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Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna

Author

Listed:
  • Giulia Paternoster
  • Sara Babo Martins
  • Andrea Mattivi
  • Roberto Cagarelli
  • Paola Angelini
  • Romeo Bellini
  • Annalisa Santi
  • Giorgio Galletti
  • Simonetta Pupella
  • Giuseppe Marano
  • Francesco Copello
  • Jonathan Rushton
  • Katharina D C Stärk
  • Marco Tamba

Abstract

Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009–2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion.

Suggested Citation

  • Giulia Paternoster & Sara Babo Martins & Andrea Mattivi & Roberto Cagarelli & Paola Angelini & Romeo Bellini & Annalisa Santi & Giorgio Galletti & Simonetta Pupella & Giuseppe Marano & Francesco Copel, 2017. "Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-16, November.
  • Handle: RePEc:plo:pone00:0188156
    DOI: 10.1371/journal.pone.0188156
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    References listed on IDEAS

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    1. Caroline T Korves & Sue J Goldie & Megan B Murray, 2006. "Cost-Effectiveness of Alternative Blood-Screening Strategies for West Nile Virus in the United States," PLOS Medicine, Public Library of Science, vol. 3(2), pages 1-1, January.
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    1. Antonios Kolimenakis & Kostas Bithas & Dionysis Latinopoulos & Clive Richardson, 2019. "On lifestyle trends, health and mosquitoes: Formulating welfare levels for control of the Asian tiger mosquito in Greece," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 13(6), pages 1-15, June.
    2. Marchino, Monica & Paternoster, Giulia & Favretto, Anna Rosa & Balduzzi, Giacomo & Berezowski, John & Tomassone, Laura, 2021. "Process evaluation of integrated West Nile virus surveillance in northern Italy: an example of a One Health approach in public health policy," Evaluation and Program Planning, Elsevier, vol. 89(C).

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