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CSU 59/2009: READER COMMENT/ ECONOMIC ANALYSIS OF ITNs IN ERITREA

Friday, 25th of September 2009

CSU 59/2009: READER COMMENT/ ECONOMIC ANALYSIS OF ITNs IN ERITREA
 
 1) This comment from the EPI adviser in the Pan American Health
 Organization.
 
 
 'In response to your question about cholera vaccines, two articles come to
 mind:
 
 
 Long-term effectiveness against cholera of oral killed whole-cell vaccine
 produced in Vietnam.
 
 
 Thiem VD, Deen JL, von Seidlein L, Canh do G, Anh DD, Park JK, Ali M,
 Danovaro-Holliday MC, Son ND, Hoa NT, Holmgren J, Clemens JD.
 
 
 Vaccine. 2006 May 15;24(20):4297-303. Epub 2006 Mar 20.
 
 
 Feasibility of a mass vaccination campaign using a two-dose oral cholera
 vaccine in an urban cholera-endemic setting in Mozambique.
 
 
 Cavailler P, Lucas M, Perroud V, McChesney M, Ampuero S, Guérin PJ, Legros
 D, Nierle T, Mahoudeau C, Lab B, Kahozi P, Deen JL, von Seidlein L, Wang
 XY, Puri M, Ali M, Clemens JD, Songane F, Baptista A, Ismael F, Barreto A,
 Chaignat CL. Vaccine. 2006 May 29;24(22):4890-5. Epub 2005 Oct 21.
 
 
 With the technology to produce cholera vaccines now available in developing
 countries, cholera vaccination may well be a reasonable tool to use while
 “waiting” for water and sanitation to be improved.'
 
  2) ECONOMIC ANALYSIS OF ITNs IN ERITREA
 
 Writing in the Malaria Journal, at
 http://www.malariajournal.com/content/8/1/51 Yukich and colleagues
 undertake an economic analysis of ITNs in Eritrea.
 
 From their summary: ‘The cost per DALY averted was USD 13 – 44. The cost
 per death averted was USD 438–1449. Distribution of nets coincided with
 significant increases in coverage and usage of nets nationwide, approaching
 or exceeding international targets in some areas.’
 
 Good reading.
 Bob Davis