. "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
FIGURE 7.3 Calculation of vaccination program costs.
of the vaccine and the time at which a steady-state yield of benefits would be achieved.
Calculation of the annualizedpresentvalueofexpectedreductioninmorbiditycosts; as illustrated in Figure 7.2. This procedure can also be applied to the costs of adverse effects calculated as noted under (6) above.
Calculation of the netcosts associated with each vaccine. The net totals represent the reductions in morbidity costs (taking into account vaccine efficacy, utilization, probability of success, and time to steady-state yield of benefits, Figure 7.2), adjusted for the actual cost of the vaccination program (at the predicted utilization rate, Figure 7.3), the annualized cost of vaccine development (see Chapter 3), and, where necessary, the actual cost of adverse effects (i.e., at the predicted utilization rate).
A more detailed explanation of some elements used in the calculations and a discussion of certain assumptions adopted to simplify the process appear below.
The vaccine characteristics used in this comparison are described in Chapter 5, Table 5.1. Detailed information on specific vaccines is included in Appendixes C through P.