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Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program

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Abstract
We compared in a 5-year intervention study the cost-effectiveness of community-based environmental management intertwined with routine vertical Aedes control and of routine vertical control only. At baseline (year 2000), Aedes infestation levels and economic costs for vector control were comparable in intervention and control areas (house index, 2.23% versus 2.21% and US$21 versus US$24/yr/inhabitant, respectively). By 2004, house indices became 0.22% versus 2.36% and the costs were 29.8 US$ versus 36.7 US$/yr/inhabitant, respectively. The community cost made up 38.6% of the total economic cost in 2004 in the intervention areas against 23.5% in 2000. The average cost-effectiveness ratio for the intervention period 2001-2004, expressed as the societal cost incurred for the reduction (from baseline) of Aedes foci, was US$831.1 per focus in the intervention areas versus US$2,465.6 in the control areas. The intervention produced economic savings and health benefits that were sustained over the whole observation period.
Keywords
DENGUE-3 EPIDEMIC, A EGYPTI CONTROL, CUBA, SUSTAINABILITY, SANTIAGO, BEHAVIOR, VECTORS, HAVANA, IMPACT

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Chicago
Baly, Alberto, Maria Eugenia Toledo, Veerle Vanlerberghe, Enrique Ceballos, Alicia Reyes, Idalmis Sanchez, Marinelli Carvajal, et al. 2009. “Cost-effectiveness of a Community-based Approach Intertwined with a Vertical Aedes Control Program.” American Journal of Tropical Medicine and Hygiene 81 (1): 88–93.
APA
Baly, Alberto, Toledo, M. E., Vanlerberghe, V., Ceballos, E., Reyes, A., Sanchez, I., Carvajal, M., et al. (2009). Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 81(1), 88–93.
Vancouver
1.
Baly A, Toledo ME, Vanlerberghe V, Ceballos E, Reyes A, Sanchez I, et al. Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE. 2009;81(1):88–93.
MLA
Baly, Alberto, Maria Eugenia Toledo, Veerle Vanlerberghe, et al. “Cost-effectiveness of a Community-based Approach Intertwined with a Vertical Aedes Control Program.” AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE 81.1 (2009): 88–93. Print.
@article{935693,
  abstract     = {We compared in a 5-year intervention study the cost-effectiveness of community-based environmental management intertwined with routine vertical Aedes control and of routine vertical control only. At baseline (year 2000), Aedes infestation levels and economic costs for vector control were comparable in intervention and control areas (house index, 2.23\% versus 2.21\% and US\$21 versus US\$24/yr/inhabitant, respectively). By 2004, house indices became 0.22\% versus 2.36\% and the costs were 29.8 US\$ versus 36.7 US\$/yr/inhabitant, respectively. The community cost made up 38.6\% of the total economic cost in 2004 in the intervention areas against 23.5\% in 2000. The average cost-effectiveness ratio for the intervention period 2001-2004, expressed as the societal cost incurred for the reduction (from baseline) of Aedes foci, was US\$831.1 per focus in the intervention areas versus US\$2,465.6 in the control areas. The intervention produced economic savings and health benefits that were sustained over the whole observation period.},
  author       = {Baly, Alberto and Toledo, Maria Eugenia and Vanlerberghe, Veerle and Ceballos, Enrique and Reyes, Alicia and Sanchez, Idalmis and Carvajal, Marinelli and Maso, Rizel and La Rosa, Maite and Denis, Orestes and Boelaert, Marleen and Van Der Stuyft, Patrick},
  issn         = {0002-9637},
  journal      = {AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE},
  language     = {eng},
  number       = {1},
  pages        = {88--93},
  title        = {Cost-effectiveness of a community-based approach intertwined with a vertical Aedes control program},
  url          = {http://www.ajtmh.org/cgi/content/abstract/81/1/88},
  volume       = {81},
  year         = {2009},
}

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