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Benefit-cost analysis of coordinated strategies for control of rabies in Africa

Author

Listed:
  • A. Bucher

    (Swiss Tropical and Public Health Institute
    University of Basel)

  • A. Dimov

    (Swiss Tropical and Public Health Institute
    University of Basel
    University of Zürich)

  • G. Fink

    (Swiss Tropical and Public Health Institute
    University of Basel)

  • N. Chitnis

    (Swiss Tropical and Public Health Institute
    University of Basel)

  • B. Bonfoh

    (Centre Suisse de Recherches Scientifiques en Côte d’Ivoire)

  • J. Zinsstag

    (Swiss Tropical and Public Health Institute
    University of Basel)

Abstract

Previous research suggests that dog mass vaccination campaigns can eliminate rabies locally, resulting in large human and animal life gains. Despite these demonstrated benefits, dog vaccination programs remain scarce on the African continent. We conducted a benefit-cost analysis to demonstrate that engaging into vaccination campaigns is the dominant strategy for most countries even in the absence of coordinated action between them. And quantify how coordinated policy measures across countries in Africa could impact rabies incidence and associated costs. We show that coordinated dog mass vaccination between countries and PEP would lead to the elimination of dog rabies in Africa with total welfare gains of USD 9.5 billion (95% CI: 8.1 – 11.4 billion) between 2024 and 2054 (30 years). Coordinated disease control between African countries can lead to more socially and ecologically equitable outcomes by reducing the number of lost human lives to almost zero and possibly eliminating rabies.

Suggested Citation

  • A. Bucher & A. Dimov & G. Fink & N. Chitnis & B. Bonfoh & J. Zinsstag, 2023. "Benefit-cost analysis of coordinated strategies for control of rabies in Africa," Nature Communications, Nature, vol. 14(1), pages 1-9, December.
    • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-41110-2
    DOI: 10.1038/s41467-023-41110-2
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    References listed on IDEAS

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    1. Johannesson, Magnus, 1996. "The willingness to pay for health changes, the human-capital approach and the external costs," Health Policy, Elsevier, vol. 36(3), pages 231-244, June.
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