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. Author manuscript; available in PMC: 2010 Nov 23.
Published in final edited form as: Vaccine. 2009 Sep 26;27(50):7110–7115. doi: 10.1016/j.vaccine.2009.09.056

TABLE 3.

Incremental Cost and Incremental Effectiveness of Delaying Influenza Vaccination (versus Vaccinating in October)

Societal Perspective Third Party Payor Perspective
Vaccinate in*... Incremental Cost ($US)
Incremental Effectiveness (QALYs)
Incremental Cost ($US)
Incremental Effectiveness (QALYs)
October Vaccination Does not Decrease Influenza Attack Rate
November $ 0.40 to $ 0.49 −0.000036 to −0.000090 $ 0.33 to $ 0.50 −0.000032 to −0.000110
December $ 1.07 to $ 1.26 −0.000105 to −0.000192 $ 1.00 to $ 1.24 −0.000075 to −0.000173
January $ 2.87 to $ 3.74 −0.000248 to −0.000413 $ 2.79 to $ 3.23 −0.000254 to −0.000439
February $ 4.62 to $ 5.72 −0.000402 to −0.000673 $ 4.59 to $ 5.13 −0.000384 to −0.000750
March $ 7.81 to $ 9.37 −0.000692 to −0.001160 $ 7.91 to $ 8.83 −0.000732 to −0.001215
October Vaccination Decreases Influenza Attack Rate by 1%
November $ 0.61 to $ 0.66 −0.00005 to −0.000063 $ 0.58 to $ 0.63 −0.000047 to −0.000051
December $ 1.26 to $ 1.33 −0.00011 to −0.00014 $ 1.20 to $ 1.30 −0.00011 to −0.00017
January $ 3.10 to $ 3.45 −0.00030 to −0.00044 $ 3.07 to $ 3.40 −0.00031 to −0.00050
February $ 4.91 to $ 5.41 −0.00049 to −0.00071 $ 4.96 to $ 5.25 −0.00051 to −0.00080
March $ 8.15 to $ 9.20 −0.00079 to −0.0013 $ 8.47 to $ 8.84 −0.00078 to −0.0014
October Vaccination Decreases Influenza Attack Rate by 5%
November $ 1.53 to $ 1.69 −0.000075 to −0.000080 $ 1.09 to $ 1.56 −0.000028 to −0.00010
December $ 2.17 to $ 2.40 −0.00015 to −0.00021 $ 1.52 to $ 2.22 −0.000072 to −0.00024
January $ 4.04 to $ 4.68 −0.00038 to −0.00047 $ 2.29 to $ 4.18 −0.00013 to −0.00058
February $ 5.62 to $ 6.54 −0.00054 to −0.00067 $ 4.64 to $ 5.80 −0.00039 to −0.00086
March $ 9.13 to $ 10.33 −0.00090 to −0.0013 $ 6.40 to $ 9.05 −0.00057 to −0.0014
October Vaccination Decreases Influenza Attack Rate by 10%
November $ 2.95 to $ 3.10 −0.00011 to −0.00012 $ 2.46 to $ 2.78 −0.000091 to −0.00011
December $ 3.62 to $ 3.89 −0.00018 to −0.00022 $ 3.06 to $ 3.55 −0.00016 to −0.00018
January $ 5.48 to $ 5.99 −0.00043 to −0.00056 $ 4.80 to $ 5.84 −0.00032 to −0.00050
February $ 7.25 to $ 7.97 −0.00063 to −0.00081 $ 6.51 to $ 7.73 −0.00048 to −0.00080
March $ 10.65 to $ 11.70 −0.00090 to −0.0013 $ 9.77 to $ 11.57 −0.00082 to −0.0013
October Vaccination Decreases Influenza Attack Rate by 25%
November $ 6.63 to $ 7.10 −0.00017 to −0.00026 $ 5.91 to $ 6.36 −0.00018 to −0.00025
December $ 7.33 to $ 7.87 −0.00023 to −0.00036 $ 6.60 to $ 7.12 −0.00022 to −0.00039
January $ 9.28 to $ 10.19 −0.00044 to −0.00064 $ 8.43 to $ 9.34 −0.00039 to −0.00063
February $ 10.90 to $ 12.13 −0.00061 to −0.00085 $ 10.05 to $ 11.15 −0.00056 to −0.00093
March $ 14.17 to $ 15.81 −0.00091 to −0.0013 $ 13.48 to $ 14.93 −0.00088 to −0.0015
*

Compared to vaccinating in October.