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Volume 5, Number 3—June 1999
Perspective

The Cost Effectiveness of Vaccinating against Lyme Disease

Martin I. MeltzerComments to Author , David T. Dennis, and Kathleen A. Orloski
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 3

Sensitivity analyses: Cost or savings per case averted (5th, 95th percentiles) by altering assumed vaccine effectiveness and the cost of treating Lyme disease sequelaea

Base treatment costsb x 0.5
Base treatment costsc Base treatment costsb x 1.5
Probability of Lyme disease Vaccine effectivenessd
Vaccine effectivenessd
0.75 0.95 0.85 0.75 0.95
0.005 23,018 17,404 16,231 15,720 10,105
(23,527; 22,556) (17,947; 16,927) (17,283; 15,261) (17,249;14,286) (11,641;8,703)
0.01 9,684 6,877 4,467 2,386 Net savingse
(10,178; 9197) (7,372; 6,412) (5,531; 3,487) (3,846; 958) (1,220; savee)
0.03 795 Net savingse Net savingse Net savingse Net savingse
(1,303; 330) (385; savee) (save; savee) (save; savee) (save; savee)

aThese results were generated by setting the probability of detecting and successfully treating early Lyme disease at 0.80 and the cost of vaccination at $100 per year.
bBase treatment costs are given in Table 2. The data presented in this table were generated by multiplying the costs in Table 2 by either 0.5 (i.e., reducing costs by half) or by 1.5 (i.e. increasing costs by half).
cFor comparison, the results using the base costs (Table 2) are presented here, assuming a vaccine effectiveness of 0.85. Figure 2 presents the complete set of results using the base costs.
dThe initial assumed level of vaccine effectiveness was 0.85 (Figure 2).
eNet savings are generated when a person is vaccinated against Lyme disease and the costs saved by not having to treat a case of Lyme disease are higher than the costs of vaccination plus the costs of having to treat a case of Lyme disease that occurs after vaccination. The net savings range from $140 (probability of Lyme disease = 0.03, vaccine effectiveness = 0.95, cost of treating Lyme disease sequelae = 0.5 x base costs) to $7,438 (probability of Lyme disease = 0.03, vaccine effectiveness = 0.95, cost of treating Lyme disease sequelae =1.5 x base costs). Note also that in some instances where mean net savings are calculated, the 5th percentiles are net costs.

Main Article

Page created: December 10, 2010
Page updated: December 10, 2010
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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