Related Experiment Video
Updated: Aug 14, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Economic evaluation of pneumococcal conjugate vaccination in Finland
Heini Salo1, Harri Sintonen, J Pekka Nuorti
1Department of Vaccines, National Public Health Institute (KTL), Helsinki, Finland. heini.salo@ktl.fi
Insights
Pneumococcal conjugate vaccine (PCV7) is cost-effective for children under 5, preventing numerous illnesses and deaths. Vaccination investment yields significant savings in medical and societal costs.
Area of Science:
- Pediatrics
- Public Health
- Health Economics
Background:
- Pneumococcal conjugate vaccine (PCV7) prevents serious pneumococcal diseases.
- Cost-effectiveness of PCV7 in young children requires evaluation.
Purpose of the Study:
- To assess the cost-effectiveness of PCV7 vaccination in children under 5 years of age.
- To analyze the direct economic impact of PCV7 on healthcare and societal costs.
Main Methods:
- A Markov simulation model was employed to compare PCV7 vaccination with no intervention.
- The analysis considered direct effects of the vaccine, including disease prevention and cost savings.
Main Results:
- Vaccinating a birth cohort of 57,500 infants in Finland could prevent 60 invasive pneumococcal disease cases, 1,400 pneumococcal pneumonia cases, 15,000 acute otitis media episodes, 3,000 surgeries, and 0.9 deaths annually.
- An investment of 12.0 million euros for vaccination could result in annual savings of 6.3 million euros in medical costs and 2.0 million euros in productivity and other costs.
- Each euro invested in the PCV7 vaccination program could return 0.53 euros in medical cost savings and 0.70 euros in societal cost savings.
Conclusions:
- PCV7 vaccination is a cost-effective intervention for children under 5, offering substantial medical and societal economic benefits.
- To ensure cost savings from a healthcare provider perspective, the price of PCV7 would need to be reduced significantly.
Abstract:
The aim of this study was to evaluate cost-effectiveness of pneumococcal conjugate vaccine (PCV7) in children <5 y of age. A Markov simulation model was used to compare the cost-effectiveness of 4 doses (assumed 50.5 euros per dose) of PCV7 with no intervention. Only direct effects of the vaccine were taken into account. In Finland, vaccination of a birth cohort of 57,500 healthy infants would potentially prevent annually 60 cases of invasive PD, 1,400 cases of pneumococcal pneumonia, 15,000 episodes of acute otitis media, 3,000 otological surgery procedures and 0.9 deaths in children aged <5 y. Investing 12.0 million euros to vaccinate a birth cohort would save annually 6.3 million euros in medical, and 2.0 million euros in productivity and other, costs. Therefore, investing 1 euros in a vaccination programme would return 0.53 euros in medical costs and 0.70 euros in societal costs. In the base case, vaccination would cost society 139,986 euros per life y gained. To achieve cost savings from a health care provider (societal) perspective, without considering herd effects or replacement phenomenon, the price of PCV7 should be 50% (70%) of the price used in the base case.
Related Concept Videos
Vaccinations
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Vaccines
Pneumonia III: Complications and Assessment
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:

