Cost-description of a pilot parenteral vaccination campaign against rabies in dogs in N'Djamena, Chad
Cost-description of a pilot parenteral vaccination campaign against rabies in dogs in N'Djamena, Chad
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DOI：
10.1111/j.1365-3156.2006.01663.x
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发表时间：
2006-07-01
影响因子：
3.3
通讯作者：
Zinsstag, J.
中科院分区：
文献类型：
--
作者：
Kayali, U.;Mindekem, R.;Zinsstag, J.
在讨论发展中国家预防狂犬病的政策和战略时，干预成本是一个主要问题。在乍得恩贾梅纳的大规模狂犬病疫苗接种试点活动中，3000只狗接种了疫苗。我们评估了疫苗接种覆盖率和成本，显示了公共部门和社会每只狗接种疫苗的成本。对城市一级的推算计算出为恩贾梅纳所有23600只狗接种疫苗的大致费用。在有3000只狗参与的试点群众性活动中，每只狗的平均成本为1.69欧元。对公众来说，整个社会成本是2.45欧元。如果恩贾梅纳23600只狗全部接种疫苗，公众的平均成本将降至1.16欧元，社会的平均成本将降至1.93欧元。私营机构为3000只狗只接种疫苗的成本占31%，为23600只狗只接种疫苗的成本占40%。大规模接种犬类疫苗可能是一种相对便宜和合乎道德的方式，既可以控制动物中的疾病，又可以防止人类病例和接触，特别是在发展中国家。与治疗被狗咬伤的受害者相比，为预防人类狂犬病接种狗疫苗的成本效益应得到进一步评估和记录。
In the discussion about policies and strategies for rabies prevention in developing countries, intervention costs arise as a major issue. In a pilot mass vaccination campaign against rabies in N'Djamena, Chad, 3000 dogs were vaccinated. We assessed vaccination coverage and cost, showing the cost per dog vaccinated for the public sector and for society. An extrapolation to city level calculated the approximate cost of vaccinating all 23 600 dogs in N'Djamena. In the pilot mass campaign with 3000 dogs the average cost per dog was 1.69 Euro. to the public and the full societal cost was 2.45 Euro. If all 23 600 dogs in N'Djamena were vaccinated, the average cost would fall to 1.16 Euro to the public and 1.93 Euro to society. Private sector costs account for 31% of the cost to vaccinate 3000 dogs, and 40% of the cost to vaccinate 23 600 dogs. Mass dog vaccination could be a comparatively cheap and ethical way to both control the disease in animals and prevent human cases and exposure, especially in developing countries. The cost-effectiveness of dog vaccination compared with treating victims of dog bites for prevention of human rabies should be further assessed and documented.