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维和行动中引入甲型肝炎疫苗的经济学评估。以南斯拉夫境内的联合国保护部队为例。

An economic evaluation of the introduction of vaccination against hepatitis A in a peacekeeping operation. The case of the United Nations Protection Force in Yugoslavia.

作者信息

Jefferson T, Demicheli V, Wright D

机构信息

British Army of the Rhine.

出版信息

Int J Technol Assess Health Care. 1994 Summer;10(3):490-7. doi: 10.1017/s026646230000670x.

DOI:10.1017/s026646230000670x
PMID:8071009
Abstract

The costs and benefits of vaccinating troops on United Nations tours in Yugoslavia against hepatitis A were compared. The marginal cost of one case of hepatitis A avoided by vaccination was calculated and compared with the marginal cost of achieving the same outcome by passive immunization. The cost-benefit ratio (medium estimate) for troops at low risk of contracting hepatitis A was 0.01 and for those at high risk was 0.03. Vaccinating troops against hepatitis A for a single deployment appears to be an inefficient procedure, especially in troops at low risk. However, in professional troops from countries of low hepatitis A endemicity who are likely to be involved in several operational deployments, vaccination becomes more efficient the more times the same troops are deployed.

摘要

对在南斯拉夫执行联合国任务的部队接种甲型肝炎疫苗的成本和收益进行了比较。计算了通过接种疫苗避免一例甲型肝炎的边际成本,并与通过被动免疫达到相同效果的边际成本进行了比较。甲型肝炎感染风险低的部队的成本效益比(中等估计)为0.01,高风险部队为0.03。为单次部署的部队接种甲型肝炎疫苗似乎是一种低效的做法,尤其是在低风险部队中。然而,对于来自甲型肝炎低流行国家、可能参与多次行动部署的专业部队来说,同一部队部署的次数越多,接种疫苗就越有效。

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