| Preventing the reintroduction of malaria in Mauritius: a programmatic and financial assessment. | |
| | |
MedLine Citation:
|
PMID: 21912645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Sustaining elimination of malaria in areas with high receptivity and vulnerability will require effective strategies to prevent reestablishment of local transmission, yet there is a dearth of evidence about this phase. Mauritius offers a uniquely informative history, with elimination of local transmission in 1969, re-emergence in 1975, and second elimination in 1998. Towards this end, Mauritius's elimination and prevention of reintroduction (POR) programs were analyzed via a comprehensive review of literature and government documents, supplemented by program observation and interviews with policy makers and program personnel. The impact of the country's most costly intervention, a passenger screening program, was assessed quantitatively using simulation modeling.On average, Mauritius spent $4.43 per capita per year (pcpy) during its second elimination campaign from 1982 to 1988. The country currently spends $2.06 pcpy on its POR program that includes robust surveillance, routine vector control, and prompt and effective treatment and response. Thirty-five percent of POR costs are for a passenger screening program. Modeling suggests that the estimated 14% of imported malaria infections identified by this program reduces the annual risk of indigenous transmission by approximately 2%. Of cases missed by the initial passenger screening program, 49% were estimated to be identified by passive or reactive case detection, leaving an estimated 3.1 unidentified imported infections per 100,000 inhabitants per year.The Mauritius experience indicates that ongoing intervention, strong leadership, and substantial predictable funding are critical to consistently prevent the reestablishment of malaria. Sustained vigilance is critical considering Mauritius's enabling conditions. Although the cost of POR is below that of elimination, annual per capita spending remains at levels that are likely infeasible for countries with lower overall health spending. Countries currently embarking on elimination should quantify and plan for potentially similar POR operations and costs. |
| | |
Authors:
|
Allison Tatarsky; Shahina Aboobakar; Justin M Cohen; Neerunjun Gopee; Ambicadutt Bheecarry; Devanand Moonasar; Allison A Phillips; James G Kahn; Bruno Moonen; David L Smith; Oliver Sabot |
Related Documents
:
|
19572835 - A narrative study of the experiences of student nurses who have participated in the hea... 17087445 - Improving mathematics teaching and learning experiences for hard of hearing students wi... 15474545 - Problem driver remediation: a meta-analysis of the driver improvement literature. 10479105 - Search for the trematode prouterina wescotti in black bears in oregon. 7558845 - Health physics and aviation: 1990-1994. 17616015 - An early fieldwork experience: student and preceptor perspectives. |
Publication Detail:
|
Type: Historical Article; Journal Article; Research Support, Non-U.S. Gov't Date: 2011-09-02 |
Journal Detail:
|
Title: PloS one Volume: 6 ISSN: 1932-6203 ISO Abbreviation: PLoS ONE Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-09-13 Completed Date: 2011-12-29 Revised Date: 2012-04-26 |
Medline Journal Info:
|
Nlm Unique ID: 101285081 Medline TA: PLoS One Country: United States |
Other Details:
|
Languages: eng Pagination: e23832 Citation Subset: IM |
Affiliation:
|
Clinton Health Access Initiative, Boston, Massachusetts, United States of America. atatarsky@clintonhealthaccess.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cost-Benefit Analysis
/
history Decision Making Disease Eradication / economics*, history* History, 20th Century History, 21st Century Humans Malaria / economics, epidemiology*, prevention & control* Mauritius Population Surveillance |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The cyst-dividing bacterium Ramlibacter tataouinensis TTB310 genome reveals a well-stocked toolbox f...
Next Document: Comprehensively surveying structure and function of RING domains from Drosophila melanogaster.