The authors are with the Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA.
Am J Public Health. 2021 Jun;111(6):1049-1054. doi: 10.2105/AJPH.2020.306114. Epub 2021 Apr 15.
In recent years, academics and policymakers have increasingly recognized that the full societal value of vaccination encompasses broad health, economic, and social benefits beyond avoided morbidity and mortality due to infection by the targeted pathogen and limited health care costs. Nevertheless, standard economic evaluations of vaccines continue to focus on a relatively narrow set of health-centric benefits, with consequences for vaccination policies and public investments.The COVID-19 pandemic illustrates in stark terms the multiplicity and magnitude of harms that infectious diseases may inflict on society. COVID-19 has overtaxed health systems, disrupted routine immunization programs, forced school and workplace closures, impeded the operation of international supply chains, suppressed aggregate demand, and exacerbated existing social inequities.The obvious nature of the pandemic's broad effects could conceivably convince more policymakers to identify and account for the full societal impacts of infectious disease when evaluating the potential benefits of vaccination. Such a shift could make a big difference in how we allocate societal resources in the service of population health and in how much we stand to gain from that spending.
近年来,学者和政策制定者越来越认识到,疫苗接种的全部社会效益不仅包括因目标病原体感染而避免的发病率和死亡率以及有限的医疗保健费用所带来的广泛健康、经济和社会效益。然而,疫苗的标准经济评估仍然侧重于相对狭窄的一组以健康为中心的效益,这对疫苗接种政策和公共投资产生了影响。
COVID-19 大流行鲜明地说明了传染病可能给社会带来的多种和巨大的危害。COVID-19 使卫生系统不堪重负,扰乱了常规免疫规划,迫使学校和工作场所关闭,阻碍了国际供应链的运作,抑制了总需求,并加剧了现有的社会不平等。
大流行广泛影响的明显性质可以想象说服更多的政策制定者在评估疫苗接种的潜在效益时,确定并考虑传染病对整个社会的影响。这种转变将对我们如何为人口健康分配社会资源以及我们从这些支出中获得多少收益产生重大影响。