. "Appendix E: Questionnaire for Assessing Morbidity-Mortality Trade-Offs." 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
The examples provided here are to help you understand the information needed for our analysis. There is no right or wrong answer, and your answer may be higher or lower than the examples we have given.
After you have completed column 1 (for children under 5 years of age), do the same for the other age categories (columns 2 through 4). Every number written should represent the number of cases (categories D through G) or days (categories A through C) that you think are equal to the death of one person in that age group.
INSTRUCTIONS FOR ESTIMATING MORTALITY TRADE-OFF ACROSS AGE GROUPS
Attachment 3 asks you to indicate the relative undesirability of deaths in the different age groups. The unit of measure is the death of one child under 5 years of age. The question is how many deaths in each of the other age groups do you believe would balance the death of a young child. You might believe all deaths are equivalent, and mark a “1” in all the spaces; or you might believe a death of an adult (15 to 59 years) is worse than a death of a child and assign a number smaller than 1.0 to such adult deaths (column 3). You might be willing to balance 10 deaths among the elderly (column 4) against one early death. Again, any trade-offs are legitimate as long as they reflect your best personal judgment.
EXAMPLE 4: Here, a death in each age group is equivalent.
EXAMPLE 5: Here, adult deaths are worse than infant deaths. Ten infant deaths would be equal to one adult death.