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Time for change? An economic evaluation of integrated cervical screening and HPV immunization programs in Canada

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Title: Time for change? An economic evaluation of integrated cervical screening and HPV immunization programs in Canada
Author: Tully, Stephen P.; Anonychuk, Andrea M.; Maria Sanchez, Diana; Galvani, Alison P.; Bauch, Chris T.
Abstract: Many jurisdictions have implemented universal human papillomavirus (HPV) immunization programs in preadolescent females. However, the cost-effectiveness of modified cervical screening guidelines and/or catch-up immunization in older females in Canada has not been evaluated. We conducted a cost-utility analysis of screening and immunization with the bivalent vaccine for the Canadian setting from the Ministry of Health perspective. We used a dynamic model to capture herd immunity and included cross-protection against strains not included in the vaccine. We found that adding catch-up immunization to the current program would be costeffective, and that combining such vaccination with delaying the start age of screening could result in cost savings.
URI: http://hdl.handle.net/10214/14331
Date: 2011
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
Rights Holder: Copyright 2012 Elsevier Ltd. All rights reserved.
Citation: Tully, Stephen P., Anonychuk, Andrea M., Sanchez, Diana Maria, Galvani, Alison P., and Bauch, Chris T. (2012). Time for change? An economic evaluation of integrated cervical screening and HPV immunization programs in Canada. Vaccine. 30(2): 425-435. 5 January 2012. https://doi.org/10.1016/j.vaccine.2011.10.067


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Attribution-NonCommercial-NoDerivatives 4.0 International Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International