Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México
AbstractDengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence. View Full-Text
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Mendoza-Cano, O.; Hernandez-Suarez, C.M.; Trujillo, X.; Ochoa Diaz-Lopez, H.; Lugo-Radillo, A.; Espinoza-Gomez, F.; de la Cruz-Ruiz, M.; Sánchez-Piña, R.A.; Murillo-Zamora, E. Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México. Int. J. Environ. Res. Public Health 2017, 14, 890.
Mendoza-Cano O, Hernandez-Suarez CM, Trujillo X, Ochoa Diaz-Lopez H, Lugo-Radillo A, Espinoza-Gomez F, de la Cruz-Ruiz M, Sánchez-Piña RA, Murillo-Zamora E. Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México. International Journal of Environmental Research and Public Health. 2017; 14(8):890.Chicago/Turabian Style
Mendoza-Cano, Oliver; Hernandez-Suarez, Carlos M.; Trujillo, Xochitl; Ochoa Diaz-Lopez, Héctor; Lugo-Radillo, Agustin; Espinoza-Gomez, Francisco; de la Cruz-Ruiz, Miriam; Sánchez-Piña, Ramón A.; Murillo-Zamora, Efrén. 2017. "Cost-Effectiveness of the Strategies to Reduce the Incidence of Dengue in Colima, México." Int. J. Environ. Res. Public Health 14, no. 8: 890.
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