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The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks

1
Center for Minority Health Services Research, 2300 4th Street NW, Annex 3, Washington, DC 20059, USA
2
Howard University Research Centers in Minority Institutions, Howard University, 520 W Street NW, Room 436, Washington, DC 20059, USA
3
Howard University College of Pharmacy, Howard University, 2300 4th Street NW, Chauncey Cooper Hall, Washington, DC 20059, USA
4
US Food and Drug Administration, Office of Minority Health, 10903 New Hampshire Avenue, Silver Spring, MD 20993, USA
5
Howard University College of Nursing and Allied Health Sciences, Howard University, 516 Bryant Street NW, Washington, DC 20059, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(10), 2128; https://doi.org/10.3390/ijerph15102128
Received: 23 August 2018 / Revised: 22 September 2018 / Accepted: 24 September 2018 / Published: 27 September 2018
There are persistent disparities with regard to receipt of herpes zoster vaccine among elderly blacks, but no data is available regarding the public health or economic impact of these disparities. A decision tree was constructed with multiple Markov nodes in order to estimate the preventable cases of herpes zoster occurring among elderly blacks due to disparities in receipt of herpes zoster vaccine and to quantify the economic costs associated with these disparities. The model was constructed to examine the number of herpes zoster cases occurring among elderly blacks from the age of 60 to 84 over a 20 year period and also calculated costs due to herpes zoster complications and lost productivity. Achievement of health equity would prevent over 34,500 cases of herpes zoster from occurring in the future and avert over $180 million in lost productivity and treatment costs as a result of these cases of herpes zoster. These results help to show that thousands of cases of herpes zoster could be prevented if blacks were vaccinated at the same frequency as whites and help to show the benefit of implementing viable strategies to achieving this goal. View Full-Text
Keywords: herpes zoster; shingles; vaccination; elderly; blacks; seniors herpes zoster; shingles; vaccination; elderly; blacks; seniors
MDPI and ACS Style

Wingate, L.T.; Stubbs, K.; Ahmed, I.; Mayaka, R.K.; Maneno, M.K.; Ettienne, E.; Elekwachi, O.; Clarke-Tasker, V. The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks. Int. J. Environ. Res. Public Health 2018, 15, 2128. https://doi.org/10.3390/ijerph15102128

AMA Style

Wingate LT, Stubbs K, Ahmed I, Mayaka RK, Maneno MK, Ettienne E, Elekwachi O, Clarke-Tasker V. The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks. International Journal of Environmental Research and Public Health. 2018; 15(10):2128. https://doi.org/10.3390/ijerph15102128

Chicago/Turabian Style

Wingate, La’Marcus T.; Stubbs, Keisha; Ahmed, Iman; Mayaka, Rachel K.; Maneno, Mary K.; Ettienne, Earl; Elekwachi, Oluchi; Clarke-Tasker, Veronica. 2018. "The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks" Int. J. Environ. Res. Public Health 15, no. 10: 2128. https://doi.org/10.3390/ijerph15102128

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