Cost (Billions)

DALYs (Billions)

IC

   IDA

ICER

IC

 IDA

ICER

IC

 IDA

ICER

IC

 IDA

ICER

IC

 IDA

ICER

IC

 IDA

ICER

(M$)

(M)

(M$)

(M)

(M$)

(M)

(M$)

(M)

(M$)

(M)

(M$)

(M)

Global

23

0.5

13,872

488

28

12,712

465

27

7,753

488

16

8,002

465

17

6,380

209

31

12,243

411

30

WHO Region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Africa

2

0.1

9,237

92

101

8,596

88

98

7,447

92

81

7,170

88

81

4,396

39

112

9,993

77

129

America

4

0

-305

0

C/S

-222

0

C/S

-1,316

0

C/S

-1,000

0

C/S

-13

0

N/A

-6

0

N/A

Eastern Mediterranean

1

0

1,298

44

29

1,165

42

28

767

44

17

757

42

18

556

19

29

1073

37

29

Europe

5

0

-370

0

C/S

-316

0

C/S

-1,285

0

C/S

-1,013

0

C/S

-740

0

C/S

-652

0

C/S

Southeast Asia

4

0.4

4,743

333

14

4,175

317

13

3,460

333

10

3,216

317

10

3,217

143

23

3,658

280

13

Western Pacific

5

0

-730

19

C/S

-687

18

C/S

-1,320

19

C/S

-1,128

18

C/S

-1,056

8

C/S

-1,839

16

C/S

By Income and Coverage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Very Low Coverage

1

0.1

6,506

52

126

6,080

50

122

5,505

52

106

5,284

50

106

3,557

22

161

7,294

44

167

Low-Middle Income, Not Yet Eliminated

9

0.5

10,289

435

24

9,158

415

22

7,285

435

17

6,865

415

17

4,615

186

25

7,514

367

20

Low-Middle Income, Eliminated

1

0

-266

0

C/S

-193

0

C/S

-329

0

C/S

-240

0

C/S

-13

0

N/A

-7

0

N/A

High Income, Not Yet Eliminated

9

0

-2,617

1

C/S

-2,304

1

C/S

-3,721

1

C/S

-3,147

1

C/S

-1,799

0

C/S

-2,576

1

C/S

High Income, Eliminated

3

0

-39

0

C/S

-30

0

C/S

-987

0

C/S

-760

0

C/S

0

0

N/A

1

0

N/A

Region

95% Mortality Reduction

98% Mortality Reduction

 

IC

I DA

ICER

IC

I DA

ICER

(M$)

(M)

(M$)

(M)

Global

6,380

209

31

12,243

411

30

WHO Region

 

 

 

 

 

 

Africa

4,396

39

112

9,993

77

129

America

-13

0

N/A

-6

0

N/A

Eastern Mediterranean

556

19

29

1,073

37

29

Europe

-740

0

C/S

-652

0

C/S

Southeast Asia

3,217

143

23

3,658

280

13

Western Pacific

-1,056

8

C/S

-1,839

16

C/S

By Income and Coverage

 

 

 

 

 

Current Very Low Coverage

3,557

22

161

7,294

44

167

Low-Middle Income, Not Yet  Eliminated

4,615

186

25

7,514

367

20

Low-Middle Income, Eliminated

-13

0

N/A

-7

0

N/A

High Income, Not Yet Eliminated

-1,799

0

C/S

-2,576

1

C/S

High Income, Eliminated

0

0

N/A

1

0

N/A

IC: Incremental costs M$: Millions of dollars IDA: Incremental DALYS averted
M: Millions ICER: Incremental cost effectiveness ratio C/S: Cost saving
N/A: Not applicable
Very Low Coverage: Current MCV1 coverage under 65% and/or the presence of armed conflict within a country
High Income: GDP greater than US$11,906
Low-Middle Income: GDP less than US$11,906
All costs reported in 2010 US$
Table 4: Costs, effects, and cost effectiveness of different scenarios at the global level.