Optimal time to intervene: The case of measles child immunization

The recent measles outbreaks in US and Germany emphasize the importance of sustaining and increasing vaccination rates. In Slovakia, despite mandatory vaccination scheme, decrease in the vaccination rates against measles has been observed in recent years. Different kinds of intervention at the state...

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Main Author: Zuzana Chladná
Format: Article
Language:English
Published: AIMS Press 2018-01-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2018014
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author Zuzana Chladná
author_facet Zuzana Chladná
author_sort Zuzana Chladná
collection DOAJ
description The recent measles outbreaks in US and Germany emphasize the importance of sustaining and increasing vaccination rates. In Slovakia, despite mandatory vaccination scheme, decrease in the vaccination rates against measles has been observed in recent years. Different kinds of intervention at the state level, like a law making vaccination a requirement for school entry or education and advertising seem to be the only strategies to improve vaccination coverage. This study aims to analyze the economic effectiveness of intervention in Slovakia. Using real options techniques we determine the level of vaccination rate at which it is optimal to perform intervention. We represent immunization rate of newborns as a stochastic process and intervention as a one-period jump of this process. Sensitivity analysis shows the importance of early intervention in the population with high initial average vaccination coverage. Furthermore, our numerical results demonstrate that the less certain we are about the future development of the immunization rate of newborns, the more valuable is the option to intervene.
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spelling doaj-art-69cb4d7dfe0e41369e48be7d2325ac8d2025-01-24T02:40:37ZengAIMS PressMathematical Biosciences and Engineering1551-00182018-01-0115132333510.3934/mbe.2018014Optimal time to intervene: The case of measles child immunizationZuzana Chladná0Department of Applied Mathematics and Statistics, Faculty of Mathematics, Physics and Informatics, Comenius University, 84248 Bratislava, SlovakiaThe recent measles outbreaks in US and Germany emphasize the importance of sustaining and increasing vaccination rates. In Slovakia, despite mandatory vaccination scheme, decrease in the vaccination rates against measles has been observed in recent years. Different kinds of intervention at the state level, like a law making vaccination a requirement for school entry or education and advertising seem to be the only strategies to improve vaccination coverage. This study aims to analyze the economic effectiveness of intervention in Slovakia. Using real options techniques we determine the level of vaccination rate at which it is optimal to perform intervention. We represent immunization rate of newborns as a stochastic process and intervention as a one-period jump of this process. Sensitivity analysis shows the importance of early intervention in the population with high initial average vaccination coverage. Furthermore, our numerical results demonstrate that the less certain we are about the future development of the immunization rate of newborns, the more valuable is the option to intervene.https://www.aimspress.com/article/doi/10.3934/mbe.2018014interventionvaccination coveragereal options
spellingShingle Zuzana Chladná
Optimal time to intervene: The case of measles child immunization
Mathematical Biosciences and Engineering
intervention
vaccination coverage
real options
title Optimal time to intervene: The case of measles child immunization
title_full Optimal time to intervene: The case of measles child immunization
title_fullStr Optimal time to intervene: The case of measles child immunization
title_full_unstemmed Optimal time to intervene: The case of measles child immunization
title_short Optimal time to intervene: The case of measles child immunization
title_sort optimal time to intervene the case of measles child immunization
topic intervention
vaccination coverage
real options
url https://www.aimspress.com/article/doi/10.3934/mbe.2018014
work_keys_str_mv AT zuzanachladna optimaltimetointervenethecaseofmeasleschildimmunization