The public health value of vaccines beyond efficacy: methods, measures and outcomes

Assessments of vaccine efficacy and safety capture only the minimum information needed for regulatory approval, rather than the full public health value of vaccines. Vaccine efficacy provides a measure of proportionate disease reduction, is usually limited to etiologically confirmed disease, and foc...

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Hauptverfasser: Wilder-Smith, Annelies (VerfasserIn) , Bärnighausen, Till (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 26 July 2017
In: BMC medicine
Year: 2017, Jahrgang: 15, Pages: 1-9
ISSN:1741-7015
DOI:10.1186/s12916-017-0911-8
Online-Zugang:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1186/s12916-017-0911-8
Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12916-017-0911-8
Volltext
Verfasserangaben:A. Wilder-Smith, I. Longini, P. L. Zuber, T. Bärnighausen, W. J. Edmunds, N. Dean, V. Masserey Spicher, M. R. Benissa and B. D. Gessner

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520 |a Assessments of vaccine efficacy and safety capture only the minimum information needed for regulatory approval, rather than the full public health value of vaccines. Vaccine efficacy provides a measure of proportionate disease reduction, is usually limited to etiologically confirmed disease, and focuses on the direct protection of the vaccinated individual. Herein, we propose a broader scope of methods, measures and outcomes to evaluate the effectiveness and public health impact to be considered for evidence-informed policymaking in both pre- and post-licensure stages. 
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