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October 20, 2020Risk AnalysisOpen Access

A Health Economic Analysis for Oral Poliovirus Vaccine to Prevent COVID‐19 in the United States

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Why the study?

COVID-19 prompted a high-profile proposal to reintroduce oral poliovirus vaccine in the United States, prompting an evaluation of logistical challenges and health economic implications.

Does reintroducing oral poliovirus vaccine (OPV) to prevent COVID-19 in the US provide health and economic benefits?

Population

331 million Americans

Comparison

Single dose of bivalent OPV vs no reintroduction

Design

Health economic modeling study

Key result

Reintroducing oral poliovirus vaccine to the U.S. population for COVID-19 prevention would cost over $4.4 billion and cause an expected 40 cases of vaccine-associated paralytic polio.

Authors

KTKimberly M. ThompsonDKDominika A. KalkowskaKBKamran Badizadegan

Discussion

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Member takes

Overview

Reintroducing OPV for COVID-19 is unjustified by costs and polio risk; leaves open no role in U.S. response strategies.

Structured PICO

Does reintroducing oral poliovirus vaccine (OPV) to prevent COVID-19 in the US provide health and economic benefits?

P
Population
Health economic modeling of the entire U.S. population (331 million) to evaluate the reintroduction of oral poliovirus vaccine for COVID-19 prevention.
I
Intervention
Oral poliovirus vaccine (OPV) administration (single dose of bivalent OPV)
O
Outcome
Health and economic implications (costs and vaccine-associated paralytic polio cases)

Health economic modeling suggests no role for reintroducing OPV into the U.S. to respond to COVID-19 due to high costs, risks of paralytic polio, and negative impact on global polio eradication efforts.

Cite This Study

Thompson et al. (2020) studied COVID-19 (n=331,000,000). Oral poliovirus vaccine (OPV) was evaluated on Costs and vaccine-associated paralytic polio cases. Reintroducing oral poliovirus vaccine to the U.S. population for COVID-19 prevention would cost over $4.4 billion and cause an expected 40 cases of vaccine-associated paralytic polio.

synapsesocial.com/papers/6a1f05c248e4540562b2fb02https://doi.org/10.1111/risa.13614
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