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The cost-effectiveness of using hepatitis A/B combined vaccine versus hepatitis B vaccine alone for high-risk heterosexuals.

Abstract
Previous studies estimated that vaccinating high-risk heterosexuals (HRH) with combination hepatitis A/B vaccine was a cost-effective alternative to vaccinating HRH against hepatitis B alone. Since then, the incidence of hepatitis A has declined dramatically in the United States. We re-estimate the cost-effectiveness of this policy accounting for modern declines in incidence. According to our estimates, vaccinating with combination vaccine resulted in a cost of $120,000 per quality adjusted life year gained (2.79 times the 2005 United States Gross Domestic Product per capita), a ratio that is less favorable than those for most other vaccination strategies.
AuthorsDavid B Rein, Cindy M Weinbaum
JournalVaccine (Vaccine) Vol. 26 Issue 42 Pg. 5331-3 (Oct 3 2008) ISSN: 0264-410X [Print] Netherlands
PMID18706957 (Publication Type: Journal Article)
Chemical References
  • Hepatitis A Vaccines
  • Hepatitis B Vaccines
  • Vaccines, Combined
Topics
  • Adolescent
  • Adult
  • Cost-Benefit Analysis
  • Hepatitis A (epidemiology, prevention & control)
  • Hepatitis A Vaccines (economics)
  • Hepatitis B (epidemiology, prevention & control)
  • Hepatitis B Vaccines (economics)
  • Heterosexuality
  • Humans
  • Immunization Programs (economics)
  • Incidence
  • Quality-Adjusted Life Years
  • Risk Factors
  • United States (epidemiology)
  • Vaccines, Combined

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