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Table 1 Steady state summary results from simulations comparing routine vaccination of 12-year-olds to no routine vaccination, under base case assumptions and for sensitivity analyses on coverage rates, low vaccine efficacy (doubling waning of vaccine effectiveness) and halving herd immunity

From: Invasive meningococcal disease epidemiology and control measures: a framework for evaluation

 

No Vaccination

Base case (71% coverage)

90% coverage

50% coverage

Low Vaccine efficacy

Low Herd Immunity

Total Cases

2,806.7

1,716.9

1,500.6

1,969.2

2,121.6

2,056.2

   Secondary Cases

45.5

15.5

14.1

18.0

19.0

20.4

   Serogroup A

8.7

2.3

1.76

2.4

4.4

3.31

   Serogroup B

839.6

843.4

836.9

837.4

823.5

843.2

   Serogroup C

748.5

281.7

194.8

387.1

461.1

437.1

   Serogroup Y

773.7

305.9

212.5

420.3

492.9

445.4

   Serogroup W-135

247.9

90.5

62.5

129.3

152.6

137.5

   Other Serogroups

188.3

193.11

192.1

192.7

187.2

189.6

Fatal Cases

375.0

186.4

147.7

233.8

268.1

250.1

Cases with Disability

471.4

281.6

243.39

325.9

355.4

340.8

Life Years Lost

14,151.1

7,616.0

6,352.7

9,143.0

10,112.8

9,640.9

QALYs Lost

16,852.1

9,626.2

8,234.8

11,287.5

12,281.4

11,834.9

Total Outbreaks

9.1

2.4

2.2

2.8

2.8

2.9

   Outbreak Cases

91.2

24.9

23.7

26.4

27.3

27.0

   Community Outbreaks

2.9

0.7

0.7

0.7

0.8

0.8

   Serogroup B

2.2

2.2

2.2

2.2

2.2

2.2

   Serogroup C

5.8

0.2

<0.1

0.57

0.57

0.64

   Serogroup Y

1.1

<0.1

0.0

<0.1

<0.1

0.1

   Other Serogroups

0.0

0.0

0.0

0.0

0.0

0.0

Number Vaccinated

119,171

2,866,522

3,634,838

2,020,350

2,867,463

2,867,233

   During Outbreak

119,171

137

37

594

1,078

848

Cases Averted due to Routine Vaccination

 

-1,090

-1,306

-837

-685

-743

Death Averted due to Routine Vaccination

 

-189

-227

-141

-107

-123

Number Needed to Vaccinate to Avoid One Case

 

2,521

2,692

2,271

4,012

3,699

Number Needed to Vaccinate to Avoid One Death

 

14,536

15,488

13,484

25,685

22,342