Table 1.
Base Case Input Parameters for a Model Assessing the Clinical Impact and Cost-effectiveness of Measles-Mumps-Rubella (MMR) Vaccination During Pretravel Health Encounter (PHE)
| Variable | Base Case | No. (Range) | |
|---|---|---|---|
| Demographics [12] | |||
| Median age, years (IQR) | 30 | (22–41) | |
| Female (%) | 56 | ||
| Baseline MMR vaccination status [6, 12] | |||
| 2 MMR vaccinations (%)a | 84 | ||
| 1 MMR vaccination (%) | 9 | ||
| 0 MMR vaccinations (%) | 7 | (0–90) | |
| Risk of measles exposure during travel; see Supplementary Material (exposures per 10M travelers) [15] | |||
| All international travel | 237 | (10-10000) | |
| By continent | |||
| Travel to North America | 19 | ||
| Travel to Europe | 434 | ||
| Travel to Africa | 681 | ||
| Travel to Asia | 975 | ||
| Risk of measles exposure during travel; see Supplementary Material (exposures per 10M travelers) [15] | |||
| By hot spot | |||
| Travel to the Philippines, 2014 | 1940 | ||
| Travel to India, 2011 | 2490 | ||
| Travel to Poland, 2013 | 3340 | ||
| Travel to Pakistan, 2013 | 6750 | ||
| Number of MMR vaccinations at baseline | |||
| 2 | 1 | 0 | |
| Measles infection, if exposed (%) [1, 7] | 3 (0–10) | 7 (3–90) | 90 (0–90) |
| US-acquired cases, if infected (n) [3, 7] | 0 (0–20) | 4 (0–382) | 4 (0–382) |
| Contacts, if infected (n) [4] | 200 (0–2000) | 1500 (0–12000) | 1500 (0–12000) |
| Costs of PHE ($) [16, 17]b, c | |||
| First visit | 7 (5–300) | 95 (5–300) | 95 (5–300) |
| Second visit | — | — | 90 (5–300) |
| Costs (US$) | |||
| Per imported measles case [7, 18–20]c | 13200 | (11600–46800) | |
| Per US-acquired measles case [7, 18–20]c | 4800 | (2500–14100) | |
| Per contact [4, 21],c | 550 | (370–850) | |
Abbreviations: IQR, interquartile range; MMR, measles-mumps-rubella; PHE, pretravel health encounter
aOr alternate evidence of immunity.
bProrated for percentage of visit dedicated to measles, and includes cost of MMR vaccination and administration when given, as well as time lost from work.
cCosts include time lost from work.