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An Economic Evaluation of the Introduction of Vaccination Against Hepatitis a in a Peacekeeping Operation: The Case of the United Nations Protection Force in Yugoslavia

Published online by Cambridge University Press:  10 March 2009

Tom Jefferson ,
Vittorio Demicheli  and
David Wright
Tom Jefferson
Affiliation:
Medical Directorate, British Army of the Rhine
Vittorio Demicheli
Affiliation:
University of Pavia
David Wright
Affiliation:
Royal Army Medical College, London
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Abstract

The costs and benefits of vaccinating troops on United Nations tours in Yugoslavia against hepatitis A were compared. The marginal cost of one case of hepatitis A avoided by vaccination was calculated and compared with the marginal cost of achieving the same outcome by passive immunization. The cost-benefit ratio (medium estimate) for troops at low risk of contracting hepatitis A was 0.01 and for those at high risk was 0.03.

Vaccinating troops against hepatitis A for a single deployment appears to be an inefficient procedure, especially in troops at low risk. However, in professional troops from countries of low hepatitis A endemicity who are likely to be involved in several operational deployments, vaccination becomes more efficient the more times the same troops are deployed.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 10 , Issue 3 , Summer 1994 , pp. 490 - 497
Copyright
Copyright © Cambridge University Press 1994

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References

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