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New Vaccine Development: Establishing Priorities: Volume II, Diseases of Importance in Developing Countries (1986)
Board on Population Health and Public Health Practice (BPH)

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. "9. Findings, Conclusions, and Recommendations." New Vaccine Development: Establishing Priorities: Volume II, Diseases of Importance in Developing Countries. Washington, DC: The National Academies Press, 1986.

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New Vaccine Development: Establishing Priorities, Volume II, Diseases of Importance in Developing Countries

TABLE 9.2 Benefits and Affordability of Various Vaccine Candidates

Vaccine

Annualized Present Value of Potential Health Benefits (IME units)

Vaccine

Annualized Present Value of Potential Expenditures ($ millions)

S. pneumoniae

1,363,943

Rabies (live vector virus)

15.5

Rotavirus (HPBRV)

521,852

V. cholera (attenuated live)

23.8

Malaria (monovalent)

475,205

V. cholera (inactivated)

43.6

Rotavirus (LPBRV)

450,795

E. coli (attenuated live)

69.2

Rotavirus (RMRV)

450,795

Shigella

91.6

S. typhi (Ty21a)

431,471

Yellow fever

93.0

Malaria (multivalent)

426,640

Rabies (glycoprotein)

138.7

Shigella

222,096

Rabies (Vero cell derived)

146.8

Hepatitis B

213,192

S. typhi (aa-strain)

152.2

H. influenzae b

210,943

Dengue

241.8

S. typhi (aa-strain)

194,745

M. leprae

270.6

Streptococcus group A

180,513

S. typhi (Ty21a)

358.0

E. coli (attenuated live)

145,260

H. influenzae b

526.6

E. coli (purified antigens)

126,454

Streptococcus group A

554.2

V. cholera (attenuated live)

94,986

Japanese encephalitis

614.0

M. leprae

88,481

Rotavirus (LPBVR)

655.4

V. cholera (inactivated)

65,548

Rotavirus (RMRV)

655.9

RSV (attenuated live virus)

59,559

N. meningitidis

708.1

RSV (glycoprotein)

52,412

E. coli (purified antigens)

722.3

Parainfluenza viruses

43,692

Rotavirus (HPBRV)

852.7

Rabies (Vero cell derived)

41,910

Malaria (multivalent)

856.8

Rabies (glycoprotein)

37,983

Malaria (monovalent)

967.3

Hepatitis A (attenuated live virus)

15,112

RSV (attenuated live)

982.8

Hepatitis A (polypeptide)

14,392

Hepatitis A (attenuated live)

1,058.0

N. meningitidis

13,754

Streptococcus pneumoniae

1,310.3

Yellow fever virus

11,127

Parainfluenza

1,697.1

Dengue virus

9,558

RSV (glycoprotein)

1,964.4

Rabies (live vector virus)

8,260

Hepatitis A (polypeptide)

4,029.0

Japanese encephalitis virus

3,232

Hepatitis B

8,859.3

Health benefits are expressed in units equivalent in undesirability to the death of an infant (IMEs) and are calculated using the median of IME perspectives from responding health professionals in developing countries.

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127
Front Matter (R1-R16)
1. Summary (1-18)
2. Priority Setting for Health-Related Investments: A Review of Methods (19-29)
3. Overview of the Analytic Approach (30-43)
4. Comparison of Disease Burdens (44-62)
5. Predictions of Vaccine Development (63-75)
6. Assessing the Likely Utilization of New Vaccines (76-81)
7. Calculation and Comparison of the Health Benefits and Differential Costs Associated with Candidate Vaccines (82-105)
8. Additional Issues in the Selection of Priorities for Accelerated Vaccine Development (106-120)
9. Findings, Conclusions, and Recommendations (121-142)
Appendix A: Selection of Vaccine Candidates for Accelerated Development (143-148)
Appendix B: The Burden of Disease Resulting from Acute Respiratory Illness (149-158)
Appendix C: The Burden of Disease Resulting from Diarrhea (159-169)
Appendix D-1: The Prospects for Immunizing Against Dengue Virus (170-177)
Appendix D-2: The Prospects for Immunizing Against Escherichia coli (178-185)
Appendix D-3: The Prospects for Immunizing Against Hemophilus influenzae Type b (186-196)
Appendix D-4: The Prospects for Immunizing Against Hepatitis A Virus (197-207)
Appendix D-5: The Prospects for Immunizing Against Hepatitis B Virus (208-222)
Appendix D-6: The Prospects for Immunizing Against Japanese Encephalitis Virus (223-240)
Appendix D-7: The Prospects for Immunizing Against Mycobacterium leprae (241-250)
Appendix D-8: The Prospects for Immunizing Against Neisseria meningitidis (251-266)
Appendix D-9: The Prospects for Immunizing Against Parainfluenza Viruses (267-274)
Appendix D-10: The Prospects for Immunizing Against Plasmodium spp. (275-286)
Appendix D-11: The Prospects for Immunizing Against Rabies Virus (287-298)
Appendix D-12: The Prospects for Immunizing Against Respiratory Syncytial Virus (299-307)
Appendix D-13: The Prospects for Immunizing Against Rotavirus (308-318)
Appendix D-14: The Prospects for Immunizing Against Salmonella typhi (319-328)
Appendix D-15: The Prospects for Immunizing Against Shigella spp. (329-337)
Appendix D-16: The Prospects for Immunizing Against Streptococcus Group A (338-356)
Appendix D-17: The Prospects for Immunizing Against Streptococcus pneumoniae (357-375)
Appendix D-18: The Prospects for Immunizing Against Vibrio cholerae (376-389)
Appendix D-19: The Prospects for Immunizing Against Yellow Fever (390-402)
Appendix E: Questionnaire for Assessing Morbidity-Mortality Trade-Offs (403-411)
Appendix F: Technical Notes (412-412)
Appendix G: Biographical Notes on Committee Members (413-417)
Appendix H: Additional Sources of Advice to the Committee (418-419)
Appendix I: Contents of Supplement to Volume II (420-420)
Appendix J: Preface to Volume I (421-422)
Appendix K: Contents to Volume I (423-423)
Index (424-432)