[Cost-effectiveness of comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District, Yueyang City].

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi

Department of Epidemiology, School of Public Health, Fudan University, Key Laboratory of Public Health Safety, Ministry of Education, Tropical Disease Research Center, Shanghai 200032, China.

Published: December 2017

AI Article Synopsis

  • The study aimed to assess the cost-effectiveness of a comprehensive approach to control schistosomiasis by removing cattle and sheep in Juanshan District, Yueyang City.
  • Data was collected over a decade (2006-2016) regarding infection rates in humans, cattle, sheep, and snails, along with the costs of the control measures.
  • Results showed a significant drop in infection rates among residents from 3.44% in 2006 to 0% in 2016, with varying annual prevention costs, ultimately concluding that this strategy is cost-effective and could be applied to similar regions.

Article Abstract

Objective: To evaluate the cost-effectiveness of comprehensive schistosomiasis control measures with focus on total removal of cattle and sheep in Juanshan District, Yueyang City.

Methods: The schistosome infection status of human, cattle, sheep and snails and costs of control measures were gathered during the period of 2006 to 2016. The costs for different periods and cost-effectiveness ratios were calculated.

Results: The prevalence of schistosome infection in residents in the pilot villages decreased from 3.44% in 2006 to 0 in 2016. The annual costs of schistosomiasis prevention and control were 4 708 500 yuan from 2006 to 2008, 5 094 700 yuan from 2009 to 2012 and 9 522 700 yuan from 2013 to 2016. The cost-effectiveness analysis showed that the average annual cost of reduction in the residents'infection rate by 1% were 79 500 yuan from 2006 to 2008, 101 200 yuan from 2009 to 2012, and 95 200 yuan from 2013 to 2016, respectively.

Conclusions: The comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District is cost effective which could be extended to other lake and marshland schistosomiasis endemic areas.

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Source
http://dx.doi.org/10.16250/j.32.1374.2017136DOI Listing

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