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Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia
Livestock losses due to rabies and health and the corresponding benefits of controlling the disease are not often considered when the cost-effectiveness of rabies control is evaluated. In this research, assessed the benefits of applying a One Health perspective that includes these losses to the case...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739487/ https://www.ncbi.nlm.nih.gov/pubmed/31528684 http://dx.doi.org/10.1016/j.onehlt.2019.100103 |
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author | Beyene, Tariku Jibat Fitzpatrick, Meagan C. Galvani, Alison P. Mourits, Monique C.M. Revie, Crawford W. Cernicchiaro, Natalia Sanderson, Michael W. Hogeveen, Henk |
author_facet | Beyene, Tariku Jibat Fitzpatrick, Meagan C. Galvani, Alison P. Mourits, Monique C.M. Revie, Crawford W. Cernicchiaro, Natalia Sanderson, Michael W. Hogeveen, Henk |
author_sort | Beyene, Tariku Jibat |
collection | PubMed |
description | Livestock losses due to rabies and health and the corresponding benefits of controlling the disease are not often considered when the cost-effectiveness of rabies control is evaluated. In this research, assessed the benefits of applying a One Health perspective that includes these losses to the case of canine rabies vaccination in Ethiopia. We constructed a dynamic epidemiological model of rabies transmission. The model was fit to district-specific data on human rabies exposures and canine demography for two districts with distinct agro-ecologies. The epidemiological model was coupled with human and livestock economic outcomes to predict the health and economic impacts under a range of vaccination scenarios. The model indicates that human exposures, human deaths, and rabies-related livestock losses would decrease monotonically with increasing vaccination coverage. In the rural district, all vaccination scenarios were found to be cost-saving compared to the status quo of no vaccination, as more money could be saved by preventing livestock losses than would be required to fund the vaccination campaigns. Vaccination coverages of 70% and 80% were identified as most likely to provide the greatest net health benefits at the WHO cost-effectiveness threshold over a period of 5 years, in urban and rural districts respectively. Shorter time frames led to recommendations for higher coverage in both districts, as did even a minor threat of rabies re-introduction. Exclusion of rabies-related livestock losses reduced the optimal vaccination coverage for the rural district to 50%. This study demonstrated the importance of including all economic consequences of zoonotic disease into control decisions. Analyses that include cattle and other rabies-susceptible livestock are likely better suited to many rural communities in Africa wishing to maximize the benefits of canine vaccination. |
format | Online Article Text |
id | pubmed-6739487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-67394872019-09-16 Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia Beyene, Tariku Jibat Fitzpatrick, Meagan C. Galvani, Alison P. Mourits, Monique C.M. Revie, Crawford W. Cernicchiaro, Natalia Sanderson, Michael W. Hogeveen, Henk One Health Research Paper Livestock losses due to rabies and health and the corresponding benefits of controlling the disease are not often considered when the cost-effectiveness of rabies control is evaluated. In this research, assessed the benefits of applying a One Health perspective that includes these losses to the case of canine rabies vaccination in Ethiopia. We constructed a dynamic epidemiological model of rabies transmission. The model was fit to district-specific data on human rabies exposures and canine demography for two districts with distinct agro-ecologies. The epidemiological model was coupled with human and livestock economic outcomes to predict the health and economic impacts under a range of vaccination scenarios. The model indicates that human exposures, human deaths, and rabies-related livestock losses would decrease monotonically with increasing vaccination coverage. In the rural district, all vaccination scenarios were found to be cost-saving compared to the status quo of no vaccination, as more money could be saved by preventing livestock losses than would be required to fund the vaccination campaigns. Vaccination coverages of 70% and 80% were identified as most likely to provide the greatest net health benefits at the WHO cost-effectiveness threshold over a period of 5 years, in urban and rural districts respectively. Shorter time frames led to recommendations for higher coverage in both districts, as did even a minor threat of rabies re-introduction. Exclusion of rabies-related livestock losses reduced the optimal vaccination coverage for the rural district to 50%. This study demonstrated the importance of including all economic consequences of zoonotic disease into control decisions. Analyses that include cattle and other rabies-susceptible livestock are likely better suited to many rural communities in Africa wishing to maximize the benefits of canine vaccination. Elsevier 2019-08-21 /pmc/articles/PMC6739487/ /pubmed/31528684 http://dx.doi.org/10.1016/j.onehlt.2019.100103 Text en © 2019 Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research Paper Beyene, Tariku Jibat Fitzpatrick, Meagan C. Galvani, Alison P. Mourits, Monique C.M. Revie, Crawford W. Cernicchiaro, Natalia Sanderson, Michael W. Hogeveen, Henk Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title | Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title_full | Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title_fullStr | Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title_full_unstemmed | Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title_short | Impact of One-Health framework on vaccination cost-effectiveness: A case study of rabies in Ethiopia |
title_sort | impact of one-health framework on vaccination cost-effectiveness: a case study of rabies in ethiopia |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739487/ https://www.ncbi.nlm.nih.gov/pubmed/31528684 http://dx.doi.org/10.1016/j.onehlt.2019.100103 |
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