Health and Economic Impact of Routine Pediatric Pneumococcal Immunization Programs in Canada: A Retrospective

Michele R Wilson1, Matthew D Wasserman2, Marie-Claude Breton3

  • 1RTI Health Solutions, Research Triangle Park, NC, USA.

Insights

Pneumococcal conjugate vaccine (PCV) programs in Canada saved over 6,600 lives and averted millions of disease cases between 2005-2015. These vaccination programs provided significant health benefits and economic value, saving CAD $1.76 billion.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Economics

Background:

  • Pneumococcal conjugate vaccines (PCV) have been implemented in Canada.
  • Estimating the comprehensive impact of PCV programs is crucial for public health policy.

Purpose of the Study:

  • To model the historical health and economic impact of Canadian PCV programs from 2005 to 2015.
  • To quantify the total societal benefit of PCV implementation.

Main Methods:

  • Developed a model to estimate disease cases averted by PCV.
  • Compared observed incidence (2005-2015) with a hypothetical scenario of no PCV use.
  • Utilized epidemiologic data for invasive pneumococcal disease (IPD), pneumonia, and acute otitis media (AOM).

Main Results:

  • PCV programs averted 14,990 IPD cases, 735,700 pneumonia episodes, and 3,697,993 AOM episodes.
  • An estimated 6,631 lives were saved.
  • Total cost savings reached CAD $1.76 billion over 11 years, with vaccination costs offset by reduced medical expenditures.

Conclusions:

  • Canadian PCV programs demonstrate substantial health benefits and excellent value for money.
  • Net savings can fund other critical health care initiatives.
  • The total value of vaccination programs, beyond acquisition costs, should guide policy decisions.
Abstract

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