Health Affairs, 24, no. 3 (2005): 718-728 doi: 10.1377/hlthaff.24.3.718 © 2005 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

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Implementation

Development Of Priority Vaccines For Disease-Endemic Countries: Risk And Benefit

Decisions regarding vaccine regulation and use made by institutions in industrialized countries can have an unintended impact on vaccines’ availability in disease-endemic countries. However, regulatory and programmatic decision making by such countries, taking into consideration local risks and benefits, requires adequate resources, both human and financial. Such differing risk-benefit determinations between industrialized and disease-endemic countries will increase product divergence. We propose a single universal standard for risk assessment, based on maximizing net benefit, and an action plan to improve access to priority vaccines through a more robust determination of risk and benefit.

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