Costs of typhoid vaccination for international travelers from the United States

In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of typhoid exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated typhoid vaccination costs by route (injectable vs. oral) and provider setting (clinic v...

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Main Authors: Heesoo Joo, Brian A. Maskery, Louise K. Francois Watkins, Joohyun Park, Kristina M. Angelo, Eric S. Halsey
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Travel Medicine and Infectious Disease
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Online Access:http://www.sciencedirect.com/science/article/pii/S1477893925000043
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author Heesoo Joo
Brian A. Maskery
Louise K. Francois Watkins
Joohyun Park
Kristina M. Angelo
Eric S. Halsey
author_facet Heesoo Joo
Brian A. Maskery
Louise K. Francois Watkins
Joohyun Park
Kristina M. Angelo
Eric S. Halsey
author_sort Heesoo Joo
collection DOAJ
description In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of typhoid exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated typhoid vaccination costs by route (injectable vs. oral) and provider setting (clinic vs. pharmacy). Of 165,930 vaccinated individuals, 99,471 received injectable and 66,459 received oral typhoid vaccines, with 88 % and 17 % respectively administered at clinics. Average costs for injectable vaccination were $132.91 per person [95 % confidence interval (CI): $132.68–$133.13], with clinic and pharmacy costs at $136.38 [95 % CI: $136.14–$136.63] and $107.45 [95 % CI: $107.13–$107.77], respectively. Oral vaccination costs averaged $81.23 per person [95 % CI: $81.14–$81.33], encompassing $86.61 [95 % CI: $86.13–$87.10] at clinics and $80.14 [95 % CI: $80.09–$80.19] at pharmacies. Out-of-pocket costs comprised 21 % and 33 % of total costs for injectable and oral vaccinations. These findings may inform clinical decision-making to protect international travelers’ health.
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spelling doaj-art-95e767bcbd144159a71bf5c3659686e52025-01-26T05:03:36ZengElsevierTravel Medicine and Infectious Disease1873-04422025-03-0164102798Costs of typhoid vaccination for international travelers from the United StatesHeesoo Joo0Brian A. Maskery1Louise K. Francois Watkins2Joohyun Park3Kristina M. Angelo4Eric S. Halsey5Division of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, GA, USA; Corresponding author. U.S. Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16, Atlanta, GA, 30329, USA.Division of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, GA, USADivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USADivision of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, GA, USADivision of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USADivision of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, GA, USAIn the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of typhoid exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated typhoid vaccination costs by route (injectable vs. oral) and provider setting (clinic vs. pharmacy). Of 165,930 vaccinated individuals, 99,471 received injectable and 66,459 received oral typhoid vaccines, with 88 % and 17 % respectively administered at clinics. Average costs for injectable vaccination were $132.91 per person [95 % confidence interval (CI): $132.68–$133.13], with clinic and pharmacy costs at $136.38 [95 % CI: $136.14–$136.63] and $107.45 [95 % CI: $107.13–$107.77], respectively. Oral vaccination costs averaged $81.23 per person [95 % CI: $81.14–$81.33], encompassing $86.61 [95 % CI: $86.13–$87.10] at clinics and $80.14 [95 % CI: $80.09–$80.19] at pharmacies. Out-of-pocket costs comprised 21 % and 33 % of total costs for injectable and oral vaccinations. These findings may inform clinical decision-making to protect international travelers’ health.http://www.sciencedirect.com/science/article/pii/S1477893925000043Typhoid feverTyphoid vaccinationVaccination costs
spellingShingle Heesoo Joo
Brian A. Maskery
Louise K. Francois Watkins
Joohyun Park
Kristina M. Angelo
Eric S. Halsey
Costs of typhoid vaccination for international travelers from the United States
Travel Medicine and Infectious Disease
Typhoid fever
Typhoid vaccination
Vaccination costs
title Costs of typhoid vaccination for international travelers from the United States
title_full Costs of typhoid vaccination for international travelers from the United States
title_fullStr Costs of typhoid vaccination for international travelers from the United States
title_full_unstemmed Costs of typhoid vaccination for international travelers from the United States
title_short Costs of typhoid vaccination for international travelers from the United States
title_sort costs of typhoid vaccination for international travelers from the united states
topic Typhoid fever
Typhoid vaccination
Vaccination costs
url http://www.sciencedirect.com/science/article/pii/S1477893925000043
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