Imperial College London

Dr Tini Garske

Faculty of MedicineSchool of Public Health

Senior Lecturer



+44 (0)20 7594 3247t.garske




G24Norfolk PlaceSt Mary's Campus






BibTex format

author = {Ozawa, S and Clark, S and Portnoy, A and Grewal, S and Stack, ML and Sinha, A and Mirelman, A and Franklin, H and Friberg, IK and Tam, Y and Walker, N and Clark, A and Ferrari, M and Suraratdecha, C and Sweet, S and Goldie, SJ and Garske, T and Li, M and Hansen, PM and Johnson, HL and Walker, D},
journal = {Bulletin of the World Health Organization},
title = {Economic impact of vaccination against 10 vaccinepreventable diseases across 73 low and middleincome countries supported by Gavi, 20012020},
url = {},

RIS format (EndNote, RefMan)

AB - Objective: To estimate the economic impact achieved by global effortsto accelerate the introduction of new vaccines and increaseimmunization coverage in 73 lowand middleincome countries (LMICs)in the two decades following the launch of Gavi, the Vaccine Alliance(20012020).Methods: Based on relevant health impact models, we assessed theeconomic impact of achieving forecastedimmunizationcoverageforvaccinationagainsttenvaccinepreventablediseases:Haemophilusinfluenzaetypeb,hepatitisB,humanpapillomavirus,Japaneseencephalitis,measles,NeisseriameningitidisserogroupA,rotavirus,rubella,Streptococcuspneumoniae,andyellowfever.Wemodeledavertedtreatmentcosts,transportationcosts,productivitylossofcaregivers,andproductivitylossduetodisabilityanddeathcomparedtonovaccination.Thevalueoflifeyearmethodestimatedtheeconomicandsocialvalueoflivinglongerinbetterhealthasaresultofimmunization.FindingsVaccinationisestimatedtoavertover20milliondeathsandsave$350billionincostofillnessover20012020in73countries.Morethanhalfofthesebenefits($250billion)resultfromvaccinationinthecurrentdecade(20112020).Lifetimeproductivitygainsfrompreventingdeathsanddisabilityareprojectedat$330billionand$9billion,respectively.Immunizationovertheentire20yearperiodisestimatedtopreventnearly$5billionintreatmentcostsoverthelifetimeofvaccinatedcohorts.Thebroadereconomicandsocialvalueofvaccinationfrom20012020isworth$820billionin73LMICs.Conclusion:Theimpactofimmunizationgoesbeyondhealth,preventingsignificantcostsandpotentiallyincreasingeconomicproductivityamongtheworld’spoorestcountries
AU - Ozawa,S
AU - Clark,S
AU - Portnoy,A
AU - Grewal,S
AU - Stack,ML
AU - Sinha,A
AU - Mirelman,A
AU - Franklin,H
AU - Friberg,IK
AU - Tam,Y
AU - Walker,N
AU - Clark,A
AU - Ferrari,M
AU - Suraratdecha,C
AU - Sweet,S
AU - Goldie,SJ
AU - Garske,T
AU - Li,M
AU - Hansen,PM
AU - Johnson,HL
AU - Walker,D
SN - 1564-0604
TI - Economic impact of vaccination against 10 vaccinepreventable diseases across 73 low and middleincome countries supported by Gavi, 20012020
T2 - Bulletin of the World Health Organization
UR -
ER -