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Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program

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Show simple item record Baly, A. Toledo, M. E. Vanlerberghe, V. Ceballos, E. Reyes, A. Sanchez, I. Carvajal, M. Maso, R. La Rosa, M. Denis, O. Boelaert, M. Van der Stuyft, P. 2009-07-07T13:52:40Z 2009-07-07T13:52:40Z 2009
dc.identifier.issn 0002-9637
dc.identifier.other ITG-H3A
dc.identifier.other ITG-H11A
dc.identifier.other ITG-HLA
dc.identifier.other HEALTH
dc.identifier.other U-EPID
dc.identifier.other JIF
dc.identifier.other UPD15
dc.identifier.other ABSTRACT
dc.description.abstract We compared in a 5-year intervention study the cost-effectiveness of community-based environmental management intertwined with routine vertical Aedes control and of routine vertical control only. At baseline (year 2000), Aedes infestation levels and economic costs for vector control were comparable in intervention and control areas (house index, 2.23% versus 2.21% and US$21 versus US$24/yr/inhabitant, respectively). By 2004, house indices became 0.22% versus 2.36% and the costs were 29.8 US$ versus 36.7 US$/yr/inhabitant, respectively. The community cost made up 38.6% of the total economic cost in 2004 in the intervention areas against 23.5% in 2000. The average cost-effectiveness ratio for the intervention period 2001-2004, expressed as the societal cost incurred for the reduction (from baseline) of Aedes foci, was US$831.1 per focus in the intervention areas versus US$2,465.6 in the control areas. The intervention produced economic savings and health benefits that were sustained over the whole observation period. en
dc.language English en
dc.subject Viral diseases en
dc.subject Dengue en
dc.subject Control strategies en
dc.subject Vector control en
dc.subject Aedes aegypti en
dc.subject Vertical approach en
dc.subject Environmental measures en
dc.subject Community-based en
dc.subject Cost-effectiveness en
dc.subject Cuba en
dc.subject Caribbean en
dc.subject America, Latin en
dc.title Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program en
dc.type Article en
dc.citation.issue 1 en
dc.citation.jtitle American Journal of Tropical Medicine and Hygiene en
dc.citation.volume 81 en
dc.citation.pages 88-93 en
dc.citation.jabbreviation Am J Trop Med Hyg en

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