Table 2.
Sensitivity analysis for the 1918 scenario, using excess mortality rates derived from historical data from Copenhagen [35].
Mortality per 100,000 population, estimated no. of prevented deaths, and years of life lost prevented per vaccine dose, by age group and relative risk.
Influenza pandemic scenario, age group |
Deaths | Years of life lost | |||
---|---|---|---|---|---|
Rate per 100,000 population |
Prevented per 100,000 vaccine doses, range |
Rate per 10,000 population |
Prevented per 10,000 vaccine doses, range |
Relative riska | |
1918 | |||||
<45 years | 563 | 394–507 | 3209 | 2246–2888 | 28–68 |
45–64 years | 210 | 147–189 | 992 | 694–893 | 8.8–21 |
⩾65 years | 150 | 26–80 | 192 | 33–102 | Reference |
All ages | 434 | 294–383 | 2344 | 1628–2102 | … |
1957 | |||||
<45 years | 6.4 | 4.5–5.8 | 36 | 25–32 | 0.2–0.4 |
45–64 years | 45 | 32–41 | 131 | 92–118 | 0.6–1.6 |
⩾65 years | 315 | 54–167 | 347 | 59–184 | Reference |
All ages | 53 | 17–33 | 96 | 44–70 | … |
1968 | |||||
<45 years | 4.2 | 2.9–3.8 | 23 | 16–21 | 0.2–0.6 |
45–64 years | 41 | 29–37 | 110 | 77–99 | 1.1–2.8 |
⩾65 years | 151 | 26–80 | 167 | 28–89 | Reference |
All ages | 30 | 11–21 | 60 | 32–48 | … |
NOTE. Scenarios are based on the 1918 experience in New York City and the 1957 and 1968 pandemic experience in the United States [11, 23, 25]. Vaccination was assumed to prevent 70%–90% of deaths in persons <65 years old and 17%–53% pf deaths in persons ⩾65 years old [14]. Results for age groups with the highest vaccine benefits are shown in boldface. See also the sensitivity analysis in table 2.
The relative risk was calculated as the ratio of the prevented no. of years of life lost per vaccine dose in younger age groups to that in seniors.