Optimal targeting of seasonal influenza vaccination toward younger ages is robust to parameter uncertainty.

TitleOptimal targeting of seasonal influenza vaccination toward younger ages is robust to parameter uncertainty.
Publication TypeJournal Article
Year of Publication2013
AuthorsNdeffo Mbah ML, Medlock J, Meyers LA, Galvani AP, Townsend JP
JournalVaccine
Volume31
Issue30
Pagination3079-89
Date Published2013 Jun 26
ISSN1873-2518
Abstract

Identification of the optimal vaccine allocation for the control of influenza requires consideration of uncertainty arising from numerous unpredictable factors, including viral evolution and diversity within the human population's immunity as well as variation in vaccine efficacy. The best policy must account for diverse potential outcomes based on these uncertainties. Here we used a mathematical model parametrized with survey-based contact data, demographic, and epidemiological data from seasonal influenza in the United States to determine the optimal vaccine allocation for five outcome measures: infections, hospitalizations, deaths, years of life loss, and contingent valuation. We incorporated uncertainty of epidemiological parameters and derive probability distributions of optimal age- and risk-specific allocation of vaccine. Our analysis demonstrated that previous recommendations of targeting schoolchildren (ages 5-17 years) and young adults (18-44 years) are generally robust in the face of uncertainty. However, when the outcome measure is to minimize deaths, years of life loss, or contingent valuation, uncertainty analysis identified scenarios under which it is optimal to target people at high risk for complications, even when vaccine are in abundance.

DOI10.1016/j.vaccine.2013.04.052
Alternate JournalVaccine