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. 2023 Jul 10;8(7):e011526. doi: 10.1136/bmjgh-2022-011526

Table 1. Discounted measles vaccination costs, cases, treatment costs, net costs, DALYS averted and cost per DALY averted in 2018 US$ over 2018–2047, 93 LMICs.

Discounted measles vaccination costs, treatment costs, net costs and DALYs averted
Scenario Discounted*vaccination costs(millions) Cases (millions) Measles treatment costs(millions) DALYs(millions) Total costs(millions)
Base Case US$10 459 490.4 US$10 014 783 US$20 473
Continuing Trends US$11 918 213.8 US$6158 332 US$18 076
Constant Improvement US$13 857 158.0 US$4724 230 US$18 580
Intensified Investment US$14 794 111.5 US$3537 158 US$18 332
Cost per DALY averted
Scenario Comparator Net costs (millions) DALYs averted(millions) Cost per DALY averted Percentage of countries meeting Ochalek threshold
Continuing Trends Base Case −US$2397 451 Dominant 89
Constant Improvement Continuing Trends US$505 102 US$4.94 76
Intensified Investment Continuing Trends US$256 174 US$1.47 70
Intensified Investment Constant Improvement −US$249 72 Dominant 80
*

The costs were discounted with a discount rate of 3%. Note: The cost-effectiveness threshold for the 92 LMICs, were estimated based on cost per DALYs averted that reflect health opportunity costs on mortality of changes in health expenditures.13

DALYs, disability-adjusted life years ; LMICs, low-income and middle-income countries.