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Past Issue

Vol. 9, No. 5
May 2003

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Research

Pandemic Influenza and Healthcare Demand in the Netherlands: Scenario Analysis

Marianne L.L. van Genugten,* Marie-Louise A. Heijnen,* and Johannes C. Jager*
*National Institute for Public Health and the Environment, Bilthoven, the Netherlands


 

Table 5. Hospitalizations and deaths in various scenarios for alternative age-specific attack ratesa

 

No. of hospitalizations per age group

No. of deaths per age group

 

     

Age group proportion

Age group proportion

     
   
Scenario
Regular epidemic
Groups equally affected

1:1:2

1:2:1

2:1:1

Previous pandemicsb

Regular epidemic

Groups equally affected

1:1:2

1:2:1

2:1:1

Previous pandemicsb


Nonintervention

10,186

12,478

19,630

9,184

10,252

7,541

4.040

5,199

9,009

3,288

4,197

2,746

Influenza vaccination

                       

      Total population

3,847

4,844

8,068

3,285

3,939

2,716

1,738

2,245

3,929

1,401

1,809

1,169

       Risk groups

3,968

4,962

8,171

3,410

4,058

2,840

1,789

2,294

3,972

1,454

1,860

1,222

Pneumococcal vaccination

7,008

8,574

13,460

6,323

7,053

5,200

3,903

5,015

8,697

3,178

4,054

2,654

Neuraminidase inhibitors

5,093

6,239

9,815

4,592

5,126

3,771

2,020

2,600

4,505

1,644

2,099

1,373


aGross attack rate 30%.
bDistribution from Meltzer et al. (9) based on previous pandemics.

 

Table 8. Hospitalizations and deaths for alternative values for pneumococcal related variablesa

 

Scenario

No. of hospitalizations

No. of deaths



 

Base case

Reduction of complications

Vaccine efficacy

 

Base case

Reduction of complications

Vaccine efficacy





25%

75%

25%

75%

25%

75%

25%

75%


Non intervention

10,186

10,186

10,186

10,186

10,186

4,040

4,040

4,040

4,040

4,040

Pneumococcal vaccination

7,008

8,597

5,418

8,945

7,703

3,903

3,971

3,834

3,986

3,933


aSee Table 1.
   
     
   
Comments to the Authors

Please use the form below to submit correspondence to the authors or contact them at the following address:

Marianne L.L. van Genugten, Centre for Prevention and Health Services Research, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, the Netherlands; fax: +31 30 2744466; email: Marianne.van.Genugten@rivm.nl

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This page posted April 15, 2003
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