scholarly journals Cost-effectiveness of the national dog rabies prevention and control program in Mexico, 1990–2015

2021 ◽  
Vol 15 (3) ◽  
pp. e0009130
Author(s):  
Jesús Felipe González-Roldán ◽  
Eduardo A. Undurraga ◽  
Martin I. Meltzer ◽  
Charisma Atkins ◽  
Fernando Vargas-Pino ◽  
...  

Background Rabies is a viral zoonosis that imposes a substantial disease and economic burden in many developing countries. Dogs are the primary source of rabies transmission; eliminating dog rabies reduces the risk of exposure in humans significantly. Through mass annual dog rabies vaccination campaigns, the national program of rabies control in Mexico progressively reduced rabies cases in dogs and humans since 1990. In 2019, the World Health Organization validated Mexico for eliminating rabies as a public health problem. Using a governmental perspective, we retrospectively assessed the economic costs, effectiveness, and cost-effectiveness of the national program of rabies control in Mexico, 1990–2015. Methodology Combining various data sources, including administrative records, national statistics, and scientific literature, we retrospectively compared the current scenario of annual dog vaccination campaigns and post-exposure prophylaxis (PEP) with a counterfactual scenario without an annual dog vaccination campaign but including PEP. The counterfactual scenario was estimated using a mathematical model of dog rabies transmission (RabiesEcon). We performed a thorough sensitivity analysis of the main results. Principal findings Results suggest that in 1990 through 2015, the national dog rabies vaccination program in Mexico prevented about 13,000 human rabies deaths, at an incremental cost (MXN 2015) of $4,700 million (USD 300 million). We estimated an average cost of $360,000 (USD 23,000) per human rabies death averted, $6,500 (USD 410) per additional year-of-life, and $3,000 (USD 190) per dog rabies death averted. Results were robust to several counterfactual scenarios, including high and low rabies transmission scenarios and various assumptions about potential costs without mass dog rabies vaccination campaigns. Conclusions Annual dog rabies vaccination campaigns have eliminated the transmission of dog-to-dog rabies and dog-mediated human rabies deaths in Mexico. According to World Health Organization standards, our results show that the national program of rabies control in Mexico has been highly cost-effective.

2017 ◽  
Vol 22 (1) ◽  
pp. 46
Author(s):  
SaurabhRamBihariLal Shrivastava ◽  
PrateekSaurabh Shrivastava ◽  
Jegadeesh Ramasamy

Author(s):  
Yeong Hyeon Park ◽  
Won Seok Park ◽  
Yeong Beom Kim

World Health Organization (WHO) provides the guideline for managing the Particulate Matter (PM) level because when the PM level is higher, it threats the human health. For managing PM level, the procedure for measuring PM value is needed firstly. We use Tapered Element Oscillating Microbalance (TEOM)-based PM measuring sensors because it shows higher cost-effectiveness than Beta Attenuation Monitor (BAM)-based sensor. However, TEOM-based sensor has higher probability of malfunctioning than BAM-based sensor. In this paper, we call the overall malfunction as an anomaly, and we aim to detect anomalies for the maintenance of PM measuring sensors. We propose a novel architecture for solving the above aim that named as Hypothesis Pruning Generative Adversarial Network (HP-GAN). We experimentally compare the several anomaly detection architectures to certify ours performing better.


2013 ◽  
Vol 35 (2) ◽  
pp. 223 ◽  
Author(s):  
Anjum Hashmi ◽  
Jamil Ahmed Soomro ◽  
Khalid Saleem

The epidemic of obesity took off from about 1980 and in almost all countries has been rising inexorably ever since. Only in 1997 did world health organization accept that this was a major public health problem. It is also becoming an important public health problem among Pakistani children due to changes in life style and other factors. The increasing prevalence of childhood obesity and its concomitant health risks justify widespread efforts toward prevention. A Cross-sectional study was conducted to elaborate the various types of foods and change in eating behavior leading to abnormal weight gain among the youth. A total of 504 male and female students of class six to ten were selected through simple random sampling. Anthropometric measurements were done with calibrated instruments using the age and sex specific BMI cut off points according to World Health Organization growth reference. Results showed significant proportion of girls (86%) and boys (85%) had abnormal waist to hip ratio. The determinants of the obesity lie within the rapid changes in food intake behavior and lifestyle patterns which had a clear and significant impact on the prevalence of obesity in youth of Pakistan.


2020 ◽  
Vol 1 (1) ◽  
pp. 16-34
Author(s):  
Nur Asheila Abdul Taib ◽  
Razitasham Safii

  According to the World Health Organization (WHO), rabies is one of the 18 neglected tropical diseases, together with dengue, leprosy, and trachoma, among others. Despite being a vaccine-preventable disease, the latest estimate of annual human rabies mortality from a 2015 study is as high as 59,000 throughout 150 countries. In human rabies, more than 95% of the cases are due to dog bites, making the elimination of canine rabies a global priority by fighting the disease at its animal source. World Health Organization (WHO), World Organization for Animal Health (OIE), Food and Agriculture Organization (FAO) of the United Nations, and the Global Alliance for Rabies Control (GARC) have warranted the One Health framework with the objective of complete eradication of dog-related human rabies by the year 2030. In an effort to rationalise the One Health approach, this scoping review found 17 studies on assessing the effectiveness of control interventions of human and canine rabies. Different strategies were implemented based on the endemicity of rabies in a particular country. Overall, the combined strategies using the One Health approach, which allows effective participation and communication between different agencies, have shown promising results in reducing rabies cases. These strategies will hopefully realise the goal in the Global Strategic Plan to achieve zero canine-mediated human rabies death by the year 2030.


2012 ◽  
Vol 56 (3) ◽  
pp. 430-446 ◽  
Author(s):  
Andrea L. Ciaranello ◽  
Freddy Perez ◽  
Barbara Engelsmann ◽  
Rochelle P. Walensky ◽  
Angela Mushavi ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 301
Author(s):  
Yekaterina Zaytseva

Colorectal cancer (CRC), the second leading cause of cancer-related deaths according to the World Health Organization, remains a substantial public health problem worldwide [...]


2019 ◽  
Vol 4 (2) ◽  
pp. 343
Author(s):  
Rizka Angrainy ◽  
Lidia Fitri ◽  
Vipit Wulandari

<p><em><em><em>Anemia is a public health problem in the world. According to the World Health Organization (WHO), anemia cases occur 24.8% of the population and an estimated 50-80% of anemia is caused by iron deficiency. Anemia most often occurs in adolescents during menstruation and can be prevented by consuming Fe tablets. Initial survey of 10 female students showed most do not know about consuming Fe tablets during menstruation and 3 of them have Hb below 12 g%. The purpose of research to know the relationship of the adolescent knowledge about consuming fe tablets when menstrual with anemia in Junior High School 20 Pekanbaru 2018. The research design is quantitative Analitic with Cross Sectional approach.The population in this research amounted to 148 people with sampling using technique is purposive sampling as many as 86 people. The data obtained from the questionnaire and Hb measurements on the respondents.The statistical analysis used chi-square. The result of univariate analysis showed that most of the respondents (59,3%) had good knowledge about consuming Fe tablets during menstruation and the majority of respondents (84,3%) is not anemic. Test result obtained P Value &lt; α (0,001&lt;0,05), and it can be concluded that there is a significant relationship between of the adolescent knowledge about consuming Fe tablets when menstrual with anemia.</em></em></em></p><p><em><br /></em></p><p><em>Anemia merupakan masalah kesehatan masyarakat diseluruh dunia. Menurut World Health Organization (WHO), kasus anemia terjadi 24,8% dari populasi dan diperkirakan sekitar 50-80% anemia disebabkan oleh defisiensi besi. Anemia paling sering terjadi pada remaja saat menstruasi dan dapat dicegah dengan mengonsumsi tablet Fe. Survei awal terhadap 10 siswi menunjukkan sebagian besar tidak mengetahui tentang konsumsi tablet Fe pada saat menstruasi dan 3 diantaranya memiliki Hb dibawah 12 gr%. Tujuan penelitian untuk mengetahui hubungan pengetahuan remaja putri tentang  konsumsi tablet Fe pada saat menstruasi dengan anemia di SMP Negeri 20 Pekanbaru. Jenis penelitian Analitik Kuantitatif dengan desain Cross Sectional. Populasi sebanyak 148 orang dengan pengambilan sampel menggunakan purposive sampling sebanyak 86 orang. Data penelitian diperoleh dari kuesioner dan pengukuran Hb. Analisa data menggunakan uji chi-square. Hasil penelitian sebagian besar responden 59,3% memiliki pengetahuan baik tentang mengonsumsi tablet Fe pada saat menstruasi dan mayoritas responden 84,3% tidak anemia. Hasil uji diperoleh Pvalue  &lt; α (0,001&lt;0,05) dan dapat disimpulkan bahwa ada hubungan yang bermakna antara pengetahuan remaja putri tentang konsumsi tablet Fe pada saat menstruasi dengan anemia.</em></p>


2016 ◽  
Vol 29 (1) ◽  
pp. 31 ◽  
Author(s):  
Bárbara Camarinha ◽  
Pedro Graça ◽  
Paulo Jorge Nogueira

<p><strong>Introduction:</strong> Over 30% of Portuguese children present overweight. Being a serious public health problem with multiple causes, only a cross-sectorial and concerted action could contribute to their resolution. Municipalities have a set of skills that make them ideal for effective intervention in the fight against this problem. For this action to be effective there must be a local assessment of the extent of the problem and their spatial distribution. The aim of this study was to characterize, from the point of view of the prevalence of overweight, the population of pre-school and first cycle basic education under the responsibility of the municipality of Vila Nova de Gaia, the third most populous municipality in the country.<br /><strong>Material and Methods:</strong> Were evaluated 8 974 pre and basic-school children, in school year 2013/14. The assessment of the nutritional status of the sample was made using anthropometric measures height and weight. In the classification of nutritional status was considered z-scores or percentiles of body mass index for age according to the World Health Organization, Centers for Disease Control and Prevention and International Obesity Task Force.<br /><strong>Results:</strong> The prevalence of overweight by the World Health Organization requirements was 37.4%. There were some disparities in the distribution of overweight in schools of the municipality.<br /><strong>Discussion:</strong> The results were slightly higher than those of other national and international studies, being the sampling size the possible justification for the differences founded.<br /><strong>Conclusion:</strong> The prevalence found is high and with irregular geographical distribution, which could help identifying the main causes of the problem at the local level.</p>


Sign in / Sign up

Export Citation Format

Share Document