Efficacy and cost-effectiveness of influenza vaccination of the elderly in a densely populated and unvaccinated community

被引：68
作者：
Wang, CS
Wang, ST
Chou, P
机构：
[1] Natl Cheng Kung Univ, Inst Publ Hlth, Coll Med, Dept Med, Tainan, Taiwan
[2] Natl Yang Ming Univ, Inst Publ Hlth, Community Med Res Ctr, Taipei 112, Taiwan
来源：
VACCINE | 2002年 / 20卷 / 19-20期
关键词：
influenza vaccination; efficacy; cost-effectiveness;
D O I：
10.1016/S0264-410X(02)00181-0
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
For economic reasons, the few influenza vaccination programs seen in developing countries are aimed at the high-risk elderly. To evaluate its efficacy and cost-effectiveness, we conducted a 2-month influenza vaccination campaign in southern Taiwan's A-Lein township for all the elderly. Significant differences in hospitalization and mortality between the vaccinated and unvaccinated groups were found. Age, sex, and risk group were significant for hospitalization and mortality, but only vaccination was significant for prevention. Savings for each person vaccinated were at least three times the cost of vaccination. We strongly recommend that all the elderly-not only high-risk elderly-receive an annual influenza vaccination. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码：2494 / 2499
页数：6
相关论文
共 25 条
[1]   Outpatient visits for infectious diseases in the united states, 1980 through 1996 [J].
Armstrong, GL ;
Pinner, RW .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (21) :2531-2536
[2]   Financing of vaccines [J].
Barton, JH .
LANCET, 2000, 355 (9211) :1269-1270
[3]   Effectiveness of influenza vaccine in reducing hospital admissions in people with diabetes [J].
Colquhoun, AJ ;
Nicholson, KG ;
Botha, JL ;
Raymond, NT .
EPIDEMIOLOGY AND INFECTION, 1997, 119 (03) :335-341
[4]  
*COMP RES CTR, 1999, STAT REF MAN REL 6
[5]  
Department of Health Human Services, 1996, POLYCYCLIC AROMATIC, P1
[6]   Hepatic decompensation in patients with cirrhosis during infection with influenza A [J].
Duchini, A ;
Viernes, ME ;
Nyberg, LM ;
Hendry, RM ;
Pockros, PJ .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (01) :113-115
[7]   Influenza vaccination in 22 developed countries: an update to 1995 [J].
Fedson, DS ;
Hirota, Y ;
Shin, HK ;
Cambillard, PE ;
Kiely, J ;
Ambrosch, F ;
Hannoun, C ;
Leese, J ;
Sprenger, MJW ;
Hampson, AW ;
BroJorgensen, K ;
Ahlbom, AM ;
Nokleby, H ;
Valle, M ;
Olafsson, O ;
Salmeron, F ;
Cloetta, J ;
deAndrade, HR ;
Snacken, R ;
Donatelli, I ;
Jennings, LC ;
Strikas, RA .
VACCINE, 1997, 15 (14) :1506-1511
[8]   Influenza control - Unfinished business [J].
Glezen, WP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (10) :944-945
[9]   Principles of appropriate antibiotic use for treatment of acute respiratory tract infections in adults: Background, specific aims, and methods [J].
Gonzales, R ;
Bartlett, JC ;
Besser, RE ;
Cooper, RJ ;
Hickner, JM ;
Hoffman, JR ;
Sande, MA .
ANNALS OF INTERNAL MEDICINE, 2001, 134 (06) :479-486
[10]   PARKINSONS-DISEASE AND ITS COMORBID DISORDERS - AN ANALYSIS OF MICHIGAN MORTALITY DATA, 1970 TO 1990 [J].
GORELL, JM ;
JOHNSON, CC ;
RYBICKI, BA .
NEUROLOGY, 1994, 44 (10) :1865-1868
123