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Health Affairs, doi: 10.1377/hlthaff.27.2.w96
(Published online January 23, 2008)
© 2008 by Project HOPE
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Benefits And Costs Of Immunizing Children Against Influenza At School: An Economic Analysis Based On A Large-Cluster Controlled Clinical Trial

Jordana Schmier 1, Su Li 2, James C. King Jr. 3, Kristin Nichol 4, Parthiv J. Mahadevia 5*

1 Jordana Schmier is managing scientist at Exponent in Alexandria, Virginia.
2 Su Li is manager, Health Outcomes and Pharmacoeconomics, at MedImmune Inc. in Gaithersburg, Maryland.
3 James King is a professor, Department of Pediatrics, at the University of Maryland School of Medicine in Baltimore.
4 Kristin Nichol is core investigator, Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Medical Center.
5 Parthiv Mahadevia is senior director, Health Outcomes and Pharmacoeconomics, at MedImmune Inc.

*Corresponding author.

  Abstract

Current influenza vaccination recommendations focus on immunizing high-risk people; however, influenza mortality and morbidity remain elevated. U.S. policymakers are considering expansion of flu vaccination recommendations to include school-age children (ages 5-18). Children are at risk for flu and propagate epidemic spread. Immunizing children at school offers an efficient approach to covering this population. This study examines the cost consequences of a large multistate, school-based influenza immunization program. The results show that immunization reduces disease among children and adults and is cost-saving to society. An epidemiologically based influenza immunization policy might be an important supplement to the existing risk-based policy. [Health Affairs 27, no. 2 (2008): w96-w104 (published online 23 January 2008; 10.1377/hlthaff.27.2.w96)]

Key Words: Consumer Issues, Health Promotion/Disease Prevention, Maternal And Child Health, Vaccines


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eLetters:

Read all eLetters

Are The Costs Of School-Based Immunization Programs Understated?
Katherine Harris, et al.
Health Affairs, 28 Jan 2008 [Full text]
Overestimating The Economic Benefits Of School-Based Influenza Vaccination
Martin I. Meltzer
Health Affairs, 1 Feb 2008 [Full text]
Costs Of School-Based Influenza Vaccination
Jordana K. Schmier, et al.
Health Affairs, 7 Mar 2008 [Full text]


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