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Is a Mass Immunization Program for Pandemic (H1N1) 2009 Good Value for Money? Early Evidence from the Canadian
Beate Sander1, Chris Bauch, David N Fisman
1Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; University of Guelph; Dalla Lana School of Public Health, University of Toronto; Sunnybrook Hospital, The University of Toronto; Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto; Toronto Health Economics and Technology Assessment Collaborative(THETA) and University of Toronto.
The 2009 H1N1 mass immunization program in Ontario was highly cost-effective. It significantly reduced influenza cases and deaths while cutting treatment costs, demonstrating its economic merit.
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- The 2009 pandemic H1N1 influenza outbreak prompted mass immunization efforts.
- Evaluating the economic value of such public health interventions is crucial for policy decisions.
Purpose of the Study:
- To conduct a cost-utility analysis of the 2009 pandemic H1N1 mass immunization program in Ontario, Canada.
- To estimate the economic merits and health outcomes of the immunization program.
Main Methods:
- A simulation model of the pandemic H1N1 outbreak was developed.
- The analysis incorporated surveillance and administrative data from Ontario.
- Cost-utility analysis compared no immunization versus mass immunization (30% population coverage).
Main Results:
- The estimated cost for the Ontario immunization program was $118 million.
- The program was projected to reduce influenza cases by 50%.
- It was expected to prevent 35 deaths and halve treatment costs.
Conclusions:
- The 2009 pandemic H1N1 immunization program in Ontario is likely to be highly cost-effective.
- Mass immunization offers significant public health benefits and economic advantages.
- The findings contribute valuable data to the ongoing debate on pandemic immunization programs.
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