News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


HPV vaccination for school boys not yet cost-effective

Monday 14 July 2014

HPV vaccination for school boys not yet cost-effective – study

HPV vaccination of New Zealand school boys is not yet a value-for-money option, according to a study just published by the University of Otago, Wellington.

Until the vaccine price drops and various other cost-saving strategies are also adopted – such as using just two doses rather than the current three doses of vaccine – the Government should focus on increasing HPV vaccination uptake in girls at schools, the authors say.

One of the study’s authors, Associate Professor Nick Wilson, says New Zealand has “some way to go” to catch up to the coverage levels of over 80% of school girls seen in some other countries such as the UK.

One way to achieve this could be to follow these other countries by continuing to allow free vaccination in the school setting for 12-year-old girls, but not funding other out-of-school options which parents sometimes don’t follow up on, Wilson says.

HPV vaccination is showing benefits around the world in terms of markedly dropping rates of genital warts and some types of pre-cancer, which can proceed on to cervical cancer. The vaccination is also very likely to prevent a range of other genital cancers and head and neck cancer in both women and men.

The University of Otago, Wellington study found that the current programme for girls was good value for money, but adding vaccination for boys would cost a lot more per amount of health gained - vaccination of boys at the level of coverage as currently achieved for girls would cost $117,500 per quality-adjusted life-year (QALY) gained.

“This is clearly not cost-effective when using a typical threshold of the GDP-per-capita of New Zealand to gain an extra year of healthy life, which is around $45,000,” Wilson says.

“If New Zealand invested in vaccinating boys, there would be the likely opportunity cost of not funding interventions that achieve more health gain or, more bluntly, not getting the biggest ‘bang for our buck’ elsewhere in the health sector.”

Wilson suggests New Zealand would perhaps be better off investing in other vaccinations such as the meningococcal C vaccination used in a campaign in Northland recently.

However, the price of the HPV vaccine is almost certain to drop in the future, especially as PHARMAC has now taken over the role of price negotiating from the Ministry of Health, Wilson says.

PHARMAC can now negotiate vaccine prices at the same time as contracts for other products from the same pharmaceutical manufacturers.

The study found that a lower vaccine price would improve the cost-effectiveness of vaccinating boys. However, the combined vaccine and administration costs had to be under $125 per dose of vaccine delivered, before vaccinating boys became cost-effective at the GDP-per-capita threshold.

“Vaccinations are usually great value for money – but we are not at this point with giving the HPV vaccination for boys,” Wilson says.

The Australian Government is now providing fully subsidised HPV vaccination to school boys – in large part because this government seems to have struck a particularly good deal with the vaccine manufacturer, Wilson says.

“But national pride might also have played a part – since the HPV vaccine was first invented in Australia.”

The study is published in the international peer-reviewed journal BMC Infectious Diseases, and the study team was predominantly funded by the Health Research Council.


© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Cap Bocage: Anti-Mining Campaign Doco Debuts At NZ Film Festival

Playing at this year’s New Zealand International Film Festival, Cap Bocage is a close-up exploration of the forces that came into play when environmental issues and indigenous rights became intertwined in New Caledonia ... More>>

Film Fest:

More Film:

Sharon Ellis Review: A View From The Bridge

Arthur Miller’s A View From the Bridge is Circa’s latest big production, it opened on Saturday 19 July and it is a stunning triumph. More>>

Māori Language Week: He Karanga Kia Kaha Ake Te Tīhau Ki Te Reo Māori

The Māori Language Commission wishes to see social media swamped with Māori language tweets and messages for Te Wiki o te Reo Māori using the hashtag #tekupu. More>>

ALSO:

Book Vote: Kiwis Prefer Young Adult & Classics

To compile their Top 100 List for 2014, Whitcoulls again asked New Zealanders to vote for their favourite books and authors. And while classic novels continue to appeal to Kiwi readers, 2014 marks a significant new trend – the increasing popularity of novels for young adults. More>>

ALSO:

Five NZ Cities: Bill Bailey Back To The Southern Hemisphere

The gap between how we imagine our lives to be and how they really are is the subject of Bill’s new show Limboland. With his trademark intelligence and sharp wit, he tells tales of finding himself in this halfway place. More>>

Scoop Review Of Books: Book Television Is Coming

Carole Beu of The Women’s Bookshop in Auckland, Graham Beattie of The Book Blog and producer Deb Faith of FaceTV have raised enough money via crowd funding at Boosted – just under $7,000 so far – for 12 episodes, which begin production in September, and will be on screen later that month. More>>

Electric Sheep: Light Nelson Exceeds All Expectations

Light Nelson exceeded all expectations drawing over 40,000 people over two nights to the Queens Gardens and surrounds. The event, with over 40 installations from local and national artists, is in its second year, and organisers were hoping they’d top last year’s crowd of 16,000. More>>

MacGyver: Richard Dean Anderson To Attend Armageddon This October

New Zealand’s biggest pulp-culture event, the Armageddon Expo is proud to announce the world’s most recognised DIY action hero will be attending the Auckland event at the ASB Showgrounds from October 24th to 27th. More>>

ALSO:

Barbershop Gold: Māori Party Singing Praises Of The Musical Island Boys

The Maori Party has congratulated four young men on a mission, who in 2002 took up barbershop singing at Tawa College, and tonight took out the Gold Medal in the 2014 International Barbershop Harmony Society competitions in Las Vegas. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news