Multisectoral cost analysis of a human and livestock anthrax outbreak in Songwe Region, Tanzania (December 2018-January 2019), using a novel Outbreak Costing Tool.
Multisectoral cost analysis of a human and livestock anthrax outbreak in Songwe Region, Tanzania (December 2018-January 2019), using a novel Outbreak Costing Tool.
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DOI：
10.1016/j.onehlt.2021.100259
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Fasina FO
中科院分区：
文献类型：
--
作者：
Bodenham RF;Mtui-Malamsha N;Gatei W;Woldetsadik MA;Cassell CH;Salyer SJ;Halliday JEB;Nonga HE;Swai ES;Makungu S;Mwakapeje E;Bernard J;Bebay C;Makonnen YJ;Fasina FO
我们应用了一种新的爆发成本计算工具（OCT），由美国疾病控制和预防中心（CDC）开发，以估计调查和应对坦桑尼亚炭疽疫情的成本。我们还评估了OCT在多部门疫情应对中的整体效用。我们使用关键信息提供者的结构化问卷收集了与Songwe地区（2018年12月至2019年1月）人类和动物炭疽疫情相关的直接成本数据。我们通过将直接成本数据输入OCT进行了成本分析，分为七个成本类别：劳动力，办公室，旅行和运输，通信，实验室支持，医疗对策和咨询。调查和应对此次疫情的总费用估计为102，232美元，其中旅行和运输费用最高（62，536美元），通信和咨询费用最低，没有支出，用于人类和动物卫生部门。由于协调方面的挑战，多部门调查和应对可能变得复杂，从而使公共卫生影响升级。收集和分析成本数据的标准化框架对于了解疫情的性质、进行预期规划、进行疫情调查和缩短干预时间至关重要。抢先使用OCT还将降低疾病的总体和特定（响应期）干预成本。按政府部委、部门和层级进一步汇总费用，将有助于更好地利用这一工具，在多部门应对中加强疾病暴发的部门预算规划。2018-2019年期间坦桑尼亚人畜炭疽疫情的直接成本估算，使用新型疫情成本计算工具;标准化疫情成本计算工具的应用促进了“一个健康”，并鼓励多部门合作;多部门疫情成本计算数据为应对裂谷热、人畜共患流感和狂犬病等疾病疫情的规划提供了信息。
We applied a novel Outbreak Costing Tool (OCT), developed by the US Centers for Disease Control and Prevention (CDC), to estimate the costs of investigating and responding to an anthrax outbreak in Tanzania. We also evaluated the OCT's overall utility in its application to a multisectoral outbreak response. We collected data on direct costs associated with a human and animal anthrax outbreak in Songwe Region (December 2018 to January 2019) using structured questionnaires from key-informants. We performed a cost analysis by entering direct costs data into the OCT, grouped into seven cost categories: labor, office, travel and transport, communication, laboratory support, medical countermeasures, and consultancies. The total cost for investigating and responding to this outbreak was estimated at 102,232 United States dollars (USD), with travel and transport identified as the highest cost category (62,536 USD) and communication and consultancies as the lowest, with no expenditure, for the combined human and animal health sectors. Multisectoral investigation and response may become complex due to coordination challenges, thus allowing escalation of public health impacts. A standardized framework for collecting and analysing cost data is vital to understanding the nature of outbreaks, in anticipatory planning, in outbreak investigation and in reducing time to intervention. Pre-emptive use of the OCT will also reduce overall and specific (response period) intervention costs for the disease. Additional aggregation of the costs by government ministries, departments and tiers will improve the use of the tool to enhance sectoral budget planning for disease outbreaks in a multisectoral response. Direct cost estimation for a human-animal anthrax outbreak in Tanzania during 2018–2019, using a novel Outbreak Costing Tool; Application of a standardized Outbreak Costing Tool facilitates One Health and encourages multisectoral collaboration; Multisectoral outbreak costing data informs planning against disease outbreaks, such as Rift Valley fever, zoonotic influenza and rabies.
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影响因子：
4.4
作者：
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作者：
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影响因子：
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作者：
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