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Elsevier, Value in Health, 3(11), p. A63-A64, 2008

DOI: 10.1016/s1098-3015(10)70211-4

Elsevier, Vaccine, 37-38(25), p. 6677-6691

DOI: 10.1016/j.vaccine.2007.07.018

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Cost utility analysis of vaccination against HPV in Israel

Journal article published in 2007 by Gm M. Ginsberg ORCID, Menachem Fisher, Inbar Ben Shahar, Jacob Bornstein
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Using WHO-CHOICE methodology, we calculated cost-utility ratios for various interventions (PAP smear, HPV-DNA testing, VIA and vaccination against HPV) at various frequencies to reduce the burden of cervical cancer and condyloma (in the case of the HPV vaccination) in Israel, which has a low prevalence of cervical cancer. Assuming non-waning efficacy, HPV vaccinations will become cost-effective, very cost-effective and cost saving when the cost per dose falls below $96.85, $50.42 and $27.20, respectively. Attempts should be made to raise compliancy with PAP smears from the current opportunistic 12.2-20.0% per annum either before and/or after the vaccination is introduced.