A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka.
BACKGROUND:One Health addresses complex challenges to promote the health of all species and the environment by integrating relevant sciences at systems level. Its application to zoonotic diseases is recommended, but few coherent frameworks exist that combine approaches from multiple disciplines. Rab...
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ftdoajarticles:oai:doaj.org/article:0c6357f6856b4dc29731e592a4b21a2f 2023-05-15T15:16:09+02:00 A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. Barbara Häsler Elly Hiby Will Gilbert Nalinika Obeyesekere Houda Bennani Jonathan Rushton 2014-10-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0003270 https://doaj.org/article/0c6357f6856b4dc29731e592a4b21a2f EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4207696?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003270 https://doaj.org/article/0c6357f6856b4dc29731e592a4b21a2f PLoS Neglected Tropical Diseases, Vol 8, Iss 10, p e3270 (2014) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles https://doi.org/10.1371/journal.pntd.0003270 2022-12-31T01:15:53Z BACKGROUND:One Health addresses complex challenges to promote the health of all species and the environment by integrating relevant sciences at systems level. Its application to zoonotic diseases is recommended, but few coherent frameworks exist that combine approaches from multiple disciplines. Rabies requires an interdisciplinary approach for effective and efficient management. METHODOLOGY/PRINCIPAL FINDINGS:A framework is proposed to assess the value of rabies interventions holistically. The economic assessment compares additional monetary and non-monetary costs and benefits of an intervention taking into account epidemiological, animal welfare, societal impact and cost data. It is complemented by an ethical assessment. The framework is applied to Colombo City, Sri Lanka, where modified dog rabies intervention measures were implemented in 2007. The two options included for analysis were the control measures in place until 2006 ("baseline scenario") and the new comprehensive intervention measures ("intervention") for a four-year duration. Differences in control cost; monetary human health costs after exposure; Disability-Adjusted Life Years (DALYs) lost due to human rabies deaths and the psychological burden following a bite; negative impact on animal welfare; epidemiological indicators; social acceptance of dogs; and ethical considerations were estimated using a mixed method approach including primary and secondary data. Over the four years analysed, the intervention cost US $1.03 million more than the baseline scenario in 2011 prices (adjusted for inflation) and caused a reduction in dog rabies cases; 738 DALYs averted; an increase in acceptability among non-dog owners; a perception of positive changes in society including a decrease in the number of roaming dogs; and a net reduction in the impact on animal welfare from intermediate-high to low-intermediate. CONCLUSIONS:The findings illustrate the multiple outcomes relevant to stakeholders and allow greater understanding of the value of the implemented ... Article in Journal/Newspaper Arctic Human health Directory of Open Access Journals: DOAJ Articles Arctic Colombo ENVELOPE(-144.733,-144.733,-76.517,-76.517) PLoS Neglected Tropical Diseases 8 10 e3270 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Barbara Häsler Elly Hiby Will Gilbert Nalinika Obeyesekere Houda Bennani Jonathan Rushton A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:One Health addresses complex challenges to promote the health of all species and the environment by integrating relevant sciences at systems level. Its application to zoonotic diseases is recommended, but few coherent frameworks exist that combine approaches from multiple disciplines. Rabies requires an interdisciplinary approach for effective and efficient management. METHODOLOGY/PRINCIPAL FINDINGS:A framework is proposed to assess the value of rabies interventions holistically. The economic assessment compares additional monetary and non-monetary costs and benefits of an intervention taking into account epidemiological, animal welfare, societal impact and cost data. It is complemented by an ethical assessment. The framework is applied to Colombo City, Sri Lanka, where modified dog rabies intervention measures were implemented in 2007. The two options included for analysis were the control measures in place until 2006 ("baseline scenario") and the new comprehensive intervention measures ("intervention") for a four-year duration. Differences in control cost; monetary human health costs after exposure; Disability-Adjusted Life Years (DALYs) lost due to human rabies deaths and the psychological burden following a bite; negative impact on animal welfare; epidemiological indicators; social acceptance of dogs; and ethical considerations were estimated using a mixed method approach including primary and secondary data. Over the four years analysed, the intervention cost US $1.03 million more than the baseline scenario in 2011 prices (adjusted for inflation) and caused a reduction in dog rabies cases; 738 DALYs averted; an increase in acceptability among non-dog owners; a perception of positive changes in society including a decrease in the number of roaming dogs; and a net reduction in the impact on animal welfare from intermediate-high to low-intermediate. CONCLUSIONS:The findings illustrate the multiple outcomes relevant to stakeholders and allow greater understanding of the value of the implemented ... |
format |
Article in Journal/Newspaper |
author |
Barbara Häsler Elly Hiby Will Gilbert Nalinika Obeyesekere Houda Bennani Jonathan Rushton |
author_facet |
Barbara Häsler Elly Hiby Will Gilbert Nalinika Obeyesekere Houda Bennani Jonathan Rushton |
author_sort |
Barbara Häsler |
title |
A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
title_short |
A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
title_full |
A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
title_fullStr |
A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
title_full_unstemmed |
A one health framework for the evaluation of rabies control programmes: a case study from Colombo City, Sri Lanka. |
title_sort |
one health framework for the evaluation of rabies control programmes: a case study from colombo city, sri lanka. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doi.org/10.1371/journal.pntd.0003270 https://doaj.org/article/0c6357f6856b4dc29731e592a4b21a2f |
long_lat |
ENVELOPE(-144.733,-144.733,-76.517,-76.517) |
geographic |
Arctic Colombo |
geographic_facet |
Arctic Colombo |
genre |
Arctic Human health |
genre_facet |
Arctic Human health |
op_source |
PLoS Neglected Tropical Diseases, Vol 8, Iss 10, p e3270 (2014) |
op_relation |
http://europepmc.org/articles/PMC4207696?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003270 https://doaj.org/article/0c6357f6856b4dc29731e592a4b21a2f |
op_doi |
https://doi.org/10.1371/journal.pntd.0003270 |
container_title |
PLoS Neglected Tropical Diseases |
container_volume |
8 |
container_issue |
10 |
container_start_page |
e3270 |
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1766346453808054272 |