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A Framework for Assessing the Impact of Outbreak Response Immunization Programs.

Dominic Delport1,2, Ben Sanderson1, Rachel Sacks-Davis1,2,3

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Summary
This summary is machine-generated.

This study presents a framework to evaluate the impact of outbreak response immunization (ORI) using mathematical models. It ensures analyses are fit-for-purpose, utilizing available data and stakeholder input for effective vaccine-preventable disease control.

Keywords:
Ebolaeconomicfull value of vaccine assessmentimpactinfectious diseasesmeaslesmodellingoutbreak response immunizationvaccine preventable diseasesvalue

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Area of Science:

  • Epidemiology and Public Health
  • Mathematical Modeling
  • Health Economics

Background:

  • Estimating the impact of outbreak response immunization (ORI) requires comparing real-world outcomes to hypothetical scenarios without intervention.
  • Selecting appropriate metrics for ORI impact assessment is crucial and depends on stakeholder needs and data availability.

Purpose of the Study:

  • To develop a systematic framework for utilizing mathematical models to assess the impact of ORI for vaccine-preventable diseases.
  • To ensure ORI impact assessments are fit-for-purpose, data-driven, and stakeholder-aligned.

Main Methods:

  • Framework development involved stakeholder interviews, literature reviews, and mapping ORI investments to model parameters.
  • Defined scenarios based on response scale, speed, and vaccine targeting.
  • Established a four-phase process: problem framing, model selection, implementation, and interpretation/communication.

Main Results:

  • Identified key impact metrics: health outcomes, economic impacts, and severe outbreak risk.
  • Demonstrated framework application using measles (Papua New Guinea) and Ebola (Democratic Republic of Congo) outbreak data.
  • Highlighted the importance of stakeholder engagement for relevant and actionable model outputs.

Conclusions:

  • The developed framework provides a systematic approach to evaluating ORI impact.
  • It ensures ORI analyses are tailored to specific needs, leverage available data, and employ appropriate modeling techniques.
  • Facilitates better decision-making in public health interventions for vaccine-preventable diseases.