The Experts below are selected from a list of 11601 Experts worldwide ranked by ideXlab platform
Katsuaki Sugiura - One of the best experts on this subject based on the ideXlab platform.
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benefit cost analysis of the Policy of mandatory annual rabies Vaccination of domestic dogs in rabies free japan
PLOS ONE, 2018Co-Authors: Nigel C L Kwan, Akio Yamada, Katsuaki SugiuraAbstract:Japan is one of the few rabies-free countries/territories which implement the Policy of mandatory Vaccination of domestic dogs. In order to assess the economic efficiency of such Policy in reducing the economic burden of a future canine rabies outbreak in Japan, a benefit-cost analysis (BCA) was performed using probabilistic decision tree modelling. Input data derived from simulation results of published mathematical model, field investigation conducted by the authors at prefectural governments, literature review, international or Japanese database and empirical data of rabies outbreaks in other countries/territories. The current study revealed that the annual costs of implementing the current Vaccination Policy would be US$160,472,075 (90% prediction interval [PI]: $149,268,935–171,669,974). The economic burden of a potential single canine rabies outbreak in Japan were estimated to be US$1,682,707 (90% PI: $1,180,289–2,249,283) under the current Vaccination Policy, while it would be US$5,019,093 (90% PI: $3,986,882–6,133,687) under hypothetical abolition of Vaccination Policy, which is 3-fold higher. Under a damage-avoided approach, the annual benefits of implementing the current Vaccination Policy in expected value were estimated to be US$85.75 (90% PI: $55.73–116.89). The benefit-cost ratio (BCR) was estimated to be 5.35 X 10−7 (90% PI: 3.46 X 10−7–7.37 X 10−7), indicating that the implementation of the current Policy is very economically inefficient for the purpose of reducing the economic burden of a potential canine rabies outbreak. In worse-case scenario analysis, the BCR would become above 1 (indicating economic efficiency) if the risk of rabies introduction increased to 0.04 corresponding to a level of risk where rabies would enter Japan in 26 years while the economic burden of a rabies outbreak under the abolition of Vaccination Policy increased to $7.53 billion. Best-case analysis further revealed that under relatively extreme circumstances the economic efficiency of the current Policy could be improved by decreasing the Vaccination price charged to dog owners, relaxing the frequency of Vaccination to every two to three years and implementing the Policy on a smaller scale, e.g. only in targeted prefectures instead of the whole Japan.
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benefit cost analysis of the Policy of mandatory annual rabies Vaccination of domestic dogs in rabies free japan
bioRxiv, 2018Co-Authors: Nigel C L Kwan, Akio Yamada, Katsuaki SugiuraAbstract:Japan is one of the few rabies-free countries/territories which implement the Policy of mandatory Vaccination of domestic dogs. In order to assess the economic efficiency of such Policy in reducing the economic burden of a future canine rabies outbreak in Japan, a benefit-cost analysis (BCA) was performed using probabilistic decision tree modelling. Input data derived from simulation results of published mathematical model, field investigation conducted by the authors at prefectural governments, literature review, international or Japanese database and empirical data of rabies outbreaks in other countries/territories. The current study revealed that the annual costs of implementing the current Vaccination Policy would be US$160,472,075 (90% prediction interval [PI]: $149,268,935 – 171,669,974). The economic burden of a potential canine rabies outbreak in Japan were estimated to be US$1,682,707 (90% PI: $1,180,289 – 2,249,283) under the current Vaccination Policy, while it would be US$5,019,093 (90% PI: $3,986,882 – 6,133,687) under hypothetical abolition of Vaccination Policy, which is 3-fold higher. Under a damage-avoided approach, the annual benefits of implementing the current Vaccination Policy in expected value were estimated to be US$85.75 (90% PI: $55.73 – 116.89). The benefit-cost ratio (BCR) was estimated to be 5.35 X 10-7 (90% PI: 3.46 X 10-7 – 7.37 X 10-7), indicating that the implementation of the current Policy is very economically inefficient for the purpose of reducing the economic burden of a potential canine rabies outbreak. In worse-case scenario analysis, the BCR would become above 1 (indicating economic efficiency) if the risk of rabies introduction increased to 0.04 corresponding to a level of risk where rabies would enter Japan in 26 years while the economic burden of a rabies outbreak under the abolition of Vaccination Policy increased to $7.53 billion. Best-case analysis further revealed that the economic efficiency of the current Policy could be improved by decreasing the Vaccination price charged to dog owners, relaxing the frequency of Vaccination to every two to three years and implementing the Policy on a smaller scale, e.g. only in targeted prefectures instead of the whole Japan.
Terri Rebmann - One of the best experts on this subject based on the ideXlab platform.
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parents and staff s support for a childcare agency employee mandatory Vaccination Policy or agency certification program
American Journal of Infection Control, 2016Co-Authors: Terri Rebmann, Jing Wang, Kristin D Wilson, Philip G Gilbertson, Mary WakefieldAbstract:Background Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff Vaccination. This study aimed to assess support for a childcare agency staff mandatory Vaccination Policy. Methods Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. Staff and parents' support for a mandatory Vaccination and/or agency certification program were compared using χ 2 tests. Multivariate logistic regression was conducted using a 2-level nested design and controlling for gender, race, age, and income to determine predictive models for support for a mandatory staff Vaccination Policy and/or agency certification program. Results Overall, 354 parents and staff participated (response rate, 32%). Most supported a mandatory staff Vaccination Policy (80.0%; n = 280) or agency certification program (81.2%; n = 285), and there were no differences between parents versus staff. Determinants of support for a mandatory Policy included willingness to receive influenza vaccine annually, belief that vaccines are safe and effective, and support for the Policy only if there were no costs. Conclusions There is strong support for some type of childcare agency staff Vaccination Policy. Implementing such a Policy/program should be a collaborative endeavor that addresses vaccine cost and access.
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Outcomes, Approaches, and Challenges to Developing and Passing a Countywide Mandatory Vaccination Policy: St. Louis County’s Experience with Hepatitis A Vaccine for Food Service Personnel
AIMS public health, 2016Co-Authors: Terri Rebmann, Kristin D Wilson, Travis M. Loux, Ayesha Iqbal, Eleanor B. Peters, Olivia PeavlerAbstract:In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory Vaccination Policy. Local health departments can enact mandatory Vaccination policies, but this has rarely been done. The study objectives were to describe the approach used to pass a mandatory Vaccination Policy at the local jurisdiction level and illustrate the outcome from this ordinance 15 years later. A case study design was used. In-depth, semi-structured interviews using guided questions were conducted in spring, 2015, with six key informants who had direct knowledge of the mandatory Vaccination Policy process. Meeting minutes and/or reports were also analyzed. A Poisson distribution analysis was used to calculate the rate of outbreaks before and after mandatory Vaccination Policy implementation. The Policy appears to have reduced the number of hepatitis A outbreaks, lowering the morbidity and economic burden in St. Louis County. The lessons learned by local public health officials in passing a mandatory hepatitis A Vaccination Policy are important and relevant in today’s environment. The experience and lessons learned may assist other local health departments when faced with the potential need for mandatory policies for any vaccine preventable disease.
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outcomes approaches and challenges to developing and passing a countywide mandatory Vaccination Policy st louis county s experience with hepatitis a vaccine for food service personnel
aimsph 2016 Vol. 3 Pages 116-130, 2016Co-Authors: Terri Rebmann, Kristin D Wilson, Travis M. Loux, Ayesha Iqbal, Eleanor B. Peters, Olivia PeavlerAbstract:In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory Vaccination Policy. Local health departments can enact mandatory Vaccination policies, but this has rarely been done. The study objectives were to describe the approach used to pass a mandatory Vaccination Policy at the local jurisdiction level and illustrate the outcome from this ordinance 15 years later. A case study design was used. In-depth, semi-structured interviews using guided questions were conducted in spring, 2015, with six key informants who had direct knowledge of the mandatory Vaccination Policy process. Meeting minutes and/or reports were also analyzed. A Poisson distribution analysis was used to calculate the rate of outbreaks before and after mandatory Vaccination Policy implementation. The Policy appears to have reduced the number of hepatitis A outbreaks, lowering the morbidity and economic burden in St. Louis County. The lessons learned by local public health officials in passing a mandatory hepatitis A Vaccination Policy are important and relevant in today’s environment. The experience and lessons learned may assist other local health departments when faced with the potential need for mandatory policies for any vaccine preventable disease.
Kristin D Wilson - One of the best experts on this subject based on the ideXlab platform.
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parents and staff s support for a childcare agency employee mandatory Vaccination Policy or agency certification program
American Journal of Infection Control, 2016Co-Authors: Terri Rebmann, Jing Wang, Kristin D Wilson, Philip G Gilbertson, Mary WakefieldAbstract:Background Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff Vaccination. This study aimed to assess support for a childcare agency staff mandatory Vaccination Policy. Methods Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. Staff and parents' support for a mandatory Vaccination and/or agency certification program were compared using χ 2 tests. Multivariate logistic regression was conducted using a 2-level nested design and controlling for gender, race, age, and income to determine predictive models for support for a mandatory staff Vaccination Policy and/or agency certification program. Results Overall, 354 parents and staff participated (response rate, 32%). Most supported a mandatory staff Vaccination Policy (80.0%; n = 280) or agency certification program (81.2%; n = 285), and there were no differences between parents versus staff. Determinants of support for a mandatory Policy included willingness to receive influenza vaccine annually, belief that vaccines are safe and effective, and support for the Policy only if there were no costs. Conclusions There is strong support for some type of childcare agency staff Vaccination Policy. Implementing such a Policy/program should be a collaborative endeavor that addresses vaccine cost and access.
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Outcomes, Approaches, and Challenges to Developing and Passing a Countywide Mandatory Vaccination Policy: St. Louis County’s Experience with Hepatitis A Vaccine for Food Service Personnel
AIMS public health, 2016Co-Authors: Terri Rebmann, Kristin D Wilson, Travis M. Loux, Ayesha Iqbal, Eleanor B. Peters, Olivia PeavlerAbstract:In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory Vaccination Policy. Local health departments can enact mandatory Vaccination policies, but this has rarely been done. The study objectives were to describe the approach used to pass a mandatory Vaccination Policy at the local jurisdiction level and illustrate the outcome from this ordinance 15 years later. A case study design was used. In-depth, semi-structured interviews using guided questions were conducted in spring, 2015, with six key informants who had direct knowledge of the mandatory Vaccination Policy process. Meeting minutes and/or reports were also analyzed. A Poisson distribution analysis was used to calculate the rate of outbreaks before and after mandatory Vaccination Policy implementation. The Policy appears to have reduced the number of hepatitis A outbreaks, lowering the morbidity and economic burden in St. Louis County. The lessons learned by local public health officials in passing a mandatory hepatitis A Vaccination Policy are important and relevant in today’s environment. The experience and lessons learned may assist other local health departments when faced with the potential need for mandatory policies for any vaccine preventable disease.
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outcomes approaches and challenges to developing and passing a countywide mandatory Vaccination Policy st louis county s experience with hepatitis a vaccine for food service personnel
aimsph 2016 Vol. 3 Pages 116-130, 2016Co-Authors: Terri Rebmann, Kristin D Wilson, Travis M. Loux, Ayesha Iqbal, Eleanor B. Peters, Olivia PeavlerAbstract:In the early 1990s, St. Louis County had multiple foodservice worker-related hepatitis A outbreaks uncontrolled by standard outbreak interventions. Restaurant interest groups and the general public applied political pressure to local public health officials for more stringent interventions, including a mandatory Vaccination Policy. Local health departments can enact mandatory Vaccination policies, but this has rarely been done. The study objectives were to describe the approach used to pass a mandatory Vaccination Policy at the local jurisdiction level and illustrate the outcome from this ordinance 15 years later. A case study design was used. In-depth, semi-structured interviews using guided questions were conducted in spring, 2015, with six key informants who had direct knowledge of the mandatory Vaccination Policy process. Meeting minutes and/or reports were also analyzed. A Poisson distribution analysis was used to calculate the rate of outbreaks before and after mandatory Vaccination Policy implementation. The Policy appears to have reduced the number of hepatitis A outbreaks, lowering the morbidity and economic burden in St. Louis County. The lessons learned by local public health officials in passing a mandatory hepatitis A Vaccination Policy are important and relevant in today’s environment. The experience and lessons learned may assist other local health departments when faced with the potential need for mandatory policies for any vaccine preventable disease.
Nigel C L Kwan - One of the best experts on this subject based on the ideXlab platform.
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benefit cost analysis of the Policy of mandatory annual rabies Vaccination of domestic dogs in rabies free japan
PLOS ONE, 2018Co-Authors: Nigel C L Kwan, Akio Yamada, Katsuaki SugiuraAbstract:Japan is one of the few rabies-free countries/territories which implement the Policy of mandatory Vaccination of domestic dogs. In order to assess the economic efficiency of such Policy in reducing the economic burden of a future canine rabies outbreak in Japan, a benefit-cost analysis (BCA) was performed using probabilistic decision tree modelling. Input data derived from simulation results of published mathematical model, field investigation conducted by the authors at prefectural governments, literature review, international or Japanese database and empirical data of rabies outbreaks in other countries/territories. The current study revealed that the annual costs of implementing the current Vaccination Policy would be US$160,472,075 (90% prediction interval [PI]: $149,268,935–171,669,974). The economic burden of a potential single canine rabies outbreak in Japan were estimated to be US$1,682,707 (90% PI: $1,180,289–2,249,283) under the current Vaccination Policy, while it would be US$5,019,093 (90% PI: $3,986,882–6,133,687) under hypothetical abolition of Vaccination Policy, which is 3-fold higher. Under a damage-avoided approach, the annual benefits of implementing the current Vaccination Policy in expected value were estimated to be US$85.75 (90% PI: $55.73–116.89). The benefit-cost ratio (BCR) was estimated to be 5.35 X 10−7 (90% PI: 3.46 X 10−7–7.37 X 10−7), indicating that the implementation of the current Policy is very economically inefficient for the purpose of reducing the economic burden of a potential canine rabies outbreak. In worse-case scenario analysis, the BCR would become above 1 (indicating economic efficiency) if the risk of rabies introduction increased to 0.04 corresponding to a level of risk where rabies would enter Japan in 26 years while the economic burden of a rabies outbreak under the abolition of Vaccination Policy increased to $7.53 billion. Best-case analysis further revealed that under relatively extreme circumstances the economic efficiency of the current Policy could be improved by decreasing the Vaccination price charged to dog owners, relaxing the frequency of Vaccination to every two to three years and implementing the Policy on a smaller scale, e.g. only in targeted prefectures instead of the whole Japan.
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benefit cost analysis of the Policy of mandatory annual rabies Vaccination of domestic dogs in rabies free japan
bioRxiv, 2018Co-Authors: Nigel C L Kwan, Akio Yamada, Katsuaki SugiuraAbstract:Japan is one of the few rabies-free countries/territories which implement the Policy of mandatory Vaccination of domestic dogs. In order to assess the economic efficiency of such Policy in reducing the economic burden of a future canine rabies outbreak in Japan, a benefit-cost analysis (BCA) was performed using probabilistic decision tree modelling. Input data derived from simulation results of published mathematical model, field investigation conducted by the authors at prefectural governments, literature review, international or Japanese database and empirical data of rabies outbreaks in other countries/territories. The current study revealed that the annual costs of implementing the current Vaccination Policy would be US$160,472,075 (90% prediction interval [PI]: $149,268,935 – 171,669,974). The economic burden of a potential canine rabies outbreak in Japan were estimated to be US$1,682,707 (90% PI: $1,180,289 – 2,249,283) under the current Vaccination Policy, while it would be US$5,019,093 (90% PI: $3,986,882 – 6,133,687) under hypothetical abolition of Vaccination Policy, which is 3-fold higher. Under a damage-avoided approach, the annual benefits of implementing the current Vaccination Policy in expected value were estimated to be US$85.75 (90% PI: $55.73 – 116.89). The benefit-cost ratio (BCR) was estimated to be 5.35 X 10-7 (90% PI: 3.46 X 10-7 – 7.37 X 10-7), indicating that the implementation of the current Policy is very economically inefficient for the purpose of reducing the economic burden of a potential canine rabies outbreak. In worse-case scenario analysis, the BCR would become above 1 (indicating economic efficiency) if the risk of rabies introduction increased to 0.04 corresponding to a level of risk where rabies would enter Japan in 26 years while the economic burden of a rabies outbreak under the abolition of Vaccination Policy increased to $7.53 billion. Best-case analysis further revealed that the economic efficiency of the current Policy could be improved by decreasing the Vaccination price charged to dog owners, relaxing the frequency of Vaccination to every two to three years and implementing the Policy on a smaller scale, e.g. only in targeted prefectures instead of the whole Japan.
Day Yu Chao - One of the best experts on this subject based on the ideXlab platform.
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The changing epidemiology of varicella incidence after implementation of the one-dose varicella Vaccination Policy
Vaccine, 2010Co-Authors: Iebin Lian, Yu Zen Chien, Pi Shan Hsu, Day Yu ChaoAbstract:The varicella vaccine has been available in the Taiwan market since July 1997. Beginning 1998-1999, Taipei City and Taichung City/County as the early launch areas included the varicella vaccine in their free pediatric Vaccination programs. By contrast, the national free Vaccination program was not implemented until 2004. We aim to investigate the changing epidemiology of varicella incidence through an analysis of age-period-cohort effects. With the greatest decrease in varicella incidence occurring in children aged below 6, the incidence of varicella shifted to older age groups as reflected in different birth cohorts. The current study provides important implications for the current Vaccination Policy.
