Details:

Alternative Title:
PLoS One
Personal Author:
Somda, Zana C. ; Perry, Helen N. ; Messonnier, Nancy R. ; Djingarey, Mamadou H. ; Ki, Salimata Ouedraogo ; ... More +
Somda, Zana C. ; Perry, Helen N. ; Messonnier, Nancy R. ; Djingarey, Mamadou H. ; Ki, Salimata Ouedraogo ; Meltzer, Martin I. Less -
Description:
Background

Effective surveillance for infectious diseases is an essential component of public health. There are few studies estimating the cost-effectiveness of starting or improving disease surveillance. We present a cost-effectiveness analysis the Integrated Disease Surveillance and Response (IDSR) strategy in Africa.

Methodology/Principal Findings

To assess the impact of the IDSR in Africa, we used pre- and post- IDSR meningococcal meningitis surveillance data from Burkina Faso (1996–2002 and 2003–2007). IDSR implementation was correlated with a median reduction of 2 weeks to peak of outbreaks (25th percentile 1 week; 75th percentile 4 weeks). IDSR was also correlated with a reduction of 43 meningitis cases per 100,000 (25th–40: 75th-129). Assuming the correlations between reductions in time to peak of outbreaks and cases are related, the cost-effectiveness of IDSR was $23 per case averted (25th-$30; 75th - cost saving), and $98 per meningitis-related death averted (25th-$140: 75th – cost saving).

Conclusions/Significance

We cannot absolutely claim that the measured differences were due to IDSR. We believe, however, that it is reasonable to claim that IDSR can improve the cost-effectiveness of public health surveillance.


Subjects:
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Cost-Benefit Analysis Humans Meningitis, Meningococcal Meningococcal Vaccines Models, Economic Population Surveillance
Source:
PLoS One. 2010; 5(9)
Pubmed ID:
20927386
Pubmed Central ID:
PMC2946913
Document Type:
Journal Article
Place as Subject:
Burkina Faso
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6ff8a1382d609f65a7bdd1c26ebf4d628a387643ed682bbe31ad0ed064b1f4ee
Download URL:
https://stacks.cdc.gov/view/cdc/4292/cdc_4292_DS1.pdf
File Type:

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