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Published 17 July 2008, doi:10.1136/bmj.a842
Cite this as: BMJ 2008;337:a842
Is projected to be beneficial and cost effective
| The first 150 words of the full text of this article appear below. |
This September, the Department of Health in the United Kingdom will begin a national programme of routine human papillomavirus immunisation of 12-13 year old schoolgirls, coupled with a two year catch-up campaign for those up to the age of 18 in 2009.1 The selected bivalent vaccine, Cervarix, protects against two of the most common human papillomavirus types that cause cervical cancer (types 16 and 18), whereas an available quadrivalent vaccine, Gardasil, also protects against two non-oncogenic types that cause genital warts (types 6 and 11). The linked study by Jit and colleagues from the Health Protection Agency (doi: 10.1136/bmj.a769) describes the mathematical modelling approach and results used to inform the Department of Healths decision.2
Mathematical models are used to synthesise multiple data sources, to extrapolate short term clinical findings into long term outcomes of population level benefits and cost effectiveness, and to investigate the influence of uncertainties about data
Jane J Kim, assistant professor of health decision science
1 Program in Health Decision Science, Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
jkim@hsph.harvard.edu
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