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New Vaccine Development: Establishing Priorities: Volume I, Diseases of Importance in the United States (1985)
Board on Population Health and Public Health Practice (BPH)

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. "7. Calculation and Comparison of the Health Benefits and Costs Associated with Candidate Vaccines." New Vaccine Development: Establishing Priorities: Volume I, Diseases of Importance in the United States. Washington, DC: The National Academies Press, 1985.

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New Vaccine Development Establishing Priorities, Volume I: Diseases of Importance in the United States

Herpes simplex viruses 1 & 2

Glycoprotein produced by recombinant DNA technology

Children up to age 12 and older susceptibles

3,788,337

4

15

10

25

378,833,700

379

 

Attenuated live virus

 

3,788,337

1

15

10

25

94,708,425

95

Herpesvirus varicellae

Attenuated live virus

Recipients of bone marrow and organ transplants and persons under age 25 with leukemias or lymphoms

12,757

2

25

10

35

892,990

0.9

 

 

Normal susceptibles, routine for children (booster for adults)

3,788,337

2

18.75

10

28.75

217,829,378

218

Influenza viruses A & B

Subunit vaccine (purified hemagglutinin/neuraminidase proteins)

High-risk population as currently defined (see Appendix K)

48,000,00

a

a

a

 

200,160,000

200

 

Attenuated live virus

High-risk population as currently defined

48,00,000

a

a

a

 

197,760,000

198

Neisseria gonorrhoeae

A small number of promising options need investigation to determine best approach

Adolescents and adults age 15 and over

3,669,254

3

20

10

30

330,232,860

330

Parainfluenza viruses

Trivalent, subunit vaccine (must contain fusion protein)

Infants

3,788,337

2

11.25

10

21.25

161,004,323

161

Respiratory syncytial virus

Glycoprotein produced by recombinant DNA technology

Infants

3,788,337

2

11.25

10

21.25

161,004,323

161

 

Attenuated live virus

Infants

3,788,337

1

11.25

10

21.25

80,502,161

81

Rotavirus

Attenuated live bovine virus

Infants

3,788,337

1.5

7.5

10

17.5

99,443,846

99

 

Attenuated live human or reassortment virus

Infants

3,788,337

1.5

7.5

10

17.5

99,443,846

99

Streptococcus group B

Conjugated polysaccharide

Pregnant women for fetuses and neonates

31788,337

1

22.5

10

32.5

123,120,953

123

aSee text for explanation of the assumptions underlying these calcuations. Costs are upper limits; they are not adjusted for anticipated utilization.

Page
109
Front Matter (R1-R14)
1. Summary (1-16)
2. Priority Setting for Health Related Investments: A Review of Methods (17-27)
3. Overview of the Analytic Approach (28-38)
4. Comparison of Disease Burdens and Costs (39-58)
5. Predictions on Vaccine Development (59-66)
6. Assessing the Likely Utilization of New Vaccines (67-91)
7. Calculation and Comparison of the Health Benefits and Costs Associated with Candidate Vaccines (92-120)
8. Additional Issues in the Selection of Priorities for Accelerated Vaccine Development (121-126)
9. Findings, Conclusions, and Recommendations (127-148)
Appendix A: Some Examples of the Application of Project Selection Method (149-152)
Appendix B: Pathogenic Agents for Which Accelerated Vaccine Development Does Not Appear Appropriate (153-170)
Appendix C: Prospects for Immunizing Against Bordetella pertussis (171-182)
Appendix D: Prospects for Immunizing Against Coccidioidomycosis (183-197)
Appendix E: Prospects for Immunizing Against Cytomegalovirus (198-234)
Appendix F: Prospects for Immunizing Against Hemophilus influenzae type b (235-251)
Appendix G: Prospects for Immunizing Against Hepatitis A Virus (252-260)
Appendix H: Prospects for Immunizing Against Hepatitis B Virus (261-279)
Appendix I: Prospects for Immunizing Against Herpes Simplex Viruses 1 and 2 (280-312)
Appendix J: Prospects for Immunizing Against Herpesvirus varicellae (313-341)
Appendix K: Prospects for Immunizing Against Influenza Viruses A and B (342-364)
Appendix L: Prospects for Immunizing Against Neisseria gonorrhoeae (365-384)
Appendix M: Prospects for Immunizing Against Parainfluenza Viruses (385-396)
Appendix N: Prospects for Immunizing Against Respiratory Syncytial Virus (397-409)
Appendix O: Prospects for Immunizing Against Rotavirus (410-423)
Appendix P: Prospects for Immunizing Against Streptococcus group B (424-439)
Appendix Q: Questionnaire for Assessing Morbidity-Mortality Trade-Offs (440-443)
Appendix R: Technical Notes (444-444)
Appendix S: Biographical Notes on Committee Members (445-449)
Appendix T: Additional Sources of Advice to the Committee (450-452)
Index (453-458)