{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:40:54Z","timestamp":1787244054585,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2017,11,12]],"date-time":"2017-11-12T00:00:00Z","timestamp":1510444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To estimate the societal economic and health impacts of Maine's school\u2010based influenza vaccination (\n                      <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content>\n                      ) program during the 2009 A(H1N1) influenza pandemic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Primary and secondary data covering the 2008\u201309 and 2009\u201310 influenza seasons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>We estimated weekly monovalent influenza vaccine uptake in Maine and 15 other states, using difference\u2010in\u2010difference\u2010in\u2010differences analysis to assess the program's impact on immunization among six age groups. We also developed a health and economic Markov microsimulation model and conducted Monte Carlo sensitivity analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection<\/jats:title>\n                    <jats:p>\n                      We used national survey data to estimate the impact of the\n                      <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content>\n                      program on vaccine coverage. We used primary data and published studies to develop the microsimulation model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>The program was associated with higher immunization among children and lower immunization among adults aged 18\u201349\u00a0years and 65 and older. The program prevented 4,600 influenza infections and generated $4.9\u00a0million in net economic benefits. Cost savings from lower adult vaccination accounted for 54 percent of the economic gain. Economic benefits were positive in 98 percent of Monte Carlo simulations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content>\n                      may be a cost\u2010beneficial approach to increase immunization during pandemics, but programs should be designed to prevent lower immunization among nontargeted groups.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.12786","type":"journal-article","created":{"date-parts":[[2017,11,12]],"date-time":"2017-11-12T19:10:10Z","timestamp":1510513810000},"page":"2307-2330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["School\u2010Based Influenza Vaccination: Health and Economic Impact of Maine's 2009 Influenza Vaccination Program"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8589-9884","authenticated-orcid":false,"given":"Ricardo","family":"Basurto\u2010D\u00e1vila","sequence":"first","affiliation":[{"name":"Los Angeles County Department of Public Health Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin I.","family":"Meltzer","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dora A.","family":"Mills","sequence":"additional","affiliation":[{"name":"University of New England Portland ME"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett R.","family":"Beeler Asay","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo\u2010Hyun","family":"Cho","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel B.","family":"Graitcer","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy L.","family":"Dube","sequence":"additional","affiliation":[{"name":"Maine Department of Education Augusta ME"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark G.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchita A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel K.","family":"Peasah","sequence":"additional","affiliation":[{"name":"Mercer University Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill M.","family":"Ferdinands","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Gargiullo","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Messonnier","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David K.","family":"Shay","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,12]]},"reference":[{"issue":"45","key":"e_1_2_6_2_1","article-title":"Outbreak of 2009 Pandemic Influenza A(H1N1) in a Finnish Garrison\u2013A Serological Survey","volume":"15","author":"Aho M.","year":"2010","journal-title":"Eurosurveillance Weekly"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840512448676"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0013211"},{"issue":"1","key":"e_1_2_6_5_1","first-page":"S58","article-title":"Immunization Barriers and Solutions","volume":"54","author":"Burns I. 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