A review of the economic evidence of Aedes-borne arboviruses and Aedes-borne arboviral disease prevention and control strategies

Ryan Thompson, Jorge Martin Del Campo, Dagna Constenla

Research output: Contribution to journalReview articlepeer-review

Abstract

Introduction:Aedes-borne arboviruses contributes substantially to the disease and cost burden. Areas covered: We performed a systematic review of the economic evidence surrounding aedes-borne arboviruses and strategies to prevent and control these diseases to inform disease control policy decisions and research directions. We searched four databases covering an 18-year period (2000–2018) to identify arboviral disease-related cost of illness studies, cost studies of vector control and prevention strategies, cost-effectiveness analyses and cost-benefit analyses. We identified 74 published studies that revealed substantial global total costs in yellow fever virus and dengue virus ranging from 2.1 to 57.3 billion USD. Cost studies of vector control and surveillance programs are limited, but a few studies found that costs of vector control programs ranged from 5.62 to 73.5 million USD. Cost-effectiveness evidence was limited across Aedes-borne diseases, but generally found targeted dengue vaccination programs cost-effective. This review revealed insufficient economic evidence for vaccine introduction and implementation of surveillance and vector control programs. Expert opinion: Evidence of the economic burden of aedes-borne arboviruses and the economic impact of strategies for arboviral disease prevention and control is critical to inform policy decisions and to secure continued financial support for these preventive and control measures.

Original languageEnglish (US)
Pages (from-to)143-162
Number of pages20
JournalExpert review of vaccines
Volume19
Issue number2
DOIs
StatePublished - Feb 1 2020

Keywords

  • Aedes-borne arboviruses
  • Economics
  • Zika virus
  • chikungunya virus
  • control
  • cost-benefit
  • cost-effectiveness
  • costing
  • delivery costs
  • dengue fever
  • prevention
  • surveillance
  • vaccines
  • yellow fever

ASJC Scopus subject areas

  • Immunology
  • Molecular Medicine
  • Pharmacology
  • Drug Discovery

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