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Vaccines for the 21st Century: A Tool for Decisionmaking (2000)
Institute of Medicine (IOM)

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. "Appendix 9: Herpes Simplex Virus." Vaccines for the 21st Century: A Tool for Decisionmaking. Washington, DC: The National Academies Press, 2000.

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Vaccines for the 21st Century: A Tool for Decisionmaking

Age Groups

Populations

Incidence Rates (per 100,000)

% Distribution of Cases

Cases

MORTALITY ASSOCIATED WITH HSV CNS INFECTION

<1

3,963,000

0.00

0.0000

 

1–4

16,219,000

0.00

0.0000

5–14

38,056,000

0.39

0.2222

150

15–24

36,263,000

0.00

0.0000

 

25–34

41,670,000

0.00

0.0000

35–44

42,149,000

0.00

0.0000

45–54

30,224,000

0.43

0.1944

131

55–64

21,241,000

0.62

0.1944

131

65–74

18,964,000

0.69

0.1944

131

75–84

11,088,000

1.18

0.1944

131

85+

3,598,000

0.00

0.0000

 

Total

263,435,000

0.26

1.0000

675

INCIDENCE OF GENITAL HSV INFECTION

<1

3,963,000

0.00

0.0000

 

1–4

16,219,000

0.00

0.0000

5–14

38,056,000

0.00

0.0000

15–24

36,263,000

275.76

0.3333

100,000

25–34

41,670,000

479.96

0.6667

200,000

35–44

42,149,000

0.00

0.0000

 

45–54

30,224,000

0.00

0.0000

55–64

21,241,000

0.00

0.0000

65–74

18,964,000

0.00

0.0000

75–84

11,088,000

0.00

0.0000

85+

3,598,000

0.00

0.0000

Total

263,435,000

113.88

1.0000

300,000

adults who experience the acute CNS disease. This chronic condition is assumed to be associated with an HUI of .19 for the duration of the person’s life.

Genital Infections

For the purposes of the calculations in this report, it was assumed that 100% of genital HSV infections are associated with a 2-week period at an HUI of .81 (genital lesions, fever, pain). It is assumed that 90% of infections lead to 10 years of minor recurrences; 10% of infections are associated with 5 years of more severe recurrences.

Page
198
Front Matter (R1-R12)
Executive Summary (1-10)
Introduction (11-16)
Progress in Vaccine Development (17-38)
Considerations of Candidate Vaccines (39-52)
Overview of Analytic Approach and Results (53-92)
Review of the Analytical Model (93-108)
Ethical Considerations and Caveats (109-122)
Observations (123-132)
References (133-142)
Appendix 1: Borrelia burgdorferi (143-148)
Appendix 2: Chlamydia (149-158)
Appendix 3: Coccidioides Immitis (159-164)
Appendix 4: Cytomegalovirus (165-172)
Appendix 5: Enterotoxigenic E. coli (173-176)
Appendix 6: Epstein-Barr Virus (177-180)
Appendix 7: Helicobacter pylori (181-188)
Appendix 8: Hepatitis C (189-194)
Appendix 9: Herpes Simplex Virus (195-206)
Appendix 10: Histoplasma capsulatum (207-212)
Appendix 11: Human Paillomavirus (213-222)
Appendix 12: Influenza A and B (223-232)
Appendix 13: Insulin-Dependent Diabetes Mellitus (233-238)
Appendix 14: Melanoma (239-244)
Appendix 15: Multiple Sclerosis (245-250)
Appendix 16: Mycobacterium tuberculosis (251-256)
Appendix 17: Neisseria gonnorrhea (257-266)
Appendix 18: Neisseria meningitidis (267-272)
Appendix 19: Parainfluenza Virus (273-278)
Appendix 20: Respiratory Syncytial Virus (279-284)
Appendix 21: Rheumatoid Arthritis (285-290)
Appendix 22: Rotavirus (291-294)
Appendix 23: Shigella (295-298)
Appendix 24: Streptococcus, Group A (299-304)
Appendix 25: Streptococcus, Group B (305-312)
Appendix 26: Streptococcus pneumoniae (313-322)
Appendix 27: Information on accessing Electronic Spreadsheets (323-324)
Appendix 28: Summary of Workshops (325-434)
Appendix 29: Questions Posed to Outside Experts and List of Responders (435-442)
Index (443-460)