Skip to main content

Table 1 Dynamic model input parameters

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

[8, 28]

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

[8, 30]

Duration of temporary full immunity to infection (\(1/\omega\))

104 weeks

[8, 28]

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)

  1. Demographic, disease, outbreak, reporting, and vaccine parameters used in the dynamic transmission model are shown. Demographic, disease, and outbreak parameters used a combination of pre-defined values from a previous model and numbers estimated through the re-calibrated deterministic version of the model, noted in the “Source” column. CrI  credible interval
  2. aFurther adjusted to account for migration and reproduce population size and age distribution between 1999 and 2011
  3. bAssumed a linear increase in the duration of infectiousness between t1 and t2 from the pre-outbreak value of 3 weeks to a final value of 3*m weeks, due to the emergence of multidrug resistance