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Economic Evaluation of a Metropolitan-Wide, School-Based Hepatitis B Vaccination Program


  • Thad Wilson R.N., C.S., F.N.P., Ph.D.

    1. Thad Wilson is an Assistant Professor, The University of Missouri–Kansas City, School of Nursing, Kansas City, Missouri, and is a member of the Executive Committee of the Mid America Immunization Coalition.
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Address correspondence to Thad Wilson, The University of Missouri–Kansas City, School of Nursing, 221 Health Science Building, 2220 Holmes Street, Kansas City, MO 64108. E-mail:


The results of an evaluation of a large metropolitan-wide, school-based hepatitis B vaccination program provide further evidence that such programs are effective and cost-beneficial. The percentage of 6th grade students fully immunized against hepatitis B rose from approximately 8% to 82% in the program. Administering the vaccine at school was $1.46 per dose less than traditional methods. Over $24 million of potential health care costs have been avoided through the program.