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Table 3 Impact of prophylactic vaccination of HCW and GP on burden of EVD-base scenario

From: Model-based evaluation of the impact of prophylactic vaccination applied to Ebola epidemics in Sierra Leone and Democratic Republic of Congo

Parameter

2014 Sierra Leone Epidemic

2018 DRC (North Kivu) Epidemic

No vaccination

30% of HCW vaccinated

90% of HCW vaccinated

30% of HCW + 5% of GP vaccinated

30% of HCW + 10% of GP vaccinated

No vaccination

30% of HCW vaccinated

90% of HCW vaccinated

30% of HCW + 5% of GP vaccinated

30% of HCW + 10% of GP vaccinated

Number vaccinated

0

346

1038

351,145

701,944

0

1569

4707

416,307

831,044

Cumulative cases (IQR; 95%CI)

8711 (4420–11,946; 597–22,026)

5819 (2680–8100; 207–15,985)

2536 (919–3627; 51–7838)

2594 (1114–3623; 87–7432)

1271 (499–1797; 50–3699)

2782 (700–4026; 54–9637)

1624 (296–2410; 46–6072)

576 (115–762; 36–2620)

645 (148–901; 40–2630)

315 (104–416; 36–1180)

Proportion of cases averted vs no vaccination (IQR; 95%CI)

–

33% (32–40%; 26–62%)

71% (69–79%; 63–93%)

70% (70–75%; 66–84%)

85% (85–89%; 82–93%)

–

42% (39–52%; 15–59%)

79% (76–86%; 33–87%)

77% (75–81%; 26–82%)

89% (85–90%; 33–90%)

Proportion of cases averted vs vaccination of 30% of HCW (IQR; 95%CI)

–

–

–

55% (55–58%; 52–63%)

78% (78–81%; 74–85%)

–

–

–

60% (50–63%; 14–65%)

81% (65–82%; 22–83%)

Cumulative deaths (IQR; 95%CI)

3580 (1834–4901; 246–9000)

2376 (1081–3305; 75–6576)

1021 (362–1465; 22–3189)

985 (418–1384; 37–2816)

463 (182–657; 22–1343)

1876 (477–2722; 36–6453)

1098 (198–1627; 30–4097)

390 (76–515; 24–1785)

439 (99–614; 26–1796)

213 (70–281; 24–806)

Proportion of deaths averted vs no vaccination (IQR; 95%CI)

–

34% (33–41%; 27–62%)

71% (70–80%; 64–92%)

72% (72–77%; 68–84%)

87% (87–90%; 84–92%)

–

41% (39–52%; 17–59%)

79% (76–86%; 34–87%)

77% (74–81%; 29–82%)

89% (85–90%; 34–90%)

Proportion of deaths averted vs vaccination of 30% of HCW (IQR; 95%CI)

–

–

–

59% (58–61%; 51–64%)

81% (80–82%; 71–85%)

–

–

–

60% (50–63%; 14–65%)

81% (65–82%; 21–83%)

  1. Base scenario for vaccine efficacy: 90% reduced risk of being infected and 50% reduced infectiousness and case fatality rate
  2. CI: credible interval; DRC: Democratic Republic of the Congo; EVD: ebola virus disease; GP: general population; HCW: healthcare workers; IQR: inter-quartile range