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http://hdl.handle.net/1942/34166
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DC Field | Value | Language |
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dc.contributor.author | Verelst, Frederik | - |
dc.contributor.author | Beutels, Philippe | - |
dc.contributor.author | HENS, Niel | - |
dc.contributor.author | WILLEM, Lander | - |
dc.date.accessioned | 2021-05-31T10:56:22Z | - |
dc.date.available | 2021-05-31T10:56:22Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-04-27T08:09:04Z | - |
dc.identifier.citation | VACCINE, 39 (14) , p. 2005 -2015 | - |
dc.identifier.issn | 0264410X | - |
dc.identifier.uri | http://hdl.handle.net/1942/34166 | - |
dc.description.abstract | Background: Each year, up to 10% of unvaccinated adults contracts seasonal influenza, with half of this proportion developing symptoms. As a result, employers experience significant economic losses in terms of employee absenteeism. Influenza vaccines can be instrumental in reducing this burden. Workplace vaccination is expected to reduce employee absenteeism more than linearly as a result of positive externalities. It remains unclear whether workplace influenza vaccination yields a positive return on investment. Methods: We simulated the spread of influenza in the seasons 2011-12 up to 2017-18 in Belgium by means of a compartmental transmission model. We accounted for age-specific social contact patterns and included reduced contact behavior when symptomatically infected. We simulated the impact of employer-funded influenza vaccination at the workplace and performed a cost-benefit analysis to assess the employers' return on workplace vaccination. Furthermore, we look into the cost-benefit of rewarding vaccinated employees by offering an additional day off. Results: Workplace vaccination reduced the burden of influenza both on the workplace and in the population at large. Compared to the current vaccine coverage - 21% in the population at large - an employee vaccine coverage of 90% could avert an additional 355 000 cases, of which about 150 000 in the employed population and 205 000 in the unemployed population. While seasonal influenza vaccination has been cost-saving on average at about (SIC)10 per vaccinated employee, the cost-benefit analysis was prone to between-season variability. Conclusions: Vaccinated employees can serve as a barrier to limit the spread of influenza in the population, reducing the attack rate by 78% at an employee coverage of 90%. While workplace vaccination is relatively inexpensive (due to economies of scale) and convenient, the return on investment is volatile. Government subsidies can be pivotal to encourage employers to provide vaccination at the workplace with positive externalities to society as a whole. (C) 2021 Elsevier Ltd. All rights reserved. | - |
dc.description.sponsorship | We thank Sciensano for providing the ILI + data in order to fit our model. We are indebted to Esther Kissling and her colleagues at the I-MOVE study for providing the vaccine effectiveness data. We acknowledge support from the Antwerp Study Center for Infectious Diseases (ASCID), methusalem's VAX-IDEA and the Flemish Research Foundation (FWO, project no. G043815N and postdoctoral fellowship no. 1234620 N). NH acknowledges support from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (grant number 682540 - TransMID project). | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCI LTD | - |
dc.rights | 2021 Elsevier Ltd. All rights reserved | - |
dc.subject.other | Vaccination | - |
dc.subject.other | Workplace | - |
dc.subject.other | Influenza | - |
dc.subject.other | Cost-benefit analysis | - |
dc.subject.other | Absenteeism | - |
dc.subject.other | Employee | - |
dc.title | Workplace influenza vaccination to reduce employee absenteeism: An economic analysis from the employers’ perspective | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 2015 | - |
dc.identifier.issue | 14 | - |
dc.identifier.spage | 2005 | - |
dc.identifier.volume | 39 | - |
local.format.pages | 11 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Verelst, F (corresponding author), Univ Antwerp, Ctr Hlth Econ Res & Modelling Infect Dis, Vaccine & Infect Dis Inst, Univ Pl 1, B-2610 Antwerp, Belgium. | - |
dc.description.notes | frederik.verelst@uantwerp.be | - |
dc.description.other | Verelst, F (corresponding author), Univ Antwerp, Ctr Hlth Econ Res & Modelling Infect Dis, Vaccine & Infect Dis Inst, Univ Pl 1, B-2610 Antwerp, Belgium. frederik.verelst@uantwerp.be | - |
local.publisher.place | THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.vaccine.2021.02.020 | - |
dc.identifier.pmid | 33632564 | - |
dc.identifier.isi | WOS:000632984100018 | - |
dc.contributor.orcid | Willem, Lander/0000-0002-9210-1196 | - |
dc.identifier.eissn | 1873-2518 | - |
local.provider.type | wosris | - |
local.uhasselt.uhpub | yes | - |
local.description.affiliation | [Verelst, Frederik; Beutels, Philippe; Hens, Niel; Willem, Lander] Univ Antwerp, Ctr Hlth Econ Res & Modelling Infect Dis CHERMID, Vaccine & Infect Dis Inst VAXINFECTIO, Antwerp, Belgium. | - |
local.description.affiliation | [Beutels, Philippe] Univ New South Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia. | - |
local.description.affiliation | [Hens, Niel] Hasselt Univ, Interuniv Inst Biostat & Stat Bioinformat, Data Sci Inst, Hasselt, Belgium. | - |
local.uhasselt.international | yes | - |
item.fulltext | With Fulltext | - |
item.accessRights | Restricted Access | - |
item.validation | ecoom 2022 | - |
item.contributor | Verelst, Frederik | - |
item.contributor | Beutels, Philippe | - |
item.contributor | HENS, Niel | - |
item.contributor | WILLEM, Lander | - |
item.fullcitation | Verelst, Frederik; Beutels, Philippe; HENS, Niel & WILLEM, Lander (2021) Workplace influenza vaccination to reduce employee absenteeism: An economic analysis from the employers’ perspective. In: VACCINE, 39 (14) , p. 2005 -2015. | - |
crisitem.journal.issn | 0264-410X | - |
crisitem.journal.eissn | 1873-2518 | - |
Appears in Collections: | Research publications |
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1-s20-S0264410X21001687-main.pdf Restricted Access | Published version | 851.36 kB | Adobe PDF | View/Open Request a copy |
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