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Table 1 Province-specific model parameters and data sources

From: National and provincial impact and cost-effectiveness of Haemophilus influenzae type b conjugate vaccine in China: a modeling analysis

Model parameter

Base case value

Range (min and max)

Distribution

Source

Population at risk and demographic parameters

 Under-five mortality rate

Province-level data

Not varied

Beta

GBD study [15]

 Neonatal mortality rate

Province-level data

Not varied

Not varied

Song et al. 2016 [16]

 Child population

Province-level data

Not varied

Not varied

China National Bureau of Statistics and China CDC

Epidemiologic data

 Incidence of Hib meningitis (per 100,000 children 1–59 months)

Province-level data

Additional file 2: Table S2

Beta

Province-level disease burden model estimates

 Incidence of Hib pneumonia (per 100,000 children 1–59 months)

Province-level data

Additional file 2: Table S2

Beta

Province-level disease burden model estimates

 Incidence of Hib NPNM (per 100,000 children 1–59 months)

Province-level data

Additional file 2: Table S2

Beta

Province-level disease burden model estimates

 Age distribution

    

  Hib pneumonia

0–11 months: 75%

12–23 months: 25%

24–59 months: 0%

Not varied

Not varied*

Watt et al. 2009 [3] and authors’ assumption

  Hib meningitis and Hib NPNM

0–11 months: 73%

12–23 months: 21%

24–59 months: 6%

Not varied*

Not Varied*

Watt et al. 2009 [3] and authors’ assumption

 Case fatality ratios

  Hib pneumonia

Province-level data

Additional file 2: Table S2

Beta

Province-level disease burden model estimates

  Hib meningitis

Additional file 2

Additional file 2

Beta

Province-level disease burden model estimates

  Hib NPNM

Additional file 2

Additional file 2

Beta

Province-level disease burden model estimates

  Meningitis neurological sequelae

0.70%

0.53–0.88%

Beta

2018 China Health Statistics Yearbook [17]

 Meningitis sequelae

    

  Probability of cognitive disability

1.60%

1.0–1.3%†

Beta

Edmond K et al. 2010 [18]

  Probability of epilepsy

2.20%

2.1–3.2%†

Beta

Edmond K et al. 2010 [18]

  Probability of hemiplegia

3.20%

2.2–8.1%†

Beta

Edmond K et al. 2010 [18]

  Probability of hearing loss

4.60%

3.1–8.2%†

Beta

Edmond K et al. 2010 [18]

  Probability of cochlear implant

40.00%

30.0–50.0%†

Beta

Sun B et al. 2015 [19]

Vaccine efficacy and coverage

 1-dose efficacy

60.00%

0–86.0%

Beta

Griffiths UK et al. 2012 and Watt et al. 2009 [3, 20]

 2-dose efficacy

94.00%

69.0–98.0%

Beta

Griffiths UK et al. 2012 and Watt et al. 2009 [3, 20]

 3-dose efficacy

95.00%

94.0–98.0%

Beta

Griffiths UK et al. 2012 and Watt et al. 2009 [3, 20]

 4-dose efficacy

95.00%

94.0–98.0%

Beta

Assumed by 3-dose efficacy

 Hib vaccine coverage in the private market

Province-level data

Additional file 4: Table S2

Triangular

China CDC

 Hib vaccine coverage in a national immunization program

Region-level data

Additional file 4: Table S3

Triangular

Assumed by DTP vaccine coverage rate in China [16, 21]

Cost of illness (USD)

 Cost per inpatient pneumonia case

Province-level data

Additional file 3: Table S4

Gamma

CHIRA, China CDC and 2018 China Statistics Yearbook [22]

 Cost per inpatient meningitis case

Province-level data

Additional file 3: Table S4

Gamma

CHIRA, China CDC and 2018 China Statistics Yearbook [22]

 Cost per inpatient NPNM case

Province-level data

Additional file 3: Table S4

Gamma

CHIRA, China CDC and 2018 China Statistics Yearbook [22]

 Cost per outpatient pneumonia case

Province-level data

Additional file 3: Table S4

Gamma

CHIRA, China CDC and 2018 China Statistics Yearbook [22]

 Cost per cognitive disability case

1260

945–1575

Gamma

CHIRA

 Cost per hearing loss case

3520

2640–4400

Gamma

CHIRA

 Cost per epilepsy case

796

597–996

Gamma

CHIRA

 Cost per hemiplegia case

1679

1259–2098

Gamma

CHIRA

 Cost of cochlear implant per case

72,459

54,344–90,574

Gamma

Qiu J et al. 2017 [23]

 Discounted cost of special education (age 6–18)

Province-level data

Additional file 3: Table S4

Gamma

2018 China Education Statistics Yearbook and 2018 China Education Expenditure Statistics Yearbook [24, 25]

 Discounted lifetime productivity per capita

Province-level data

Additional file 3: Table S4

Gamma

2010 China census data [26]

Utilities

 Utility of meningitis

0.9768

0.5970–1

Beta

Bennett JE et al. 2010 [27]

 Utility of outpatient pneumonia or NPNM

0.9963

0.9926–1

Beta

van Hoek AJ et al. 2012 [28]

 Utility of inpatient pneumonia

0.9941

0.7948–1

Beta

Bennett JE et al. 2010 [27]

 Utility of inpatient NPNM

0.9921

0.7825–1

Beta

Bennett JE et al. 2010 [27]

 Utility of cognitive disability

0.62

0.51–0.73

Beta

Oostenbrink R et al 2002 [29]

 Utility of hearing loss

0.91

0.83–1

Beta

Oostenbrink R et al 2002 [29]

 Utility of epilepsy

0.83

0.75–0.91

Beta

Oostenbrink R et al 2002 [29]

 Utility of hemiplegia

0.3903

0–1

Beta

Bennett JE et al. 2010 [27]

Immunization costs (USD)

 Vaccine price per dose

11.62

9.12–14.82

Gamma

China CDC

 Cost of immunization delivery per dose

Province-level data

Additional file 4: Table S4

Gamma

China CDC [30]

 Incidence of Hib vaccine severe adverse events (per 100,000 doses)

0.18

0–36.32

Beta

Li K et al. 2020 [31]

 Cost of adverse events per case

903

677–1129

Gamma

2018 China Health Statistics Yearbook [32]

 Wastage rate

5.00%

0.0–10.0%

Beta

Authors’ assumption

  1. NPNM non-pneumonia non-meningitis, GBD Global Disease Burden, CHIRA Chinese Health Insurance Research Association
  2. *Parameter not varied in the sensitivity analyses. Age distribution uncertainty is included in the disease burden incidence uncertainty.
  3. †95% confidence interval (CI)
  4. The base case values and ranges of all province-level data are presented in corresponding additional files
  5. Additional file 1: Population at risk and demographic parameters
  6. Additional file 2: Epidemiologic data
  7. Additional file 3: Costs of Illnesses
  8. Additional file 4: Hib vaccine coverage and immunization costs