{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T02:40:05Z","timestamp":1777430405300,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:00:00Z","timestamp":1624492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>\n                    The aim of this study was to examine the most cost-effective strategy of screening and vaccinating measles- and varicella-susceptible health care workers (HCWs). A retrospective cost-effectiveness analysis was conducted at a tertiary hospital in Korea with 300 HCWs who were at high risk of infection. Self-reported histories of vaccinations, infectious diseases, and contact with such cases were collected. Serological tests for immunoglobulin G titers of measles and varicella were performed. Data were analyzed using analysis of variance, Kruskal-Wallis test, \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    test, and Fisher exact test. Seropositivity rates were 96.3% for measles and 95.7% for varicella. Four different strategies (cases) for vaccination were investigated. Considering the progressive decline in antibody concentrations and the false-positive responses in self-reported histories, case 3, which involved administering 2-dose vaccinations to susceptible HCWs demonstrated by antibody screening tests for both measles and varicella, was the most cost-effective strategy. Health care facilities should establish mandatory immunization policies that reduce the risk of transmission of vaccine-preventable diseases.\n                  <\/jats:p>","DOI":"10.1177\/10105395211026468","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T15:35:21Z","timestamp":1624548921000},"page":"508-515","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Screening and Vaccination Against Measles and Varicella Among Health Care Workers: A Cost-effectiveness Analysis"],"prefix":"10.1177","volume":"33","author":[{"given":"Ji-Suk","family":"Lee","sequence":"first","affiliation":[{"name":"Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oh","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Chonnam National University Medical School, Gwangju, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0027-2834","authenticated-orcid":false,"given":"Hyunju","family":"Yang","sequence":"additional","affiliation":[{"name":"College of Nursing, Chonnam National University, Gwangju, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"bibr1-10105395211026468","unstructured":"Korea Centers for Disease Control and Prevention. 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