A Call for a Reform of the Influenza Immunization Program in Mexico: Epidemiologic and Economic Evidence for Decision Making
Por:
Tapia-Conyer, Roberto, Betancourt-Cravioto, Miguel, Montoya, Alejandra, Falcon-Lezama, Jorge Abelardo, Alfaro-Cortes, Myrna Maria, Saucedo-Martinez, Rodrigo
Publicada:
1 mar 2021
Resumen:
Limited information is available to determine the effectiveness of
Mexico's national influenza vaccination guidelines and inform policy
updates. We aim to propose reforms to current influenza vaccination
policies based on our analysis of cost-effectiveness studies. This
cross-sectional epidemiological study used influenza case, death,
discharge and hospitalization data from several influenza seasons and
applied a one-year decision-analytic model to assess cost-effectiveness.
The primary health outcome was influenza cases avoided; secondary health
outcomes were influenza-related events associated with case reduction.
By increasing vaccination coverage to 75% in the population aged 12-49
years with risk factors (diabetes, high blood pressure, morbid obesity,
chronic renal failure, asthma, pregnancy), and expanding universal
vaccination coverage to school-aged children (5-11 years) and adults
aged 50-59 years, 7142-671,461 influenza cases; 1-15 deaths;
7615-262,812 healthcare visits; 2886-154,143 emergency room admissions
and 2891-97,637 hospitalizations could be prevented (ranges correspond
to separate age and risk factor groups), with a net annual savings of
3.90 to 111.99 million USD. Such changes to the current vaccination
policy could potentially result in significant economic and health
benefits. These data could be used to inform the revision of a
vaccination policy in Mexico with substantial social value.
Filiaciones:
Tapia-Conyer, Roberto:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
Univ Nacl Autonoma Mexico, Sch Med, Mexico City 04510, DF, Mexico
Betancourt-Cravioto, Miguel:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
Montoya, Alejandra:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
Falcon-Lezama, Jorge Abelardo:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
Alfaro-Cortes, Myrna Maria:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
Saucedo-Martinez, Rodrigo:
Soc Mexicana Salud Publ, Vaccinol Sect, Mexico City 11590, DF, Mexico
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