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Cost of intensive routine control and incremental cost of insecticide-treated curtain deployment in a setting with low Aedes aegypti infestation

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Abstract
Introduction: Information regarding the cost of implementing insecticide-treated curtains (ITCs) is scarce. Therefore, we evaluated the ITC implementation cost, in addition to the costs of intensive conventional routine activities of the Aedes control program in the city of Guantanamo, Cuba. Methods: A cost-analysis study was conducted from the perspective of the Aedes control program, nested in an ITC effectiveness trial, during 2009-2010. Data for this study were obtained from bookkeeping records and activity registers of the Provincial Aedes Control Programme Unit and the account records of the ITC trial. Results: The annual cost of the routine Aedes control program activities was US$16.80 per household (p.h). Among 3,015 households, 6,714 ITCs were distributed. The total average cost per ITC distributed was US$3.42, and 74.3% of this cost was attributed to the cost of purchasing the ITCs. The annualized costs p.h. of ITC implementation was US$3.80. The additional annualized cost for deploying ITCs represented 19% and 48.4% of the total cost of the routine Aedes control and adult-stage Aedes control programs, respectively. The trial did not lead to further reductions in the already relatively low Aedes infestation levels. Conclusions: At current curtain prices, ITC deployment can hardly be considered an efficient option in Guantanamo and other comparable environments.
Keywords
DENGUE VECTOR CONTROL, CLUSTER-RANDOMIZED-TRIAL, WATER CONTAINER COVERS, EPIDEMIC, CUBA, THAILAND, CAMBODIA, LESSONS, Dengue, Insecticide-treated curtains, Routine vector control, Cost-analysis, Cuba

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Chicago
Baly Gil, Alberto, Maria Eugenia Toledo Romani, Isora Lambert, Elizabeth Benítez, Karina Rodriguez, Esther Rodriguez, VEERLE VANLERBERGHE, and Patrick Van Der Stuyft. 2016. “Cost of Intensive Routine Control and Incremental Cost of Insecticide-treated Curtain Deployment in a Setting with Low Aedes Aegypti Infestation.” Revista Da Sociedade Brasileira De Medicina Tropical 49 (4): 418–424.
APA
Baly Gil, A., Toledo Romani, M. E., Lambert, I., Benítez, E., Rodriguez, K., Rodriguez, E., VANLERBERGHE, V., et al. (2016). Cost of intensive routine control and incremental cost of insecticide-treated curtain deployment in a setting with low Aedes aegypti infestation. REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL, 49(4), 418–424.
Vancouver
1.
Baly Gil A, Toledo Romani ME, Lambert I, Benítez E, Rodriguez K, Rodriguez E, et al. Cost of intensive routine control and incremental cost of insecticide-treated curtain deployment in a setting with low Aedes aegypti infestation. REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL. 2016;49(4):418–24.
MLA
Baly Gil, Alberto, Maria Eugenia Toledo Romani, Isora Lambert, et al. “Cost of Intensive Routine Control and Incremental Cost of Insecticide-treated Curtain Deployment in a Setting with Low Aedes Aegypti Infestation.” REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL 49.4 (2016): 418–424. Print.
@article{8510988,
  abstract     = {Introduction: Information regarding the cost of implementing insecticide-treated curtains (ITCs) is scarce. Therefore, we evaluated the ITC implementation cost, in addition to the costs of intensive conventional routine activities of the Aedes control program in the city of Guantanamo, Cuba.
Methods: A cost-analysis study was conducted from the perspective of the Aedes control program, nested in an ITC effectiveness trial, during 2009-2010. Data for this study were obtained from bookkeeping records and activity registers of the Provincial Aedes Control Programme Unit and the account records of the ITC trial.
Results: The annual cost of the routine Aedes control program activities was US\$16.80 per household (p.h). Among 3,015 households, 6,714 ITCs were distributed. The total average cost per ITC distributed was US\$3.42, and 74.3\% of this cost was attributed to the cost of purchasing the ITCs. The annualized costs p.h. of ITC implementation was US\$3.80. The additional annualized cost for deploying ITCs represented 19\% and 48.4\% of the total cost of the routine Aedes control and adult-stage Aedes control programs, respectively. The trial did not lead to further reductions in the already relatively low Aedes infestation levels.
Conclusions: At current curtain prices, ITC deployment can hardly be considered an efficient option in Guantanamo and other comparable environments.},
  author       = {Baly Gil, Alberto and Toledo Romani, Maria Eugenia and Lambert, Isora and Ben{\'i}tez, Elizabeth and Rodriguez, Karina and Rodriguez, Esther and VANLERBERGHE, VEERLE and Van Der Stuyft, Patrick},
  issn         = {0037-8682},
  journal      = {REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL},
  keyword      = {DENGUE VECTOR CONTROL,CLUSTER-RANDOMIZED-TRIAL,WATER CONTAINER COVERS,EPIDEMIC,CUBA,THAILAND,CAMBODIA,LESSONS,Dengue,Insecticide-treated curtains,Routine vector control,Cost-analysis,Cuba},
  language     = {eng},
  number       = {4},
  pages        = {418--424},
  title        = {Cost of intensive routine control and incremental cost of insecticide-treated curtain deployment in a setting with low Aedes aegypti infestation},
  url          = {http://dx.doi.org/10.1590/0037-8682-0368-2015},
  volume       = {49},
  year         = {2016},
}

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