If life years were undiscounted then the costs per year of life gained were 8564, 2824 and 2568 for selective, universal pre-adolescent and universal infant vaccination policies respectively. If life years were discounted then the costs were 124,779, 51,817 and 94,821 for selective, universal pre-adolescent and universal infant vaccination policies respectively. If introduced in addition to the selective policy then the additional costs per year of life gained were 32,125 and 77,085 for the universal pre-adolescence and universal infant vaccination programmes respectively. If quality adjusted life years were used then thecosts per Qaly were 8388, 2776 and 2515 respectively.