Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya

In controlling Rift Valley fever, public health sector optimises health benefits by considering cost-effective control options. We modelled cost-effectiveness of livestock RVF control from a public health perspective in Kenya. Analysis was limited to pastoral and agro-pastoral system high-risk areas...

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Autores principales: Kimani, T., Schelling, E., Bett, Bernard K., Ngigi, M., Randolph, Thomas F., Fuhrimann, S.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Springer 2016
Materias:
Acceso en línea:https://hdl.handle.net/10568/78108
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author Kimani, T.
Schelling, E.
Bett, Bernard K.
Ngigi, M.
Randolph, Thomas F.
Fuhrimann, S.
author_browse Bett, Bernard K.
Fuhrimann, S.
Kimani, T.
Ngigi, M.
Randolph, Thomas F.
Schelling, E.
author_facet Kimani, T.
Schelling, E.
Bett, Bernard K.
Ngigi, M.
Randolph, Thomas F.
Fuhrimann, S.
author_sort Kimani, T.
collection Repository of Agricultural Research Outputs (CGSpace)
description In controlling Rift Valley fever, public health sector optimises health benefits by considering cost-effective control options. We modelled cost-effectiveness of livestock RVF control from a public health perspective in Kenya. Analysis was limited to pastoral and agro-pastoral system high-risk areas, for a 10-year period incorporating two epidemics: 2006/2007 and a hypothetical one in 2014/2015. Four integrated strategies (baseline and alternatives), combined from three vaccination and two surveillance options, were compared. Baseline strategy included annual vaccination of 1.2–11% animals plus passive surveillance and monitoring of nine sentinel herds. Compared to the baseline, two alternatives assumed improved vaccination coverage. A herd dynamic RVF animal simulation model produced number of animals infected under each strategy. A second mathematical model implemented in R estimated number people who would be infected by the infected animals. The 2006/2007 RVF epidemic resulted in 3974 undiscounted, unweighted disability adjusted life years (DALYs). Improving vaccination coverage to 41–51% (2012) and 27–33% (2014) 3 years before the hypothetical 2014/2015 outbreak can avert close to 1200 DALYs. Improved vaccinations showed cost-effectiveness (CE) values of US$ 43–53 per DALY averted. The baseline practice is not cost-effective to the public health sector.
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spelling CGSpace781082023-12-08T19:36:04Z Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya Kimani, T. Schelling, E. Bett, Bernard K. Ngigi, M. Randolph, Thomas F. Fuhrimann, S. animal diseases epidemiology zoonoses health In controlling Rift Valley fever, public health sector optimises health benefits by considering cost-effective control options. We modelled cost-effectiveness of livestock RVF control from a public health perspective in Kenya. Analysis was limited to pastoral and agro-pastoral system high-risk areas, for a 10-year period incorporating two epidemics: 2006/2007 and a hypothetical one in 2014/2015. Four integrated strategies (baseline and alternatives), combined from three vaccination and two surveillance options, were compared. Baseline strategy included annual vaccination of 1.2–11% animals plus passive surveillance and monitoring of nine sentinel herds. Compared to the baseline, two alternatives assumed improved vaccination coverage. A herd dynamic RVF animal simulation model produced number of animals infected under each strategy. A second mathematical model implemented in R estimated number people who would be infected by the infected animals. The 2006/2007 RVF epidemic resulted in 3974 undiscounted, unweighted disability adjusted life years (DALYs). Improving vaccination coverage to 41–51% (2012) and 27–33% (2014) 3 years before the hypothetical 2014/2015 outbreak can avert close to 1200 DALYs. Improved vaccinations showed cost-effectiveness (CE) values of US$ 43–53 per DALY averted. The baseline practice is not cost-effective to the public health sector. 2016-12 2016-12-04T13:16:44Z 2016-12-04T13:16:44Z Journal Article https://hdl.handle.net/10568/78108 en Open Access Springer Kimani, T., Schelling, E., Bett, B., Ngigi, M., Randolph, T. and Fuhrimann, S. 2016. Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya. Ecohealth 13(4):729–742.
spellingShingle animal diseases
epidemiology
zoonoses
health
Kimani, T.
Schelling, E.
Bett, Bernard K.
Ngigi, M.
Randolph, Thomas F.
Fuhrimann, S.
Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title_full Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title_fullStr Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title_full_unstemmed Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title_short Public health benefits from livestock Rift Valley fever control: A simulation of two epidemics in Kenya
title_sort public health benefits from livestock rift valley fever control a simulation of two epidemics in kenya
topic animal diseases
epidemiology
zoonoses
health
url https://hdl.handle.net/10568/78108
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