Cargando…
Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna
Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current s...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703535/ https://www.ncbi.nlm.nih.gov/pubmed/29176851 http://dx.doi.org/10.1371/journal.pone.0188156 |
_version_ | 1783281699743858688 |
---|---|
author | Paternoster, Giulia Babo Martins, Sara Mattivi, Andrea Cagarelli, Roberto Angelini, Paola Bellini, Romeo Santi, Annalisa Galletti, Giorgio Pupella, Simonetta Marano, Giuseppe Copello, Francesco Rushton, Jonathan Stärk, Katharina D. C. Tamba, Marco |
author_facet | Paternoster, Giulia Babo Martins, Sara Mattivi, Andrea Cagarelli, Roberto Angelini, Paola Bellini, Romeo Santi, Annalisa Galletti, Giorgio Pupella, Simonetta Marano, Giuseppe Copello, Francesco Rushton, Jonathan Stärk, Katharina D. C. Tamba, Marco |
author_sort | Paternoster, Giulia |
collection | PubMed |
description | Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009–2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion. |
format | Online Article Text |
id | pubmed-5703535 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-57035352017-12-08 Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna Paternoster, Giulia Babo Martins, Sara Mattivi, Andrea Cagarelli, Roberto Angelini, Paola Bellini, Romeo Santi, Annalisa Galletti, Giorgio Pupella, Simonetta Marano, Giuseppe Copello, Francesco Rushton, Jonathan Stärk, Katharina D. C. Tamba, Marco PLoS One Research Article Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009–2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion. Public Library of Science 2017-11-27 /pmc/articles/PMC5703535/ /pubmed/29176851 http://dx.doi.org/10.1371/journal.pone.0188156 Text en © 2017 Paternoster et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Paternoster, Giulia Babo Martins, Sara Mattivi, Andrea Cagarelli, Roberto Angelini, Paola Bellini, Romeo Santi, Annalisa Galletti, Giorgio Pupella, Simonetta Marano, Giuseppe Copello, Francesco Rushton, Jonathan Stärk, Katharina D. C. Tamba, Marco Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title | Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title_full | Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title_fullStr | Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title_full_unstemmed | Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title_short | Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna |
title_sort | economics of one health: costs and benefits of integrated west nile virus surveillance in emilia-romagna |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703535/ https://www.ncbi.nlm.nih.gov/pubmed/29176851 http://dx.doi.org/10.1371/journal.pone.0188156 |
work_keys_str_mv | AT paternostergiulia economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT babomartinssara economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT mattiviandrea economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT cagarelliroberto economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT angelinipaola economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT belliniromeo economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT santiannalisa economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT gallettigiorgio economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT pupellasimonetta economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT maranogiuseppe economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT copellofrancesco economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT rushtonjonathan economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT starkkatharinadc economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna AT tambamarco economicsofonehealthcostsandbenefitsofintegratedwestnilevirussurveillanceinemiliaromagna |