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Vaccines for the 21st Century: A Tool for Decisionmaking
additional inpatient treatment at time of delivery
100%
$1,000
1.0
hospitalization (in addition to normal delivery)
100%
$150
1.0
physician c
100%
$50
1.0
medication b
outpatient treatment
100%
$100
1.0
physician b
screening
90%
$50
1.0
diagnostic a
intrapartum chemoprophylaxis
25%
$50
1.0
medication b
NONPREGNANT ADULTS
Invasive disease
soft tissue, bone infection bacteremia; urosepsis; pneumonia
100%
$4,000
1.0
hospitalization
100%
$150
19.0
physician c
100%
$500
1.0
diagnostic c
outpatient
100%
$100
2.0
physician b
NOTE: *long-term care—$225/day is maintenance expenditure per resident for residential facilities for persons with mental retardation.
**cost per case is calculated as “present value” of annual cost for remaining life time (life expectancy at birth or 10 years, depending on scenario); additional discounting for immunization interval
development of a vaccine for use in pregnant women is discussed within the body of the report. Table 4–1 summarizes vaccine development assumptions for all vaccines considered in this report.