Benefit-cost analysis of coordinated strategies for control of rabies in Africa

Abstract Previous research suggests that dog mass vaccination campaigns can eliminate rabies locally, resulting in large human and animal life gains. Despite these demonstrated benefits, dog vaccination programs remain scarce on the African continent. We conducted a benefit-cost analysis to demonstr...

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Main Authors: A. Bucher, A. Dimov, G. Fink, N. Chitnis, B. Bonfoh, J. Zinsstag
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-41110-2
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author A. Bucher
A. Dimov
G. Fink
N. Chitnis
B. Bonfoh
J. Zinsstag
author_facet A. Bucher
A. Dimov
G. Fink
N. Chitnis
B. Bonfoh
J. Zinsstag
author_sort A. Bucher
collection DOAJ
description Abstract Previous research suggests that dog mass vaccination campaigns can eliminate rabies locally, resulting in large human and animal life gains. Despite these demonstrated benefits, dog vaccination programs remain scarce on the African continent. We conducted a benefit-cost analysis to demonstrate that engaging into vaccination campaigns is the dominant strategy for most countries even in the absence of coordinated action between them. And quantify how coordinated policy measures across countries in Africa could impact rabies incidence and associated costs. We show that coordinated dog mass vaccination between countries and PEP would lead to the elimination of dog rabies in Africa with total welfare gains of USD 9.5 billion (95% CI: 8.1 – 11.4 billion) between 2024 and 2054 (30 years). Coordinated disease control between African countries can lead to more socially and ecologically equitable outcomes by reducing the number of lost human lives to almost zero and possibly eliminating rabies.
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spelling doaj.art-f957f89f22b34d919b0d79666fdf8d932023-11-20T09:59:56ZengNature PortfolioNature Communications2041-17232023-09-011411910.1038/s41467-023-41110-2Benefit-cost analysis of coordinated strategies for control of rabies in AfricaA. Bucher0A. Dimov1G. Fink2N. Chitnis3B. Bonfoh4J. Zinsstag5Swiss Tropical and Public Health InstituteSwiss Tropical and Public Health InstituteSwiss Tropical and Public Health InstituteSwiss Tropical and Public Health InstituteCentre Suisse de Recherches Scientifiques en Côte d’IvoireSwiss Tropical and Public Health InstituteAbstract Previous research suggests that dog mass vaccination campaigns can eliminate rabies locally, resulting in large human and animal life gains. Despite these demonstrated benefits, dog vaccination programs remain scarce on the African continent. We conducted a benefit-cost analysis to demonstrate that engaging into vaccination campaigns is the dominant strategy for most countries even in the absence of coordinated action between them. And quantify how coordinated policy measures across countries in Africa could impact rabies incidence and associated costs. We show that coordinated dog mass vaccination between countries and PEP would lead to the elimination of dog rabies in Africa with total welfare gains of USD 9.5 billion (95% CI: 8.1 – 11.4 billion) between 2024 and 2054 (30 years). Coordinated disease control between African countries can lead to more socially and ecologically equitable outcomes by reducing the number of lost human lives to almost zero and possibly eliminating rabies.https://doi.org/10.1038/s41467-023-41110-2
spellingShingle A. Bucher
A. Dimov
G. Fink
N. Chitnis
B. Bonfoh
J. Zinsstag
Benefit-cost analysis of coordinated strategies for control of rabies in Africa
Nature Communications
title Benefit-cost analysis of coordinated strategies for control of rabies in Africa
title_full Benefit-cost analysis of coordinated strategies for control of rabies in Africa
title_fullStr Benefit-cost analysis of coordinated strategies for control of rabies in Africa
title_full_unstemmed Benefit-cost analysis of coordinated strategies for control of rabies in Africa
title_short Benefit-cost analysis of coordinated strategies for control of rabies in Africa
title_sort benefit cost analysis of coordinated strategies for control of rabies in africa
url https://doi.org/10.1038/s41467-023-41110-2
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