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The meningococcal C vaccination campaign, launched in November 1999, has rapidly reduced the incidence of serotype C meningococcal disease
in the target age groups. Using cost effectiveness analysis, Trotter
and Edmunds (p 809) estimate the cost per life saved to be £6259 and
find vaccination to be most cost effective when the incidence of the
disease is high. School based vaccination is more cost effective than
the routine vaccination of infants because delivery costs are lower and
fewer doses are required. Immunisation of infants aged under 1 year was
least cost effective, as a three dose schedule is required.