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The model also simulated results assuming lower vaccine coverage.
The societal perspective would only indicate that if a lower vaccine coverage rate was achieved with a 3-dose program, the societal cost could increase.
Nevertheless, this proportion may be reduced to 64% in scenarios assuming a lower vaccine coverage among girls (50%), and even further if a lower coverage rate occurred in conjunction with a waning effect (32 year long duration of protection).
For example: "In Brazil there is high vaccine coverage and high participation of women in the job market than next door to Bolivia with bit lower vaccine coverage and probably much lower participation in the job market.
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The views of active refusers on safety and efficacy may be difficult to change, lowering vaccine coverage.
13 We ran scenarios assuming no herd effects, higher and lower vaccine strain coverage, lower disease incidence, with and without litigation costs and family and network losses of quality of life, and excluding the quality of life adjustment factor.
Larger offices (>5000 patients) and those located in rural areas had lower influenza vaccine coverage (P < 0.05).
A recent study of 14-year-old Belgian adolescents reported lower general vaccine coverage rates for children of single, divorced parents and larger families (⩾4 children) (Vandermeulen et al, 2008).
With lower vaccination coverage in children, the decline in indirect vaccine effects occurs at lower values of R.
Never CAM users had significantly lower vaccination coverage levels for influenza, pneumococcal, and hepatitis B vaccines compared to recent and past CAM users.
However, adolescents and adults have lower B. pertussis vaccine coverage and waning immunity against B. pertussis.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com