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IJE Advance Access originally published online on March 11, 2005
International Journal of Epidemiology 2005 34(3):575-576; doi:10.1093/ije/dyi009
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

Commentary

Commentary: Pneumococcal immunization may not be cost-effective in the elderly in developed countries

Norman Waugh

Department of Public Health, University of Aberdeen, Medical School Buildings, Foresterhill, Aberdeen AB25 2ZD, Scotland, UK. E-mail: n.r.waugh@abdn.ac.uk

The first 10% of the full text of this article appears below.

Mangtani and colleagues1 have created a model to examine whether pneumococcal immunization in people >64 years in a developed country setting is cost-effective. The key elements in any such programme would be: effectiveness in preventing pneumococcal disease; the frequency of such events; the costs of the immunization programme—vaccine cost and payments to general practices (or others)—the costs avoided from reduction of disease and hence of events such as hospital admissions; and the net balance of costs and benefits. In their model, data on some of these elements are more certain than . . . [Full Text of this Article]


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