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Influenza vaccination should have no border: cost-effectiveness of cross-border subsidy.
Yamin, Dan; Kahana, Dor; Shahmoon, Edan; Fitzpatrick, Meagan C; Galvani, Alison P.
  • Yamin D; Laboratory for Epidemic Modeling and Analysis, Department of Industrial Engineering, Faculty of Engineering, Tel Aviv University, 69978, Tel Aviv, Israel. dan.yamin@gmail.com.
  • Kahana D; Laboratory for Epidemic Modeling and Analysis, Department of Industrial Engineering, Faculty of Engineering, Tel Aviv University, 69978, Tel Aviv, Israel.
  • Shahmoon E; Laboratory for Epidemic Modeling and Analysis, Department of Industrial Engineering, Faculty of Engineering, Tel Aviv University, 69978, Tel Aviv, Israel.
  • Fitzpatrick MC; Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, 21201, Maryland, USA.
  • Galvani AP; Center for Infectious Disease Modeling and Analysis, Yale School of Public Health, Yale University, New Haven, CT, 06510, USA.
BMC Public Health ; 21(1): 1543, 2021 08 12.
Article in English | MEDLINE | ID: covidwho-1351119
ABSTRACT

BACKGROUND:

Influenza is a substantial cause of morbidity and mortality for Israel and the Palestinian territory. Given the extensive interaction between the two populations, vaccination in one population may indirectly benefit the other via reduced transmission. Due to the mobility and extensive contacts, Palestinians employed in Israel could be a prime target for vaccination.

METHODS:

To evaluate the epidemiological and the economic benefits conferred by vaccinating Palestinians employed in Israel, we developed a model of influenza transmission within and between Israel and the West Bank. We parameterized the contact patterns underlying transmission by conducting a survey among Palestinians employed in Israel, and integrating survey results with traffic patterns and socio-demographic data.

RESULTS:

Vaccinating 50% of Palestinian workers is predicted to reduce the annual influenza burden by 28,745 cases (95% CI 15,031-50,717) and 37.7 deaths (95% CI 19·9-65·5) for the Israeli population, and by 32,9900 cases (95% CI 14,379-51,531) and 20.2 deaths (CI 95% 9·8-31·5) for the Palestinian population. Further, we found that as the indirect protection was so substantial, funding such a vaccination campaign would be cost-saving from the Israeli Ministry of Health perspective.

CONCLUSIONS:

Offering influenza vaccination to Palestinians employed in Israel could efficiently reduce morbidity and mortality within both Israel and the Palestinian territory.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Influenza, Human Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: Asia Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11601-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Influenza, Human Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: Asia Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11601-2