From: Cost-effectiveness analysis of typhoid conjugate vaccines in an outbreak setting: a modeling study
Characteristic | Value | Source |
---|---|---|
Demographic parameters | ||
Crude birth rate (B) | 31.3–55.0 live births per 1000 per year, based on estimates for 1950–2035 | [27] |
Crude death rate (\(\mu\)) | 7.7–27.8 deaths per 1000 per year, based on estimates for 1950–2035a | [27] |
Disease parameters | ||
Duration of infectiousness (\(1/\delta\)) (pre-outbreak) | 3 weeks | Assumes infections can be effectively treated with antibiotics |
Seasonal offset parameter (timing of seasonal peak) (\(\phi\)) | 4.9 weeks (early February) | [8] Based on timing of peak rainfall in Blantyre |
Fraction infected who become chronic carriers (\(\theta\)) | 0.003–0.101 depending on age | [29] We assume only first infections lead to chronic carriage |
Disease-induced mortality (\(\alpha\)) | 0.001 | |
Duration of temporary full immunity to infection (\(1/\omega\)) | 104 weeks | |
Pre-outbreak basic reproductive number (R0) | 3.29 | Refit parameters from modified Pitzer et al. model [8] |
Amplitude of seasonal forcing (q) | 0.35 | Refit parameters from modified Pitzer et al. model [8] |
Relative infectiousness of chronic carriers (r) | 0.09 | Refit parameters from modified Pitzer et al. model [8] |
Outbreak parametersb | ||
Beginning week of increase in duration of infectiousness (t1) | April 10, 2011 | Refit parameters from modified Pitzer et al. model [8] |
End week of increase in duration of infectiousness (t2) | November 23, 2014 | Refit parameters from modified Pitzer et al. model [8] |
Magnitude of increase in duration of infectiousness (m) | 3.1954 | Refit parameters from modified Pitzer et al. model [8] |
Reporting process | ||
Underreporting adjustment factor (a) | 7.7 (95% CrI: 6.0–12.4) | [26] |
Vaccine-related parameters | ||
Age groups vaccinated | Based on WHO recommendation | |
Routine | 9 months | |
Catch-up campaign | 9 months to < 15 years | |
Initial efficacy of TCV against infection (\({\nu }_{0}\)) | 0.89 (95% CrI: 0.78–0.98) | Re-analysis based on Malawi TCV efficacy trial data and a previous estimate from [9, 23] (Additional file 1: S1.1.2.2. Text, Fig. S2) |
Average duration of vaccine-induced immunity (\(1/{\omega }_{v})\) | Vaccine efficacy decreases exponentially with an average duration of 18.9 (95% CrI: 8.4–83.3) years | Re-analysis based on Malawi TCV efficacy trial data and a previous estimate from [9, 23] (Additional file 1: S1.1.2.2. Text, Fig. S2) |
Vaccine coverage | Gavi demand forecasts under assumption of unconstrained supply, and commonly assumed coverage during a catch-up campaign during an outbreak | |
Routine (\({\kappa }_{R}\)) | Increases from 0.85 to 0.95 over ten years | |
Catch-up campaign (\({\kappa }_{C}\)) | Uniform (0.6,0.9) |