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Published on: March 12, 2021

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

Alberto Baly1, Maria Eugenia Toledo, Veerle Vanlerberghe

  • 1Instituto de Medicina Tropical Pedro Kourí, Department of Epidemiology, La Habana, Cuba. baly@ipk.sld.cu

The American Journal of Tropical Medicine and Hygiene
|June 27, 2009
PubMed
Summary
This summary is machine-generated.

Integrating community-based environmental management with routine Aedes control significantly reduces mosquito infestation and is more cost-effective than routine control alone. This integrated approach offers sustained economic savings and health benefits.

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Published on: March 16, 2019

Area of Science:

  • Public Health
  • Environmental Management
  • Vector-Borne Disease Control

Background:

  • Routine vertical Aedes control methods are standard for managing mosquito populations.
  • The cost-effectiveness of integrated community-based environmental management alongside vertical control requires evaluation.

Purpose of the Study:

  • To compare the cost-effectiveness of integrated community-based environmental management with routine vertical Aedes control versus routine control alone.
  • To assess the impact on Aedes infestation levels and economic costs over a 5-year period.

Main Methods:

  • A 5-year intervention study comparing two approaches: community-based environmental management plus routine vertical control, and routine vertical control only.
  • Baseline and follow-up data collection on Aedes house indices and economic costs for vector control.

Main Results:

  • The integrated approach reduced Aedes house indices from 2.23% to 0.22%, while the control group saw an increase from 2.21% to 2.36%.
  • Societal cost per reduced Aedes focus was significantly lower in intervention areas (US$831.1) compared to control areas (US$2,465.6).
  • Community costs increased in intervention areas but remained a smaller proportion of total costs compared to the control group.

Conclusions:

  • Community-based environmental management integrated with routine vertical Aedes control is a highly cost-effective strategy.
  • This integrated approach yields sustained economic savings and public health benefits.
  • Environmental management interventions are crucial for efficient and sustainable vector control programs.