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For all the sensitivity analyses it was assumed that the vaccination programme would be launched in 2012-13 (too threeree years after the infant programme).
8 In the infant programme in the United Kingdom, as elsewhere, the seven valent pneumococcal conjugate vaccine has recently been replaced by the 13 valent pneumococcal conjugate vaccine.
Under the infant programme, inclusion of losses of quality of life in the family and network members of those affected by meningococcal disease doubles the threshold vaccine price that would be considered cost effective (table 6).
The results of the scenario analyses (table 5) and the univariate sensitivity analysis (fig 3) show that the predicted herd effects of the infant programme and vaccine efficacy have a large impact on the incremental cost effectiveness ratios.
5 As part of this targeted infant programme, it is agreed that universal vaccination is the most effective way to reach all eligible children in areas of the country with TB incidence ≥40 per 100 000 person-years (pyrs).
Removal of the quality of life adjustment factor from the analyses considerably reduces the estimated QALYs gained through vaccination, with the infant programme not reaching the cost effective threshold at any vaccine price with 3.5% discounting.
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In 1984, Fleming, working closely with the trust, set up the Avon infant mortality programme.
But the fact is that, in this far from ideal world, Britain is still the first nation to include the Bexsero vaccination in its infant health programme for free.
Firstly, a postal questionnaire was distributed to those who had accessed the infant massage programme and to a 'non-intervention' group (94 and 60 were returned from each group, respectively).
The main outcome of the GHIS study is only expected to occur 40 years following the start of the infant vaccination programme, which is dependent on the ability to trace patients with hepatocellular carcinoma in the GHIS database to ascertain their vaccination status (GHIS).
In November 2011, Malawi introduced PCV13 in the national infant immunisation programme.
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