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).
