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Decision analysis and polio immunization policy.

A R Hinman, J P Koplan, W A Orenstein and E W Brink

Division of Immunization, CDC, Atlanta, GA 30333.

Dr. Salk's comments on our paper fall into four major categories: our use of the techniques of decision analysis, the assumptions we used, the fact that we did not include individual and social values in the model, and the way in which vaccine policies are developed in the United States. We believe that the methods were used correctly, that the assumptions we used are defensible, and that our conclusions were both appropriate and appropriately worded. We explicitly did not include individual and social values since we were addressing the scientific and epidemiologic issues rather than ethical and moral issues. Vaccine policy development in the United States is carried out in public forums with opportunity for presentation of all sides of an issue.

This article has been cited by other articles:

				R. B. Deber and V. Goel Using Explicit Decision Rules to Manage Issues of Justice, Risk, and Ethics in Decision Analysis: When Is It Not Rational to Maximize Expected Utility? Med Decis Making, August 1, 1990; 10(3): 181 - 194. [Abstract] [PDF]