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THE COST-EFFECTIVENESS OF STRATEGIES TO VACCINATE AGAINST VARICELLA IN MEXICO

OBJECTIVES: The annual reported incidence of varicella in Mexico between 2010-2014 ranged from 221,000-371,000 cases annually. Seroprevalence data indicates that the true number of cases is likely between 1.6-2.3 M annually. Despite availability of varicella vaccines in the private sector and for se...

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Bibliographic Details
Published in:Value in health 2017-05, Vol.20 (5), p.A77
Main Authors: Perezbolde, C, Monsanto, H, Pillsbury, M, Kyle, J, Wolfson, LJ
Format: Article
Language:English
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Summary:OBJECTIVES: The annual reported incidence of varicella in Mexico between 2010-2014 ranged from 221,000-371,000 cases annually. Seroprevalence data indicates that the true number of cases is likely between 1.6-2.3 M annually. Despite availability of varicella vaccines in the private sector and for selected patients in the public sector since 2000, vaccine uptake remains variable. The objective of this study was to evaluate the cost-effectiveness of possible varicella vaccination strategies in Mexico. METHODS: A dynamic transmission model of varicella infection was calibrated to reported age-specific outpatient varicella incidence data from 2003-2011, and adjusted for care-seeking behaviour patterns. Ten experts from Mexican health institutions provided input to summarize patterns of health care resource utilization (HCRU) for natural varicella among patients in different age groups (
ISSN:1098-3015
1524-4733
DOI:10.1016/j.jval.2017.05.005