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Table 1 Disease burden and healthcare costs used for model comparison exercise

From: Cost-effectiveness of pharmaceutical strategies to prevent respiratory syncytial virus disease in young children: a decision-support model for use in low-income and middle-income countries

Input parameter

Value

Source

RSV disease event rates per 100,000 per year (< 5yrs)

 RSV non-severe cases

  Low income

4450

Li 2022 [1]

  Lower middle income

3740

Li 2022 [1]

  Upper middle income

4830

Li 2022 [1]

 RSV severe cases

  Low income

480

Li 2022 [1]

  Lower middle income

1400

Li 2022 [1]

  Upper middle income

690

Assume 1/8 of all RSV-ALRI cases in Li 2022 [1]

 RSV clinic visits

  Low income

2642

RSV cases × 53.6% treatment for pneumonia [59]

  Lower middle income

3395

RSV cases × 66.0% treatment for pneumonia [59]

  Upper middle income

3949

RSV cases × 71.5% treatment for pneumonia [59]

 RSV hospital admissions

  Low income

350

Li 2022 [1]

  Lower middle income

620

Li 2022 [1]

  Upper middle income

620

Li 2022 [1]

 RSV deaths

  Low income

29.86

Li 2022 [1]

  Lower middle income

19.76

Li 2022 [1]

  Upper middle income

4.73

Li 2022 [1]

Cumulative percentage of RSV severe cases < 5 years, by age *

 1 m

3.91%

A Burr distribution was fitted to RSV hospital admission data from two unpublished datasets (Argentina and Vietnam) and four studies (Kenya [45], Mozambique [46], Pakistan [47], and South Africa [48]) identified in Li, 2022 [1]

 3 m

35.60%

 6 m

59.53%

 1 yr

77.21%

 2yrs

89.48%

 5yrs

100.00%

 

Cumulative percentage of RSV non-severe cases < 5 years, by age**

 1 m

0.29%

The ratio of non-severe to severe RSV case incidence from Li, 2022 [1] was applied in broad age bands (< 3 m, 3–5 m, 6–11 m, 12–59 m) to the fitted Burr age distribution for severe RSV cases. An updated Burr age distribution was then fitted to non-severe RSV cases

 3 m

10.65%

 6 m

37.90%

 1 yr

65.85%

 2yrs

84.91%

 5yrs

100.00%

DALY weights

 RSV non-severe cases

0.051

GBD, 2019 [49]

 RSV severe cases

0.133

GBD, 2019 [49]

Duration of illness (days)

 RSV non-severe cases

5

Hall et al. [60] − / + 2 days

 RSV severe cases

10

Hall et al. [60] − / + 2 days

Healthcare costs (US$)

 RSV clinic visits

62.24

Cost of managing pneumonia, Zhang et al. [51]

 RSV hospital admissions

368.42

Cost of managing pneumonia, Zhang et al. [51]

  1. Abbreviations: m months, yrs years
  2. * Also assumed for RSV hospital admissions, RSV deaths, and RSV clinic visits among severe RSV cases. A Burr distribution (shape 1 = 2.9, shape 2 = 0.2, scale = 7.0) was used to calculate the age distribution by week of age (Additional file 1: Fig. S1)
  3. ** Also assumed for RSV clinic visits among non-severe cases. A Burr distribution (shape 1 = 3.3, shape 2 = 0.2, scale = 15.1) was used to calculate the age distribution by week of age (Additional file 1: Fig. S2)