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将疫苗接种和预防性扑杀作为根除口蹄疫手段的成本效益分析。

Benefit-cost analysis of vaccination and preemptive slaughter as a means of eradicating foot-and-mouth disease.

作者信息

Bates Thomas W, Carpenter Tim E, Thurmond Mark C

机构信息

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

Am J Vet Res. 2003 Jul;64(7):805-12. doi: 10.2460/ajvr.2003.64.805.

Abstract

OBJECTIVE

To assess relative costs and benefits of vaccination and preemptive herd slaughter to control transmission of foot-and-mouth disease (FMD) virus (FMDV).

SAMPLE POPULATION

2,238 herds and 5 sale yards located in Fresno, Kings, and Tulare counties of California.

PROCEDURE

Direct costs associated with indemnity, slaughter, cleaning and disinfecting livestock premises, and vaccination were compared for various eradication strategies. Additional cost, total program cost, net benefit, and benefit-cost value (B/C) for each supplemental strategy were estimated, based in part on results of published model simulations for FMD. Sensitivity analyses were conducted.

RESULTS

Mean herd indemnity payments were estimated to be dollars 2.6 million and dollars 110,359 for dairy and nondairy herds, respectively. Cost to clean and disinfect livestock premises ranged from dollars 18,062 to dollars 60,205. Mean vaccination cost was dollars 2,960/herd. Total eradication cost ranged from dollars 61 million to dollars 551 million. All supplemental strategies involving use of vaccination were economically efficient (B/C range, 5.0 to 10.1) and feasible, whereas supplemental strategies involving use of slaughter programs were not economically efficient (B-C, 0.05 to 0.8) or feasible.

CONCLUSIONS AND CLINICAL RELEVANCE

Vaccination with a highly efficacious vaccine may be a cost-effective strategy for control of FMD if vaccinated animals are not subsequently slaughtered and there is no future adverse economic impact, such as trade restrictions. Although less preferable than the baseline eradication program, selective slaughter of highest-risk herds was preferable to other preemptive slaughter strategies. However, indirect costs can be expected to contribute substantially more than direct costs to the total cost of eradication programs.

摘要

目的

评估接种疫苗和预防性畜群扑杀以控制口蹄疫病毒(FMDV)传播的相对成本和效益。

样本群体

位于加利福尼亚州弗雷斯诺县、金斯县和图莱里县的2238个畜群和5个牲畜交易场。

程序

比较了各种根除策略在赔偿、屠宰、牲畜场所清洁和消毒以及接种疫苗方面的直接成本。部分基于已发表的口蹄疫模型模拟结果,估算了每种补充策略的额外成本、总项目成本、净效益和效益成本值(B/C)。进行了敏感性分析。

结果

估计奶牛场和非奶牛场的平均畜群赔偿支付分别为260万美元和110359美元。清洁和消毒牲畜场所的成本在18062美元至60205美元之间。平均接种疫苗成本为每畜群2960美元。根除总成本在6100万美元至5.51亿美元之间。所有涉及使用疫苗接种的补充策略在经济上都是有效的(B/C范围为5.0至10.1)且可行,而涉及使用屠宰计划的补充策略在经济上既无效率(B-C为0.05至0.8)也不可行。

结论及临床意义

如果接种疫苗的动物随后不被屠宰且不存在未来的不利经济影响(如贸易限制),使用高效疫苗进行接种可能是控制口蹄疫的一种具有成本效益的策略。虽然不如基线根除计划可取,但选择性扑杀高危畜群比其他预防性屠宰策略更可取。然而,可以预期间接成本对根除计划总成本的贡献将大大超过直接成本。

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