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. 2019 Apr 18;2:100024. doi: 10.1016/j.jvacx.2019.100024

Table 2.

Model parameters for base case scenario and ranges used in uncertainty and sensitivity analyses.

Model input Values Range Reference
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]