Invasive Pneumococcal Disease in Thailand

Next Steps
• Review burden of disease estimates
– ? Meningitis or other data requirements
• Cost-effectiveness analysis
• Economic and supply analysis
• Decision-making framework
• Vaccine introduction ?
• Post-introduction surveillance, monitoring vaccine
impact, other studies
– Disease trends
– Vaccine schedules (and other programmatic issues)
– Indirect vaccine effects (i.e. herd immunity)
– Serotype shifting
– Re-emergence of disease
– Vulnerable groups