Economic impact of thermostable vaccines

Bruce Lee, Patrick T Wedlock, Leila A. Haidari, Kate Elder, Julien Potet, Rachel Manring, Diana L. Connor, Marie L. Spiker, Kimberly Bonner, Arjun Rangarajan, Delphine Hunyh, Shawn T. Brown

Research output: Contribution to journalArticle

Abstract

Background While our previous work has shown that replacing existing vaccines with thermostable vaccines can relieve bottlenecks in vaccine supply chains and thus increase vaccine availability, the question remains whether this benefit would outweigh the additional cost of thermostable formulations. Methods Using HERMES simulation models of the vaccine supply chains for the Republic of Benin, the state of Bihar (India), and Niger, we simulated replacing different existing vaccines with thermostable formulations and determined the resulting clinical and economic impact. Costs measured included the costs of vaccines, logistics, and disease outcomes averted. Results Replacing a particular vaccine with a thermostable version yielded cost savings in many cases even when charging a price premium (two or three times the current vaccine price). For example, replacing the current pentavalent vaccine with a thermostable version without increasing the vaccine price saved from $366 to $10,945 per 100 members of the vaccine's target population. Doubling the vaccine price still resulted in cost savings that ranged from $300 to $10,706, and tripling the vaccine price resulted in cost savings from $234 to $10,468. As another example, a thermostable rotavirus vaccine (RV) at its current (year) price saved between $131 and $1065. Doubling and tripling the thermostable rotavirus price resulted in cost savings ranging from $102 to $936 and $73 to $808, respectively. Switching to thermostable formulations was highly cost-effective or cost-effective in most scenarios explored. Conclusion Medical cost and productivity savings could outweigh even significant price premiums charged for thermostable formulations of vaccines, providing support for their use.

Original languageEnglish (US)
Pages (from-to)3135-3142
Number of pages8
JournalVaccine
Volume35
Issue number23
DOIs
Publication statusPublished - May 25 2017

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Keywords

  • Economics
  • Supply chains
  • Thermostable vaccines

ASJC Scopus subject areas

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Lee, B., Wedlock, P. T., Haidari, L. A., Elder, K., Potet, J., Manring, R., ... Brown, S. T. (2017). Economic impact of thermostable vaccines. Vaccine, 35(23), 3135-3142. https://doi.org/10.1016/j.vaccine.2017.03.081