Key result
The authors defend their decision analysis model for polio immunization policy, asserting that their methods and assumptions were appropriate for addressing scientific and epidemiologic issues.
The authors defend their use of decision analysis in evaluating polio immunization policy, emphasizing that their model addressed scientific and epidemiologic issues rather than ethical ones.
Dr. Salk's comments on our paper fall into four major categories: our use of the techniques of decision analysis, the assumptions we used, the fact that we did not include individual and social values in the model, and the way in which vaccine policies are developed in the United States. We believe that the methods were used correctly, that the assumptions we used are defensible, and that our conclusions were both appropriate and appropriately worded. We explicitly did not include individual and social values since we were addressing the scientific and epidemiologic issues rather than ethical and moral issues. Vaccine policy development in the United States is carried out in public forums with opportunity for presentation of all sides of an issue.
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Hinman et al. (1988) conducted a letter in Polio immunization policy. Decision analysis model was evaluated. The authors defend their decision analysis model for polio immunization policy, asserting that their methods and assumptions were appropriate for addressing scientific and epidemiologic issues.
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