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Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México

Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-contro...

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Autores principales: Mendoza-Cano, Oliver, Hernandez-Suarez, Carlos Moisés, Trujillo, Xochitl, Ochoa Diaz-Lopez, Héctor, Lugo-Radillo, Agustin, Espinoza-Gomez, Francisco, de la Cruz-Ruiz, Miriam, Sánchez-Piña, Ramón Alberto, Murillo-Zamora, Efrén
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580594/
https://www.ncbi.nlm.nih.gov/pubmed/28786919
http://dx.doi.org/10.3390/ijerph14080890
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author Mendoza-Cano, Oliver
Hernandez-Suarez, Carlos Moisés
Trujillo, Xochitl
Ochoa Diaz-Lopez, Héctor
Lugo-Radillo, Agustin
Espinoza-Gomez, Francisco
de la Cruz-Ruiz, Miriam
Sánchez-Piña, Ramón Alberto
Murillo-Zamora, Efrén
author_facet Mendoza-Cano, Oliver
Hernandez-Suarez, Carlos Moisés
Trujillo, Xochitl
Ochoa Diaz-Lopez, Héctor
Lugo-Radillo, Agustin
Espinoza-Gomez, Francisco
de la Cruz-Ruiz, Miriam
Sánchez-Piña, Ramón Alberto
Murillo-Zamora, Efrén
author_sort Mendoza-Cano, Oliver
collection PubMed
description Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence.
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spelling pubmed-55805942017-09-05 Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México Mendoza-Cano, Oliver Hernandez-Suarez, Carlos Moisés Trujillo, Xochitl Ochoa Diaz-Lopez, Héctor Lugo-Radillo, Agustin Espinoza-Gomez, Francisco de la Cruz-Ruiz, Miriam Sánchez-Piña, Ramón Alberto Murillo-Zamora, Efrén Int J Environ Res Public Health Article Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence. MDPI 2017-08-08 2017-08 /pmc/articles/PMC5580594/ /pubmed/28786919 http://dx.doi.org/10.3390/ijerph14080890 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mendoza-Cano, Oliver
Hernandez-Suarez, Carlos Moisés
Trujillo, Xochitl
Ochoa Diaz-Lopez, Héctor
Lugo-Radillo, Agustin
Espinoza-Gomez, Francisco
de la Cruz-Ruiz, Miriam
Sánchez-Piña, Ramón Alberto
Murillo-Zamora, Efrén
Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title_full Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title_fullStr Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title_full_unstemmed Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title_short Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
title_sort cost-effectiveness of the strategies to reduce the incidence of dengue in colima, méxico
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580594/
https://www.ncbi.nlm.nih.gov/pubmed/28786919
http://dx.doi.org/10.3390/ijerph14080890
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