Burden |
Population estimates |
Varies by country |
– |
[17] |
Diarrheal mortality for children under 5 years of age |
Varies by country |
±10%; Triangular |
[1], [22], [25]
|
Change in non-rotavirus under-5 diarrheal mortality rate |
Varies by country; mean = 12.8% decline |
±25%; Triangular |
[23] |
Diarrheal episodes in children under 5 years of age |
Varies by region; 2.2–3.3 episodes/child annually |
– |
[6], [56]
|
Etiological fraction attributed to ETEC by WHO region |
Varies by WHO region; 0.075–0.123 |
±25%; Triangular |
[20], [24]
|
Etiological fraction attributed to Shigella by WHO region |
Varies by WHO region; 0.002–0.238 |
±25%; Triangular |
[20], [24]
|
Stunting induced by ETEC episodes |
0.068 shift in HAZ |
±50%; Triangular |
[3], [6]
|
Stunting induced by Shigella episodes |
0.082 shift in HAZ |
±50%; Triangular |
[3], [6]
|
Fraction of diarrhoeal episodes that are moderate to severe |
22% of children who sought care at a healthcare facility |
0.12–0.32; Triangular |
[3], [6]
|
Percentage of caretakers that sought care at a health facility after a child’s diarrheal episode |
47% |
44–58%, Not varied in uncertainty analysis |
[24] |
|
Vaccination and Medical Costs |
ETEC vaccine efficacy |
60% |
±20%; Triangular |
Assumption |
Shigella vaccine efficacy |
60% |
±20%; Triangular |
Assumption |
Dose price |
$3.30 |
$2.50–$7.00; Triangular |
Assumption |
Administration cost |
LI = $1.93, LMI = $1.64 |
±40%; Triangular |
[48] |
Cost of ETEC or Shigella illness |
Varies by country; outpatient mean = $6.09/episode; inpatient mean = $51.07/episode |
±40%; Triangular |
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47]
|
Inpatient visit rate |
12.5% of outpatient visits |
±50%; Triangular |
[30] |
Outpatient visit rate (cases taken to healthcare facility) |
Varies by country; Mean of 47% ETEC or Shigella cases sought treatment annually |
44–58%, Not varied in uncertainty analysis |
[24] |