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Cost-effectiveness of wastewater and environmental...
Journal article

Cost-effectiveness of wastewater and environmental monitoring of respiratory syncytial virus to guide universal infant immunoprophylaxis in Canada

Abstract

AIMS: To compare the cost-effectiveness of wastewater and environmental monitoring (WEM) versus clinical surveillance (CS)-guided respiratory syncytial virus (RSV) prophylaxis programs in Canada. MATERIALS AND METHODS: A cost-utility model was developed comprising two identical decision trees for RSV-WEM and RSV-CS. Within each tree, children could conservatively receive nirsevimab prophylaxis (71% coverage) or not at the start of the RSV …

Authors

Mercier É; Fullarton JR; Paes BA; Keary IP; Rodgers-Gray BS; Thampi N; Delatolla R

Journal

Journal of Medical Economics, Vol. 28, No. 1, pp. 353–361

Publisher

Taylor & Francis

Publication Date

December 31, 2025

DOI

10.1080/13696998.2025.2473810

ISSN

1369-6998