2020
DOI: 10.3390/ijerph17124217
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Cost-Effectiveness of Dengue Vaccination in Indonesia: Considering Integrated Programs with Wolbachia-Infected Mosquitos and Health Education

Abstract: Despite the fact that morbidity and mortality rates due to dengue infection in Indonesia are relatively high, a dengue vaccination has not yet been introduced. Next to vaccination, Wolbachia-infected mosquitoes and health education have been considered to be potential interventions to prevent dengue infection in Indonesia. This study was aimed to analyse the cost-effectiveness of dengue vaccination in Indonesia whilst taking Wolbachia and health education programs into account. An age-structured decision tree … Show more

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Cited by 14 publications
(15 citation statements)
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“…Due to the limitations presented by the aforementioned strategies, preventive treatment or treatment during a viral infection, as well as the control of the mosquito vector itself, different studies have been conducted to assess the impacts of these tools in isolation or in association [ 51 , 52 ].…”
Section: Disease Overviewmentioning
confidence: 99%
“…Due to the limitations presented by the aforementioned strategies, preventive treatment or treatment during a viral infection, as well as the control of the mosquito vector itself, different studies have been conducted to assess the impacts of these tools in isolation or in association [ 51 , 52 ].…”
Section: Disease Overviewmentioning
confidence: 99%
“…In Indonesia, the sharp reduction in the rate of Dengue fever cases was observed following the release of Wolbachia infected mosquitoes [ 175 ]. It was found to be a highly cost effective method which could give even better results when combined with vaccines [ 176 ]. Although viral evolution could lead to selection of resistant strains, multiple mutations in the viral genome would be required to overcome the broad mode of action of Wolbachia , without losing virus competence to both human and insect tissue [ 177 ].…”
Section: Preventive Measures For Controlling Vector-borne Viral Diseasesmentioning
confidence: 99%
“…Learning from the experience of rotavirus, pneumococcal conjugate vaccine (PCV), dengue, and hepatitis A vaccines, several economic evaluation studies have been conducted in Indonesia to assist the government on the potential introduction of these new vaccines [12][13][14][15][16][17]. Several studies recommended that new vaccines can be considered as cost-effective interventions to be implemented in Indonesia.…”
Section: Economic Evaluations Of New Vaccinesmentioning
confidence: 99%