Human health benefits from livestock vaccination for brucellosis: case study
OBJECTIVE: To estimate the economic benefit, cost-effectiveness, and distribution of benefit of improving human health in Mongolia through the control of brucellosis by mass vaccination of livestock. METHODS: Cost-effectiveness and economic benefit for human society and the agricultural sector of ma...
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| Format: | Article |
| Language: | English |
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The World Health Organization
2003-01-01
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| Series: | Bulletin of the World Health Organization |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200005 |
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| author | Roth Felix Zinsstag Jakob Orkhon Dontor Chimed-Ochir G. Hutton Guy Cosivi Ottorino Carrin Guy Otte Joachim |
| author_facet | Roth Felix Zinsstag Jakob Orkhon Dontor Chimed-Ochir G. Hutton Guy Cosivi Ottorino Carrin Guy Otte Joachim |
| author_sort | Roth Felix |
| collection | DOAJ |
| description | OBJECTIVE: To estimate the economic benefit, cost-effectiveness, and distribution of benefit of improving human health in Mongolia through the control of brucellosis by mass vaccination of livestock. METHODS: Cost-effectiveness and economic benefit for human society and the agricultural sector of mass vaccination against brucellosis was modelled. The intervention consisted of a planned 10-year livestock mass vaccination campaign using Rev-1 livestock vaccine for small ruminants and S19 livestock vaccine for cattle. Cost-effectiveness, expressed as cost per disability-adjusted life year (DALY) averted, was the primary outcome. FINDINGS: In a scenario of 52% reduction of brucellosis transmission between animals achieved by mass vaccination, a total of 49 027 DALYs could be averted. Estimated intervention costs were US$ 8.3 million, and the overall benefit was US$ 26.6 million. This results in a net present value of US$ 18.3 million and an average benefit-cost ratio for society of 3.2 (2.27-4.37). If the costs of the intervention were shared between the sectors in proportion to the benefit to each, the public health sector would contribute 11%, which gives a cost-effectiveness of US$ 19.1 per DALY averted (95% confidence interval 5.3-486.8). If private economic gain because of improved human health was included, the health sector should contribute 42% to the intervention costs and the cost-effectiveness would decrease to US$ 71.4 per DALY averted. CONCLUSION: If the costs of vaccination of livestock against brucellosis were allocated to all sectors in proportion to the benefits, the intervention might be profitable and cost effective for the agricultural and health sectors. |
| first_indexed | 2024-03-07T18:44:22Z |
| format | Article |
| id | doaj.art-54d94d485478498f950ffe48416be4a3 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:44:22Z |
| publishDate | 2003-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-54d94d485478498f950ffe48416be4a32024-03-02T02:57:48ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862003-01-018112867876Human health benefits from livestock vaccination for brucellosis: case studyRoth FelixZinsstag JakobOrkhon DontorChimed-Ochir G.Hutton GuyCosivi OttorinoCarrin GuyOtte JoachimOBJECTIVE: To estimate the economic benefit, cost-effectiveness, and distribution of benefit of improving human health in Mongolia through the control of brucellosis by mass vaccination of livestock. METHODS: Cost-effectiveness and economic benefit for human society and the agricultural sector of mass vaccination against brucellosis was modelled. The intervention consisted of a planned 10-year livestock mass vaccination campaign using Rev-1 livestock vaccine for small ruminants and S19 livestock vaccine for cattle. Cost-effectiveness, expressed as cost per disability-adjusted life year (DALY) averted, was the primary outcome. FINDINGS: In a scenario of 52% reduction of brucellosis transmission between animals achieved by mass vaccination, a total of 49 027 DALYs could be averted. Estimated intervention costs were US$ 8.3 million, and the overall benefit was US$ 26.6 million. This results in a net present value of US$ 18.3 million and an average benefit-cost ratio for society of 3.2 (2.27-4.37). If the costs of the intervention were shared between the sectors in proportion to the benefit to each, the public health sector would contribute 11%, which gives a cost-effectiveness of US$ 19.1 per DALY averted (95% confidence interval 5.3-486.8). If private economic gain because of improved human health was included, the health sector should contribute 42% to the intervention costs and the cost-effectiveness would decrease to US$ 71.4 per DALY averted. CONCLUSION: If the costs of vaccination of livestock against brucellosis were allocated to all sectors in proportion to the benefits, the intervention might be profitable and cost effective for the agricultural and health sectors.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200005Brucellosis/veterinaryBrucellosis/prevention and controlBrucellosis/transmissionBrucellosis, Bovine/prevention and controlBrucellosis, Bovine/transmissionCattle/immunologySheep/immunologyMass immunization/economicsHumanCost of illnessDisability evaluationIntersectoral cooperationCost allocationCost-benefit analysisMongolia |
| spellingShingle | Roth Felix Zinsstag Jakob Orkhon Dontor Chimed-Ochir G. Hutton Guy Cosivi Ottorino Carrin Guy Otte Joachim Human health benefits from livestock vaccination for brucellosis: case study Bulletin of the World Health Organization Brucellosis/veterinary Brucellosis/prevention and control Brucellosis/transmission Brucellosis, Bovine/prevention and control Brucellosis, Bovine/transmission Cattle/immunology Sheep/immunology Mass immunization/economics Human Cost of illness Disability evaluation Intersectoral cooperation Cost allocation Cost-benefit analysis Mongolia |
| title | Human health benefits from livestock vaccination for brucellosis: case study |
| title_full | Human health benefits from livestock vaccination for brucellosis: case study |
| title_fullStr | Human health benefits from livestock vaccination for brucellosis: case study |
| title_full_unstemmed | Human health benefits from livestock vaccination for brucellosis: case study |
| title_short | Human health benefits from livestock vaccination for brucellosis: case study |
| title_sort | human health benefits from livestock vaccination for brucellosis case study |
| topic | Brucellosis/veterinary Brucellosis/prevention and control Brucellosis/transmission Brucellosis, Bovine/prevention and control Brucellosis, Bovine/transmission Cattle/immunology Sheep/immunology Mass immunization/economics Human Cost of illness Disability evaluation Intersectoral cooperation Cost allocation Cost-benefit analysis Mongolia |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200005 |
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