$8,030,000

Unmitigated pandemic cost (no intervention)

$3,200,000

 

Pre-emptive Vaccination

Reactive vaccination

Scenario 4: pandemic with virus which matches pre-emptive vaccine with efficacy of 75%

none

$3,630,000

$4,080,000

8 weeks SD + AV

$4,800,000

$5,080,000

Sustained SD + AV

$6,310,000

$8,030,000

Unmitigated pandemic cost (no intervention)

$3,200,000

 

Extreme pandemics (R = 2.7 and CFR = 1.5%)

Scenarios

SD and AV intervention

Total cost ($) per 10,000 population

Pre-emptive vaccination

Reactive vaccination

Scenario 1: no pandemic

none

$2,430,000

$0

 

Pre-emptive + Reactive vaccination

Reactive vaccination

Scenario 2: pandemic with virus which does not match pre-emptive vaccine i.e. vaccine efficacy of 0%

none

$17,480,000

$15,050,000

8 weeks SD + AV

$15,000,000

$12,570,000

Sustained SD + AV

$13,430,000

$11,000,000

Unmitigated pandemic cost (no intervention)

$14,180,000

 

Pre-emptive vaccination

Reactive vaccination

Scenario 3: pandemic with virus which matches pre-emptive vaccine with efficacy of 30%

none

$10,190,000

$15,050,000

8 weeks SD + AV

$8,420,000

$12,570,000

Sustained SD + AV

$8,810,000

$11,000,000

Unmitigated pandemic cost (no intervention)

$14,180,000

 

Pre-emptive vaccination

Reactive vaccination

Scenario 4: pandemic with virus which matches pre-emptive vaccine with efficacy of 75%

none

$3,760,000

$15,050,000

8 weeks SD + AV

$5,100,000

$12,570,000

Sustained SD + AV

$6,970,000

$11,000,000

Unmitigated pandemic cost (no intervention)

$14,180,000