Table 1. Parameters used in the base case analysis for pneumococcal vaccination in Kenyan infants born in 2010 *BCV- Base case value.
Parameter | Base case | Reference | Statistical distribution | Source |
IPD incidence (per 105 child-years) | ||||
Meningitis | ||||
0–11 months | 48.3 | Kilifi HDSS | Poisson (48.3) | Kilifi HDSS |
12–23 months | 22.4 | Poisson (22.4) | ||
24–59 months | 5.0 | Poisson (5) | ||
Sepsis | ||||
0–11 months | 27.4 | Kilifi HDSS | Poisson (27.4) | Kilifi HDSS |
12–23 months | 27.2 | Poisson (27.2) | ||
24–59 months | 13.4 | Poisson (13.4) | ||
Bacteraemic pneumonia | ||||
0–11 months | 74.0 | Kilifi HDSS | Poisson(74) | Kilifi HDSS |
12–23 months | 41.6 | Poisson(41.6) | ||
24–59 months | 17.8 | Poisson(17.8) | ||
Non-bacteraemic pneumonia | ||||
0–11 months | 972.9 | Extrapolation fromCutts [4] | NA | Extrapolation from Cutts et al |
12–23 months | 592.9 | NA | ||
24–59 months | 235.4 | NA | ||
Vaccination | ||||
PCV9 efficacy against serotype specific disease | ||||
Meningitis | 92% | Cutts [4] | Beta(92,8) | Cutts et al |
Sepsis | 92% | Beta(92,8) | ||
Bacteraemic pneumonia | 77% | Beta(77,23) | ||
Non-bacteraemic pneumonia | 77% | Extrapolated fromCutts [4] | Beta(77,23) | Extrapolation from Cutts et al |
Access to healthcare | ||||
Outpatient care | 37% | Kallander [23] | Beta (16,28) | Kallander et al |
Inpatient hospital care | 40% | Beta(18,26) | ||
Health outcomes | ||||
Major post discharge meningitis sequelae | 25% | Edmond [27] | Beta (25,75) | Edmond et al |
Case fatality with hospital care | ||||
IPD (sepsis, bacteraemic pneumonia) | 28.2% | Berkley, [41] expert opinion | Beta (28,72) | Berkley et al, expert opinion |
Non-bacteraemic pneumonia | 5.7% | Berkley, [41] expert opinion | Beta (6,94) | Berkley et al, expert opinion |
Case fatality without hospital care | ||||
Meningitis | 97% | Expert opinion | Beta (97,3) | Expert opinion |
Sepsis and bacteraemic pneumonia | 50% | Beta (4,4) | ||
Non-bacteraemic pneumonia | 12% | Beta (12,88) | ||
Inpatient treatment costs | ||||
Meningitis | $357.74 | Ayieko [28] | Gamma (4,19) | Ayieko et al |
Sepsis or pneumonia | $74.64 | Gamma (1,314) | ||
Outpatient treatment cost | ||||
Childhood fever | $2.74 | Larson [29] | NA | Larson et al |
Discounting | ||||
Costs = 0%; effects = 0% | NA | Assumption | NA | |
Costs = 3%; effects = 3% | NA | Assumption | NA |
NA- Not applicable.