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

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Vaccines for the 21st Century: A Tool for Decisionmaking

Coccidiodes immitis, 7, 19

dengue virus, 345–346

diabetes, 387

Epstein-Barr virus, 329, 333

funding, 125

gonorrhea, 371

herpes simplex virus, 327

mycobacterium tuberculosis, 352, 353–354, 355

papillomaviruses, 342

programmed T-cell death, 397–398

respiratory syncytial virus, 6, 19

streptococcus, group A, 362, 363

Cloning, 26, 36

Coccidiodes immitis, 7, 19, 44, 54, 88, 90, 91, 159–164, 356–359

Cognitive impairments, 62, 64–65

Combination vaccines, 9, 18, 38, 46–47, 75, 130, 436

elicobacter pylori, 364, 366–367

herpes simplex virus, 327

Computer technology

committee’s model, application of, 13, 95

Internet, IOM, 4, 323

physician reminders, 48

Confidentiality, 47

Conjugate vaccines

Haemophilus influenzae, 11

varicella-zoster virus, 11, 18

Cost and cost-effectiveness analysis, general, 2–3, 11, 12, 17, 20, 435–436, 437

age factors, analytic approach of model, 60, 66, 68–69, 80–83, 84

age factors, detailed review of model, 93, 95, 98–100, 101–103, 105

aggregation, 2, 56, 117–118, 119

children, 46

combination vaccines, 47

death rates, analytic approach of model, 61–62, 66, 68, 78–79, 80–83, 86

death rates, detailed characterization of model, 95, 97–98, 100, 103–104

defined, 56

discounting, 18, 60–61, 68–69, 74, 80, 83, 85–86, 97–98, 99, 101–103, 105–107, 114–115

ethical issues, 3–4, 58, 75, 109–122, 128, 129

licensure possibilities, scope of study at hand, 39, 40, 43

licensure process, 19–20, 54–55, 58;

see also Time factors

life expectancy, analytic approach of model, 57, 66, 68, 76, 120

life expectancy, detailed characterization of model, 95–96, 98, 99, 101–102, 103, 104, 106–107

mathematical formulae, 94–97, 99, 101–106 (passim)

model, analytical approach, 53–92

model, detailed description, 93–108

morbidity/morbidity scenarios, analytic approach of model, 61–66, 67, 68, 69, 71, 76, 78–79, 80–85

morbidity/morbidity scenarios, detailed characterization of model, 95, 96, 97, 98, 108

opportunity costs, 74, 115–116, 130

polio, 25–26

pregnant women, 22

ranking of vaccines covered, 5–8

reasons for, 57

sensitivity analysis, 3, 57

specific diseases/pathogens/vaccines,

lists of, 54–55, 87–91

review for each, 143–433;

see also diseases/pathogens/vaccines found in lists

utilization of vaccines, analytic approach of model, 72–73, 75, 76, 79, 80, 86, 88, 89, 91

utilization of vaccines, detailed characterization of model, 95, 107–108

see also Death rates; Efficacy of vaccines; Morbidity scenarios; Quality-adjusted life years

Contraceptive vaccines, 75–76

Costimulation, 372, 373, 375, 389, 398, 399, 400, 401, 402, 407–412, 419

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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)