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. Author manuscript; available in PMC: 2013 May 1.
Published in final edited form as: Influenza Other Respir Viruses. 2011 Sep 21;6(3):167–175. doi: 10.1111/j.1750-2659.2011.00288.x

Table 3.

Cost, Effectiveness, and Incremental cost-effectiveness ratio (ICER) of Switching from Annual to Universal Vaccine when Universal Vaccine Provides 10 years of Protection (50% Symptomatic Influenza Rate)

Annual Vaccine Compliance Vaccination Strategy Cost Effectiveness ICER
Vaccine Cost $100 Vaccine Efficacy 75% 100% Universal 1,287 – 2,021 25.53 – 28.29 Universal Dominates
Annual 1,685 – 2,385 25.52 – 28.29
75% Universal 1,286 – 2,021 25.52 – 28.29 Universal Dominates
Annual 1,648 – 2,353 25.52 – 28.29
50% Universal 1,286 – 2,019 25.53 – 28.29 Universal Dominates
Annual 1,613 – 2,319 25.52 – 28.29
25% Universal 1,286 – 2,022 25.53 – 28.29 Universal Dominates
Annual 1,581 – 2,283 25.52 – 28.29

Vaccine Efficacy 50% 100% Universal 1,483 – 2,197 25.53 – 28.29 Universal Dominates
Annual 1,685 – 2,386 25.52 – 28.29
75% Universal 1,485 – 2,201 25.53 – 28.29 Universal Dominates
Annual 1,649 – 2,351 25.53 – 28.29
50% Universal 1,482 – 2,200 25.52 – 28.29 Universal Dominates
Annual 1,615 – 2,316 25.52 – 28.29
25% Universal 1,484 – 2,200 25.52 – 28.29 Universal Dominates
Annual 1,579 – 2,282 25.52 – 28.29

Vaccine Cost $200 Vaccine Efficacy 75% 100% Universal 1,630 – 2,347 25.53 – 28.29 9,180 – 45,456
Annual 1,683 – 2,386 25.53 – 28.29
75% Universal 1,649 – 2,348 25.52 – 28.29 1,285 – 31,956
Annual 1,629 – 2,354 25.53 – 28.29
50% Universal 1,615 – 2,348 25.52 – 28.29 4,222 – 4,755
Annual 1,616 – 2,378 25.52 – 28.29
25% Universal 1,629 – 2,346 25.53 – 28.30 5,194 – 5,970
Annual 1,580 – 2,285 25.52 – 28.29

Vaccine Efficacy 50% 100% Universal 1,829 – 2,526 25.53 – 28.29 Annual Dominates
Annual 1,684 – 2,384 25.53 – 28.29
75% Universal 1,827 – 2,530 25.52 – 28.29 Annual Dominates
Annual 1,651 – 2,350 25.52 – 28.29
50% Universal 1,827 – 2,527 25.52 – 28.29 69,797 – 380,364
Annual 1,613 – 2,322 25.52 – 28.29
25% Universal 1,827 – 2,527 25.53 – 28.29 59,443 – 74,421
Annual 1,580 – 2,286 25.52 – 28.28

Note: Bold ICER values are cost-effective.