Millions of children would die from preventable diseases without vaccinations, but expanding its access can save $44 for every dollar spent.

‘Immunization coverage must expand and improve for encouraging donors and governments to continue their financial investments in vaccinations.’

When looking only at costs associated with illness, such as treatment costs and productivity losses, the return was $16 for every dollar spent on vaccines. In a separate analysis taking into account the broader economic impact of illness, vaccinations save $44 for every dollar spent. 




The study will appear in the February issue of Health Affairs.
"Vaccines are an excellent investment. But to reap the potential economic rewards, governments and donors must continue their investments in expanding access to vaccines," said lead author Sachiko Ozawa, an assistant scientist in the Department of International Health at the Bloomberg School.
Without vaccination, millions of children would die from preventable illnesses and diseases across the decade. While billions of dollars will be spent to try and vaccinate more children, the goal of full coverage -- that is, getting every child vaccinated -- has not yet been met.
To measure the potential investment returns, researchers used two approaches. The first, known as the "cost-of-illness" approach, measures averted treatment costs, transportation costs, lost caretaker wages and productivity losses. The second, known as the "full-income approach," estimates the broader economic and social benefits of vaccination and quantifies the value that people place on living longer and healthier lives. With both approaches, the costs of immunization programs were separately modeled to include supply chain, service delivery and vaccine costs.
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The study assessed 10 vaccine-preventable infections: Hemophilus influenzae type b, hepatitis B, human papillomavirus, Japanese encephalitis, measles, Neisseria meningitis serogroup A, rotavirus, rubella, Streptococcus pneumoniae and yellow fever.
"Our findings should encourage donors and governments to continue their financial investments in immunization programs. But we must keep in mind that these are estimates that assume immunization coverage continues to expand and improve," Ozawa said.
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