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评估印度恰蒂斯加尔邦针对小反刍兽疫大规模疫苗接种运动的效果。

Evaluation of effectiveness of Mass Vaccination Campaign against Peste des petits ruminants in Chhattisgarh state, India.

机构信息

ICAR-National Institute of Veterinary Epidemiology and Disease Informatics, Yelahanka, Bangalore, India.

Department of Animal Husbandry, Government of Chhattisgarh, Raipur, India.

出版信息

Transbound Emerg Dis. 2019 May;66(3):1349-1359. doi: 10.1111/tbed.13163. Epub 2019 Mar 28.

DOI:10.1111/tbed.13163
PMID:30839170
Abstract

The study evaluated the effectiveness of 'Mass Vaccination Campaign (MVC)' implemented against the contagious transboundary OIE notified Peste des petits ruminants (PPR) in sheep and goats on the lines of 'pulse polio campaign' for humans in Chhattisgarh state, India. The effectiveness was evaluated on the axes of adequacy, financial viability under with and without MVC through differencing under various scenarios and options and programme impact from a farmer's perspective. The adequacy evaluation revealed that the reported outbreaks, diagnosed and death cases declined under PPR-MVC inconsonance with increased vaccination coverage. Furthermore, the seroconversion increased during post PPR-MVC implies elevated immunity levels in the sheep and goat population. The estimated mean mortality loss was USD 45.2 and USD 16.5 per animal in goats and sheep, respectively, whereas the treatment and opportunity cost of labour was USD 1.9 and USD 2.5 per animal respectively. Under the low PPR incidence scenario, benefit: cost ratio, net present value and internal rate of return were 4.9:1, 48.9 million USD and 146.6%, whereas it was 12.4:1,142.7 million USD and 430.4% and 13.5:1,156.7 million USD and 430.4% under medium and high incidence scenarios. Furthermore, the option of vaccinating 100% risk population during the first year followed by 30% during subsequent years to cover naïve population will maximize benefits than 100% coverage every year; nevertheless, benefits outweighs cost manifolds in both of these options. The farmers had a positive opinion on the overall services provided under PPR-MVC and the results provide the empirical evidence on effectiveness of 'mass vaccination' for its replication in other states of India or countries with similar socio-economic and rearing environments.

摘要

本研究评估了针对印度恰蒂斯加尔邦人类“脉冲脊髓灰质炎运动”(polio campaign)模式实施的传染性跨界 OIE 通报的小反刍动物疫病(PPR)“大规模疫苗接种运动(MVC)”的有效性。通过在不同情景和选项下进行差分,从农民的角度评估了方案的影响,以评估其在充足性、有和无 MVC 下的财务可行性。充足性评估表明,随着疫苗接种覆盖率的提高,报告的暴发、确诊和死亡病例与 PPR-MVC 不一致的情况下有所下降。此外,PPR-MVC 后血清转化率增加表明绵羊和山羊群体的免疫力水平提高。估计每只山羊和绵羊的平均死亡损失分别为 45.2 美元和 16.5 美元,而每只动物的治疗和劳动力机会成本分别为 1.9 美元和 2.5 美元。在低 PPR 发病率情景下,效益:成本比、净现值和内部收益率分别为 4.9:1、4890 万美元和 146.6%,而在中高发病率情景下,分别为 12.4:1、1.427 亿美元和 430.4%和 13.5:1、1.567 亿美元和 430.4%。此外,在第一年为 100%风险人群接种疫苗,随后在随后的几年中为 30%,以覆盖新生人口,将最大限度地提高效益,而不是每年 100%的覆盖;尽管如此,这两种选择的效益都远远超过成本。农民对 PPR-MVC 下提供的整体服务持积极态度,结果为在印度其他邦或具有类似社会经济和饲养环境的国家复制“大规模接种”提供了经验证据。

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