An economic analysis of varicella immunization in the Singapore military

Jake J. K. Goh; Marc Ho; W. M. Koh; Vernon J. Lee

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An economic analysis of varicella immunization in the Singapore military

REVIEW | Updated：2026-03-12

- An economic analysis of varicella immunization in the Singapore military
- An economic analysis of varicella immunization in the Singapore military
- MMR 2016年3卷第1期页码：43-50
- Affiliations：
  
  1.Specialist Medicine Centre, AFPN 0047, 27 Medical Drive #08-01, Singapore 117510, Singapore
  2.National University of Singapore, MD3, 16 Medical Drive, Singapore 117597, Singapore
- Author bio：
  
  *: gohjitkhong@gmail.com
- Funds：
- DOI：
  中图分类号：
- 纸质出版：2016-03
- Accepted：
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An economic analysis of varicella immunization in the Singapore military[J]. MMR, 2016,3(1):43-50.

Jake J. K. Goh, Marc Ho, W. M. Koh, et al. An economic analysis of varicella immunization in the Singapore military[J]. Military Medical Research, 2016, 3(1): 43-50.
An economic analysis of varicella immunization in the Singapore military[J]. MMR, 2016,3(1):43-50. DOI：

Jake J. K. Goh, Marc Ho, W. M. Koh, et al. An economic analysis of varicella immunization in the Singapore military[J]. Military Medical Research, 2016, 3(1): 43-50. DOI：

摘要

Abstract

Background:

Varicella outbreaks occur frequently in closed environments such as those of militaries. This paper compares the economic outcomes of varicella vaccination in enlisted servicemen without prior reported varicella infection or vaccination.

Methods:

We analyzed the economic outcomes of a varicella vaccination program on all enlisted servicemen without prior reported varicella infection or vaccination in the Singapore Armed Forces (SAF) between December 11

2010–December 20

2013

compared with the previous program of varicella vaccination only for selected personnel between December 1

2007–December 10

2010.

Results:

In the at-risk population of all active SAF servicemen

the program of varicella vaccination for all servicemen without prior reported varicella infection or vaccination upon enlistment would save 72.0 work days per 1000 (95% CI: 61.2-82.9)

valued at SG$6

544 per 1000 (95% CI: 6

524-6

564)

i.e.

costing SG$91.5 per work day saved (95% CI: 78.7-107.3). This also results in a reduction of 2.7 varicella cases per 1000 and 5.43 outbreaks per 10000

or a total savings of SG$1

695 per 1000 (95% CI: –2

730-6

834)

taking into account the cost of work days lost over a three-year period

compared with the previous regime of vaccinations only for selected individuals.

Conclusion:

The varicella vaccination strategy targeting all enlisted servicemen without prior reported varicella infection or vaccination is able to prevent varicella infections and outbreaks

thus reducing absenteeism and days lost.

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references

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