Difference between revisions of "Assessment of the health impacts of H1N1 vaccination"

From Testiwiki
Jump to: navigation, search
m (Scope)
(Result)
Line 341: Line 341:
  
 
==Result==
 
==Result==
 +
 +
===Results===
  
 
*From initial results it would appear like swine flu is more significant than narcolepsy in terms of DALYs.
 
*From initial results it would appear like swine flu is more significant than narcolepsy in terms of DALYs.
Line 346: Line 348:
 
**Vaccinating no-one would result in approximately 4000 DALYs due to swine flu.
 
**Vaccinating no-one would result in approximately 4000 DALYs due to swine flu.
  
===Results===
+
Statements: Pandemrix should not be used any more anywhere because its narcolepsy risk is too high.
 +
:Resolution: Not accepted. Pandemrix is still an effective and safe vaccine. However, due to precautionary reasons, other alternatives should be used when available, because the occurrence of narcolepsy is not understood. {{reslink|Pandemrix should not be used because of narcolepsy risk}}
  
 
===Conclusions===
 
===Conclusions===

Revision as of 15:29, 6 April 2011



Scope

  • What was the overall health impact of the H1N1 vaccination in Finland in 2009-2010?
  • Given current knowledge, which was the better decision between vaccinating as happened versus vaccinating no-one?

Definition

Error creating thumbnail: Unable to save thumbnail to destination
Causal diagram.
Variables
Indicators
  • DALYs from narcolepsy caused by vaccination
  • DALYs from having swine flu (~staying at home for 5 days)
  • DALYs from deaths caused by swine flu

Formula

  • Basic model
    • Uncertainties of ERF of vaccine on narcolepsy, fraction of all cases represented by lab confirmed cases and probability of catching swine flu are implemented.

+ Show code

Result

Results

  • From initial results it would appear like swine flu is more significant than narcolepsy in terms of DALYs.
    • Vaccinating as planned would result in approximately 2500 DALYs due to swine flu and narcolepsy combined.
    • Vaccinating no-one would result in approximately 4000 DALYs due to swine flu.

Statements: Pandemrix should not be used any more anywhere because its narcolepsy risk is too high.

Resolution: Not accepted. Pandemrix is still an effective and safe vaccine. However, due to precautionary reasons, other alternatives should be used when available, because the occurrence of narcolepsy is not understood. R↻

Conclusions

See also

References