Unforeseen costs of cutting mosquito surveillance budgets.

A budget proposal to stop the U.S. Centers for Disease Control and Prevention (CDC) funding in surveillance and research for mosquito-borne diseases such as dengue and West Nile virus has the potential to leave the country ill-prepared to handle new emerging diseases and manage existing ones. In ord...

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Main Authors: Gonzalo M Vazquez-Prokopec, Luis F Chaves, Scott A Ritchie, Joe Davis, Uriel Kitron
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2010-01-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC2964299?pdf=render
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author Gonzalo M Vazquez-Prokopec
Luis F Chaves
Scott A Ritchie
Joe Davis
Uriel Kitron
author_facet Gonzalo M Vazquez-Prokopec
Luis F Chaves
Scott A Ritchie
Joe Davis
Uriel Kitron
author_sort Gonzalo M Vazquez-Prokopec
collection DOAJ
description A budget proposal to stop the U.S. Centers for Disease Control and Prevention (CDC) funding in surveillance and research for mosquito-borne diseases such as dengue and West Nile virus has the potential to leave the country ill-prepared to handle new emerging diseases and manage existing ones. In order to demonstrate the consequences of such a measure, if implemented, we evaluated the impact of delayed control responses to dengue epidemics (a likely scenario emerging from the proposed CDC budget cut) in an economically developed urban environment. We used a mathematical model to generate hypothetical scenarios of delayed response to a dengue introduction (a consequence of halted mosquito surveillance) in the City of Cairns, Queensland, Australia. We then coupled the results of such a model with mosquito surveillance and case management costs to estimate the cumulative costs of each response scenario. Our study shows that halting mosquito surveillance can increase the management costs of epidemics by up to an order of magnitude in comparison to a strategy with sustained surveillance and early case detection. Our analysis shows that the total costs of preparedness through surveillance are far lower than the ones needed to respond to the introduction of vector-borne pathogens, even without consideration of the cost in human lives and well-being. More specifically, our findings provide a science-based justification for the re-assessment of the current proposal to slash the budget of the CDC vector-borne diseases program, and emphasize the need for improved and sustainable systems for vector-borne disease surveillance.
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spelling doaj.art-234d3a5e20974b87be2800dff751ff102022-12-21T18:21:00ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352010-01-01410e85810.1371/journal.pntd.0000858Unforeseen costs of cutting mosquito surveillance budgets.Gonzalo M Vazquez-ProkopecLuis F ChavesScott A RitchieJoe DavisUriel KitronA budget proposal to stop the U.S. Centers for Disease Control and Prevention (CDC) funding in surveillance and research for mosquito-borne diseases such as dengue and West Nile virus has the potential to leave the country ill-prepared to handle new emerging diseases and manage existing ones. In order to demonstrate the consequences of such a measure, if implemented, we evaluated the impact of delayed control responses to dengue epidemics (a likely scenario emerging from the proposed CDC budget cut) in an economically developed urban environment. We used a mathematical model to generate hypothetical scenarios of delayed response to a dengue introduction (a consequence of halted mosquito surveillance) in the City of Cairns, Queensland, Australia. We then coupled the results of such a model with mosquito surveillance and case management costs to estimate the cumulative costs of each response scenario. Our study shows that halting mosquito surveillance can increase the management costs of epidemics by up to an order of magnitude in comparison to a strategy with sustained surveillance and early case detection. Our analysis shows that the total costs of preparedness through surveillance are far lower than the ones needed to respond to the introduction of vector-borne pathogens, even without consideration of the cost in human lives and well-being. More specifically, our findings provide a science-based justification for the re-assessment of the current proposal to slash the budget of the CDC vector-borne diseases program, and emphasize the need for improved and sustainable systems for vector-borne disease surveillance.http://europepmc.org/articles/PMC2964299?pdf=render
spellingShingle Gonzalo M Vazquez-Prokopec
Luis F Chaves
Scott A Ritchie
Joe Davis
Uriel Kitron
Unforeseen costs of cutting mosquito surveillance budgets.
PLoS Neglected Tropical Diseases
title Unforeseen costs of cutting mosquito surveillance budgets.
title_full Unforeseen costs of cutting mosquito surveillance budgets.
title_fullStr Unforeseen costs of cutting mosquito surveillance budgets.
title_full_unstemmed Unforeseen costs of cutting mosquito surveillance budgets.
title_short Unforeseen costs of cutting mosquito surveillance budgets.
title_sort unforeseen costs of cutting mosquito surveillance budgets
url http://europepmc.org/articles/PMC2964299?pdf=render
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