Evaluating rotavirus vaccination in England and Wales. Part I. Estimating the burden of disease

J. P. Harris, M. Jit, D. Cooper, W. J. Edmunds*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    86 Citations (Scopus)

    Abstract

    Rotavirus is a major cause of gastroenteritis in young children. New vaccines for rotavirus are now available and countries need to establish the health and economic burden of rotavirus disease to assess whether vaccine introduction is advisable. This study assesses the fraction of acute gastroenteritis in children under 5 years that may be attributable to rotavirus using multiple linear regression. Results suggest around 45% of hospitalisations, 25% of GP consultations, 27% of NHS Direct calls and 20% of accident and emergency (A&E) attendances for acute gastroenteritis in this age group may be attributable to rotavirus. The annual incidence is estimated to be 4.5 hospitalisations, 9.3 A&E consultations, and 28-44 GP consultations per 1000 children under five years of age. The cost to the health service is estimated to be £14.2 m per annum. Rotavirus vaccination has the potential to reduce this burden of disease. This study provides a sound basis on which to make this assessment and serves as a baseline against which any reductions that do occur if vaccination is introduced can be measured against.

    Original languageEnglish
    Pages (from-to)3962-3970
    Number of pages9
    JournalVaccine
    Volume25
    Issue number20
    DOIs
    Publication statusPublished - 16 May 2007

    Bibliographical note

    Funding Information:
    The study benefited from discussions held as part of POLYMOD, a European Commission project funded within the Sixth Framework Programme, Contract number: SSP22-CT-2004-502084. M.J. was funded by the Research and Development Directorate of the United Kingdom Department of Health, grant reference number 1216520.

    Keywords

    • Burden of disease
    • Children
    • Cost
    • Economics
    • Rotavirus
    • Vaccine

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