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Introduction of Tick-Borne Encephalitis Vaccination in Sweden.: A cost-effective analysis of vaccination against a debilitating and sometimes fatal disease in Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background Tick-Borne Encephalitis (TBE) is a potentially fatal or permanently debilitating disease which is continuing to spread across Europe. Several economic analyses of publicly funding the vaccine have already been preformed in different parts of Europe. Sweden currently does not subsidize the vaccine, though other European countries do.

Methods A Markov model using previously established methods and data local to each Swedish county was preformed. Age composition of each county and the relative risk of infection for each age group was included. Cost-savings from both direct, and indirect costs were incorporated.

Results Factoring only the direct costs of treating the disease, the Swedish counties of Södermanland, Stockholm, Uppsala, and Västmanland could provide a vaccination below a threshold of 50,000 Euros per QALY gained. Taking a societal perspective and factoring both direct and indirect costs, the counties of Östergötland and Gotland could also provide a vaccination program below this threshold. Major cost drivers included loss of productivity due to long term debilitating sequelae and costs from the high frequency of booster vaccinations.

Place, publisher, year, edition, pages
2017. , p. 37
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:47
Keywords [en]
TBE, vaccination, Sweden, Markov model, cost-effective
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-152616OAI: oai:DiVA.org:umu-152616DiVA, id: diva2:1256232
External cooperation
Folkhälsomyndigheten - Marika Hjertqvist
Educational program
Master's Programme in Public Health
Presentation
2017-10-10, Lecture room Anna-Lena, Epidemiology and Global Health, Umeå University, Umeå, 08:15 (English)
Supervisors
Examiners
Available from: 2018-10-22 Created: 2018-10-16 Last updated: 2018-10-22Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf