Research Unit in Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULiege), Fundamental and Applied Research for Animal Health (FARAH) Centre, Faculty of Veterinary Medicine, University of Liege, Liege, Belgium.
Accelerated Value Chain Program - Livestock Component (AVCD-LC), International Livestock Research Institute, Nairobi, Kenya.
Transbound Emerg Dis. 2019 Nov;66(6):2523-2536. doi: 10.1111/tbed.13317. Epub 2019 Aug 25.
In Kenya and East Africa, contagious caprine pleuropneumonia (CCPP) is one of the most prevalent infectious diseases affecting small ruminants in pastoral areas with adverse consequences on livelihoods. This is so despite the implementation of bi-annual vaccination campaigns. Unfortunately, the impact of the disease and the cost-effectiveness of its prevention and control in a pastoral context have been difficult to assess due to a lack of reliable data. The dynamic of flock population, high illiteracy and limited outreach are the main challenges for proper data collection. Nevertheless, such analysis is important to justify the implementation of national vaccination campaign for livestock disease control and to contribute to pastoral households' economy support programme. A continuous flock monitoring was performed for a year in Turkana County to collect data on flock dynamics and the different causes of mortalities. A stochastic model was developed to evaluate the annual economic losses due to CCPP in a standard flock of 100 heads and evaluate the cost-benefit ratio of the vaccination programmes based on different scenarios of 95%, 50% and 20% vaccination effectiveness. The annual economic losses due to CCPP for a standard flock of 100 heads were estimated at Euros 1,712.66 in average. The benefits-costs ratio of the vaccination supports the current bi-annual vaccination campaigns, even with a vaccine effectiveness limited to 20% (average benefits-costs ratio of 5.715 with SD of 3.914). This justifies the campaigns as part of a food security or livelihood support programme. However, from an overall health perspective and for long-term effects on livestock asset protection and disease control, a higher vaccination effectiveness is required.
在肯尼亚和东非,传染性山羊胸膜肺炎(CCPP)是影响牧区小反刍动物最普遍的传染病之一,对生计造成了不利影响。尽管实施了两年一次的疫苗接种运动,但情况仍然如此。不幸的是,由于缺乏可靠的数据,疾病的影响及其在畜牧业环境中的成本效益一直难以评估。羊群数量的动态变化、高文盲率和有限的外联活动是正确收集数据的主要挑战。然而,这种分析对于证明为控制牲畜疾病实施国家疫苗接种运动是重要的,并有助于支持牧民家庭的经济支持计划。在图尔卡纳县进行了为期一年的羊群监测,以收集有关羊群动态和不同死亡率原因的数据。开发了一个随机模型来评估标准 100 头羊群中因 CCPP 造成的年度经济损失,并根据 95%、50%和 20%的疫苗有效性的不同情景来评估疫苗接种计划的成本效益比。标准 100 头羊群因 CCPP 造成的年度经济损失估计平均为 1712.66 欧元。疫苗接种的效益-成本比支持当前的两年一次疫苗接种运动,即使疫苗有效性仅限于 20%(平均效益-成本比为 5.715,标准差为 3.914)。这证明了这些运动是粮食安全或生计支持计划的一部分。然而,从整体健康角度和对牲畜资产保护和疾病控制的长期影响来看,需要更高的疫苗有效性。