Reference no: EM132946449

Question - The county health department is planning to administer vaccines to 100,000 elderly patients in existing public health. The cost per vaccine are $5 and labor costs of administration per vaccine $1.25. These vaccinations are expected to prevent 1000 cases of infection XYZ. The average cost of treating XYZ is $100. However, 90 adverse reactions are expected and the cost of treating each adverse reaction is $260. Due to the vaccinations, it is expected that 20 deaths among the target population will be avoided next year. These people will live for additional 8 healthy years. In addition, 1000 people will not contract the infection at all. The quality of life among these 1000 people is expected to increase by 0.05 health year equivalents. Among the people experiencing adverse reactions, the quality of life is expected to reduce by 0.09 healthy year equivalents. An alternative program exists with net costs $600000 and net benefits of 250 healthy year equivalents. Which program should the county health department choose? Assume a discounting rate of 5% and discount at the beginning of the year.