COST-EFFECTIVE ANALYSIS OF THE DENGUE VACCINE IN COSTA RICA
Author(s)
Xirinachs Y
University of Costa Rica, San Jose, Costa Rica
CONTEXT: During the period 2010-2014, Costa Rica had the second highest incidence of dengue in the region of Central America, the Caribbean and Mexico, and such position was affected by the 2013 outbreak, with nearly 50,000 registered cases; this fact, together with the investments carried out in the country for control and prevention, makes dengue a relevant concern for public health and the authorities. OBJECTIVES: This study carries out a cost-effectiveness analysis of the dengue vaccine using the public information available from the Ministry of Health, the Social Security Fund, and the National Institute for Research and Education of Costa Rica for the period 2008-2015. Since the public health system coverage is larger than 80%, private health care costs are not considered. METHODS: A dynamic, compartmental and deterministic, transmission model of the disease¹ was used in data calibration and scenario projection for the period 2017-2026. Six different scenarios are analyzed, including no-vaccination (NV), i.e., the case in which the country continues with the present measures; the most ambitious vaccination scenario includes a routine vaccination at the age of 9 years and 16 catch-up cohorts (R9+16). RESULTS: By using as a reference the WHO² criterion for assessing health interventions —from the social perspective, considering indirect effect and under-reporting— the maximum price per dose for the intervention to be cost-effective is estimated in U$73.9 for a routine vaccination in the nine year-old risk population (R9), U$80.5 for a vaccination in the nine to fifteen year-old population (R9+6). Additionally, when the health impact is analyzed in terms of reduction (%) of the total dengue cases by scenario, the results are the following: -23% (R9) and -38% (R9+6). CONCLUSIONS: These results show that implementing an immunization schedule could be an effective and efficient way to fight dengue.
Conference/Value in Health Info
2016-10, ISPOR Europe 2016, Vienna, Austria
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PIN45
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Infectious Disease (non-vaccine)