2004 and 2005 reflect new budget lines 1) Business Services Support and 2) Public Health Improvement & Leadership — which were created to the show CDC indirect cost assessments to programs
Td was not included in the cost of the full series 1999-2004. States negotiated their own contracts because there was no federal contract for this vaccine.
TdaP is expected to be licensed and recommended in FY2006; CDC estimates the new vaccine may be used 50% of the time in adolescents and the current Td vaccine used the remaining 50% of the time.

In addition to saving lives and improving the quality of life, immunization generates significant economic benefits. According to an extensive cost-benefit analysis by the CDC, every dollar spent on immunization saves $6.30 in direct medical costs, with an aggregate savings of $10.5 billion. When including indirect costs to society -- a measurement of losses due to missed work, death and disability as well as direct medical costs -- the CDC notes that every dollar spent on immunization saves $18.40, producing societal aggregate savings of $42 billion.xxxii Various cost-benefit analyses produce similar measurements.xxxiii
The DTaP vaccine is particularly cost effective. Each dollar spent on DTaP produces $8.50 of direct medical cost savings and $24 of societal savings.xxxiv More importantly, diphtheria immunizations alone prevent almost 13,000 deaths per year.
| For every $1 spent 1: | |
|---|---|
| DTaP saves | $27.00 |
| MMR saves | $26.00 |
| H. Influenza type b saves | $5.40 |
| Perinatal Hep B saves | $14.70 |
| Varicella saves | $5.40 |
| Inactivated Polio (IPV) saves | $5.45 |
xxxii Ross Rapoport, “CDC: Immunizations High But Shot In Arm Still Needed,” Cox News Service. 1 August 2003.
xxxiii Zhou, et al, “Economic Evaluation of Routine Childhood Immunization with DTaP, Hib, IPV,
MMR and Hep B Vaccines in the United States,” Pediatric Academic Societies Conference,
Seattle, Washington, May 2003.
xxxiv Ibid.