Lives saved with vaccination for 10 pathogens across 112 countries in a pre-COVID-19 world.
Published version
Peer-reviewed
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Repository DOI
Change log
Authors
Toor, Jaspreet https://orcid.org/0000-0003-1510-397X
Echeverria-Londono, Susy
Li, Xiang
Abbas, Kaja https://orcid.org/0000-0003-0563-1576
Carter, Emily D
Abstract
Background
Vaccination is one of the most effective public health interventions. We investigate the impact of vaccination activities for Haemophilus influenzae type b, hepatitis B, human papillomavirus, Japanese encephalitis, measles, Neisseria meningitidis serogroup A, rotavirus, rubella, Streptococcus pneumoniae, and yellow fever over the years 2000-2030 across 112 countries.Methods
Twenty-one mathematical models estimated disease burden using standardised demographic and immunisation data. Impact was attributed to the year of vaccination through vaccine-activity-stratified impact ratios.Results
We estimate 97 (95%CrI[80, 120]) million deaths would be averted due to vaccination activities over 2000-2030, with 50 (95%CrI[41, 62]) million deaths averted by activities between 2000 and 2019. For children under-5 born between 2000 and 2030, we estimate 52 (95%CrI[41, 69]) million more deaths would occur over their lifetimes without vaccination against these diseases.Conclusions
This study represents the largest assessment of vaccine impact before COVID-19-related disruptions and provides motivation for sustaining and improving global vaccination coverage in the future.Funding
VIMC is jointly funded by Gavi, the Vaccine Alliance, and the Bill and Melinda Gates Foundation (BMGF) (BMGF grant number: OPP1157270 / INV-009125). Funding from Gavi is channelled via VIMC to the Consortium's modelling groups (VIMC-funded institutions represented in this paper: Imperial College London, London School of Hygiene and Tropical Medicine, Oxford University Clinical Research Unit, Public Health England, Johns Hopkins University, The Pennsylvania State University, Center for Disease Analysis Foundation, Kaiser Permanente Washington, University of Cambridge, University of Notre Dame, Harvard University, Conservatoire National des Arts et Métiers, Emory University, National University of Singapore). Funding from BMGF was used for salaries of the Consortium secretariat (authors represented here: TBH, MJ, XL, SE-L, JT, KW, NMF, KAMG); and channelled via VIMC for travel and subsistence costs of all Consortium members (all authors). We also acknowledge funding from the UK Medical Research Council and Department for International Development, which supported aspects of VIMC's work (MRC grant number: MR/R015600/1).JHH acknowledges funding from National Science Foundation Graduate Research Fellowship; Richard and Peggy Notebaert Premier Fellowship from the University of Notre Dame. BAL acknowledges funding from NIH/NIGMS (grant number R01 GM124280) and NIH/NIAID (grant number R01 AI112970). The Lives Saved Tool (LiST) receives funding support from the Bill and Melinda Gates Foundation.This paper was compiled by all coauthors, including two coauthors from Gavi. Other funders had no role in study design, data collection, data analysis, data interpretation, or writing of the report. All authors had full access to all the data in the study and had final responsibility for the decision to submit for publication.Description
Keywords
Virus, epidemiology, Global Health, Lmics, Vaccine Impact, Mathematical Modelling, Humans, Bacterial Infections, Bacterial Vaccines, SARS-CoV-2, Models, Biological, COVID-19
Journal Title
eLife
Conference Name
Journal ISSN
2050-084X
Volume Title
10
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Publisher DOI
Sponsorship
Medical Research Council (MR/R015600/1)
NIAID NIH HHS (R01 AI112970)
Bill and Melinda Gates Foundation (OPP1157270 / INV-009125)
NIH HHS (R01 AI112970, R01 GM124280)
NIGMS NIH HHS (R01 GM124280)
NIAID NIH HHS (R01 AI112970)
Bill and Melinda Gates Foundation (OPP1157270 / INV-009125)
NIH HHS (R01 AI112970, R01 GM124280)
NIGMS NIH HHS (R01 GM124280)