Replacing the measles ten-dose vaccine presentation with the single-dose presentation in Thailand

Bruce Y. Lee*, Tina Marie Assi, Korngamon Rookkapan, Diana L. Connor, Jayant Rajgopal, Vorasith Sornsrivichai, Shawn T. Brown, Joel S. Welling, Bryan A. Norman, Sheng-I Chen, Rachel R. Bailey, Ann E. Wiringa, Angela R. Wateska, Anirban Jana, Willem G. Van Panhuis, Donald S. Burke

*此作品的通信作者

研究成果: Article同行評審

38 引文 斯高帕斯(Scopus)

摘要

Introduced to minimize open vial wastage, single-dose vaccine vials require more storage space and therefore may affect vaccine supply chains (i.e., the series of steps and processes involved in distributing vaccines from manufacturers to patients). We developed a computational model of Thailand's Trang province vaccine supply chain to analyze the effects of switching from a ten-dose measles vaccine presentation to each of the following: a single-dose measles-mumps-rubella vaccine (which Thailand is currently considering) or a single-dose measles vaccine. While the Trang province vaccine supply chain would generally have enough storage and transport capacity to accommodate the switches, the added volume could push some locations' storage and transport space utilization close to their limits. Single-dose vaccines would allow for more precise ordering and decrease open vial waste, but decrease reserves for unanticipated demand. Moreover, the added disposal and administration costs could far outweigh the costs saved from preventing open vial wastage.

原文English
頁(從 - 到)3811-3817
頁數7
期刊Vaccine
29
發行號21
DOIs
出版狀態Published - 12 5月 2011

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