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.

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