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An economic analysis of varicella vaccination for health care workers

McGuire, Alistair, Gray, A.M., Fenn, P., Weinberg, J. and Miller, E. (1997) An economic analysis of varicella vaccination for health care workers. Epidemiology and Infection, 119 (2). pp. 209-220. ISSN 0950-2688

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A simulation model was constructed to assess the relative costs and cost-effectiveness of different screening and vaccination strategies for dealing with hospital incidents of varicella exposure, compared with current policies, using data from published sources and a hospital survey. The mean number of incidents per hospital year was 3·9, and the mean annual cost of managing these incidents was £5170. Vaccination of all staff would reduce annual incidents to 2·2 at a net cost of £48900 per incident averted. Screening all staff for previous varicella, testing those who are uncertain or report no previous varicella, and vaccinating those who test negative for VZV antibodies, reduces annual incidents to 2·3 and gives net savings of £440 per incident averted. Sensitivity analyses do not greatly alter the ranking of the options. Some form of VZV vaccination strategy for health care workers may well prove a cost-effective use of health care resources.

Item Type: Article
Official URL:
Additional Information: © 1997 Cambridge University Press
Divisions: Social Policy
LSE Health
Subjects: H Social Sciences > HB Economic Theory
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 17 Feb 2009 11:56
Last Modified: 15 May 2024 23:39

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