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Economic evaluation of a combined DTPa, hepatitis B, polio, Hib vaccine

Potential impact of the introduction of Infanrix-Hexa in the French childhood immunisation schedule

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Abstract

A new hexavalent combination vaccine, Infanrix-HEXA, including a recombinant hepatitis B vaccine in addition to the vaccines for diphtheria, tetanus, pertussis, poliomyelitis, and Haemophilus influenzae type B, has recently become available in France. The objectives of this study were to: (1) estimate the break-even price of Infanrix-Hexa for the National Sickness Fund; (2) evaluate its potential impact on vaccine coverage for hepatitis B and the corresponding budget impact. The public price of Infanrix-HEXA associated with a break-even point would be € 53.77. Our analyses suggested that other estimates based on a societal perspective including opportunity and indirect costs remained close to this value. The annual additional reimbursed cost of protecting an infant against the risk of hepatitis B would be € 28.20 per child, or about € 21 million for an annual cohort of 760,000 births (total cost, € 35 million). The number of infants protected against hepatitis B could increase from 230,000 in the current situation to about 600,000.

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Acknowledgement

This study was supported by an unrestricted grant from GSK France.

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Correspondence to Francis Fagnani.

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Fagnani, F., Le Fur, C., Durand, I. et al. Economic evaluation of a combined DTPa, hepatitis B, polio, Hib vaccine. HEPAC 5, 143–149 (2004). https://doi.org/10.1007/s10198-003-0216-z

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  • DOI: https://doi.org/10.1007/s10198-003-0216-z

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