Human Rabies in the WHO Southeast Asia Region: Forward Steps for Elimination

Table 2

Cost estimation of intramuscular (IM) versus intradermal (ID) rabies postexposure prophylaxis (PEP) in the southeast Asia region over a five year period.


Activity	100% IM PEP	100% ID PEP

Estimated number of patients taking PEP (millions)	4	4
Volume of TCV required per person for PEP course (milliliters)	5	1
Total volume of TCV required to achieve 100% coverage (+25% wastage for ID) (millions of mLs)	20	5
Cost per millilitre of TCV, incl. syringe + diluent (US$)	7	9
Cost of TCV vaccine per year (million US$)	140	45
Cost of vaccine for five years (million US$)	700	225
Cost of transportation, storage, etc. (million US$)	5	1.5

Total cost for five years (million US$)	705	226.5

(TCV: tissue culture vaccine. Vaccine costs calculated at current market rates. Transportation and storage costs estimated as 25% of vaccine volume).

Advances in Preventive Medicine

Human Rabies in the WHO Southeast Asia Region: Forward Steps for Elimination

Table 2