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

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. "Appendix 20: Respiratory Syncytial 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

Table A20–2 Disease Scenarios for RSV

 

No. of Cases

% of Cases

Committee HUI Values

Duration (years)

AGE<1

 

Total Deaths

300

 

Total Cases

1,000,000

 

Upper Respiratory

pharyngitis, otitis media

600,000

60.00%

0.90

0.0192 (7 days)

Bronchiolitis/pneumonia

outpatient only

340,000

34.00%

0.75

0.0274 (10 days)

Bronchiolitis/pneumonia

60,000

6.00%

 

inpatient

 

0.50

0.0192 (7 days)

outpatient

 

0.75

0.0082 (3 days)

AGE 1–4

 

Total Deaths (from acute infection)

200

 

Total Cases

2,000,000

 

Upper Respiratory

pharyngitis, otitis media

1,200,000

60.00%

0.90

0.0192 (7 days)

Bronchiolitis/pneumonia

outpatient only

760,000

38.00%

0.75

0.0274 (10 days)

Bronchiolitis/pneumonia

40,000

2.00%

 

inpatient

 

0.50

0.0192 (7 days)

outpatient

 

0.75

0.0082 (3 days)

AGE 5+

 

Total Deaths (from acute infection)

20

 

Total Cases

2,000,000

 

Upper Respiratory

pharyngitis, otitis media

1,600,000

80.00%

0.90

0.0192 (7 days)

Bronchiolitis/pneumonia

outpatient only

396,000

19.80%

0.75

0.0274 (10 days)

Bronchiolitis/pneumonia

4,000

0.20%

 

inpatient

 

0.50

0.0192 (7 days)

outpatient

 

0.75

0.0082 (7 days)

VACCINE PROGRAM CONSIDERATIONS

Target Population

For the purposes of the calculations in this report, it is assumed that the target population for this vaccine is all adolescent girls (age 12 years) and all infants. For this example, the committee included adolescent girls in order to induce immunity that would protect the neonate. Infants are immunized to protect against disease after 1 year of age. It was assumed that 50% of adolescent females and 90% of infants would utilize the vaccine.

Page
281
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)