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No. de sistema: 000011925

LDR _ _ 00000nab^^22^^^^^za^4500
008 _ _ 170922m20179999xx^^r^p^^^^^^z0^^^a0eng^d
040 _ _ a| ECO
c| ECO
043 _ _ a| n-mx-cl
044 _ _ a| xx
245 0 0 a| Cost-effectiveness of the strategies to reduce the incidence of dengue in Colima, México
520 1 _ a| Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence.
650 _ 4 a| Dengue
650 _ 4 a| Análisis económico
650 _ 4 a| Participación comunitaria
650 _ 4 a| Salud pública
651 _ 4 a| Colima (México)
700 1 _ a| Mendoza-Cano, Oliver
700 1 _ a| Hernández Suárez, Carlos Moisés
e| coaut.
700 1 _ a| Trujillo, Xóchitl
e| coaut.
n| 6603450487
700 1 _ a| Ochoa Díaz López, Héctor
c| Doctor
e| coaut.
700 1 _ a| Lugo Radillo, Agustín
e| coaut.
700 1 _ a| Espinoza Gómez, Francisco
e| coaut.
700 1 _ a| de la Cruz-Ruiz, Miriam
e| coaut.
700 1 _ a| Sánchez Piña, Ramón Alberto
e| coaut.
700 1 _ a| Murillo Zamora, Efrén
e| coaut.
773 0 _
t| International Journal of Environmental Research and Public Health
g| Vol. 14, no. 8, 890 (August 2017), p. 1-9
x| 1660-4601
856 4 1 u| http://www.mdpi.com/1660-4601/14/8/890
z| Artículo electrónico
856 _ _ u| http://aleph.ecosur.mx:8991/F?func=service&doc_library=CFS01&local_base=CFS01&doc_number=000011925&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
y| Artículo electrónico
901 _ _ a| Artículo con arbitraje
902 _ _ a| GOG / MM
904 _ _ a| Septiembre 2017
905 _ _ a| Artecosur
905 _ _ a| Biblioelectrónica
906 _ _ a| Producción Académica ECOSUR
LNG eng
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Cost-effectiveness of the strategies to reduce the incidence of dengue in Colima, México
Mendoza-Cano, Oliver (autor)
Hernández Suárez, Carlos Moisés (autor)
Trujillo, Xóchitl (autor)
Ochoa Díaz López, Héctor (autor)
Lugo Radillo, Agustín (autor)
Espinoza Gómez, Francisco (autor)
de la Cruz-Ruiz, Miriam (autor)
Sánchez Piña, Ramón Alberto (autor)
Murillo Zamora, Efrén (autor)
Contenido en: International Journal of Environmental Research and Public Health. Vol. 14, no. 8, 890 (August 2017), p. 1-9. ISSN: 1660-4601
No. de sistema: 11925
Tipo: - Artículo con arbitraje
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"Dengue fever is considered to be one of the most important arboviral diseases globally. Unsuccessful vector-control strategies might be due to the lack of sustainable community participation. The state of Colima, located in the Western region of Mexico, is a dengue-endemic area despite vector-control activities implemented, which may be due to an insufficient health economic analysis of these interventions. A randomized controlled community trial took place in five urban municipalities where 24 clusters were included. The study groups (n = 4) included an intervention to improve the community participation in vector control (A), ultra-low volume (ULV) spraying (B), both interventions (AB), and a control group. The main outcomes investigated were dengue cumulative incidence, disability-adjusted life years (DALYs), and the direct costs per intervention. The cumulative incidence of dengue was 17.4%, A; 14.3%, B; 14.4%, AB; and 30.2% in the control group. The highest efficiency and effectiveness were observed in group B (0.526 and 6.97, respectively) and intervention A was more likely to be cost-effective ($3952.84 per DALY avoided) followed by intervention B ($4472.09 per DALY avoided). Our findings suggest that efforts to improve community participation in vector control and ULV-spraying alone are cost-effective and may be useful to reduce the vector density and dengue incidence."