title: The cost of routine Aedes aegypti control and of insecticide-treated curtain implementation.
abstract: Insecticide-treated curtains (ITCs) are promoted for controlling the Dengue vector Aedes aegypti. We assessed the cost of the routine Aedes control program (RACP) and the cost of ITC implementation through the RACP and health committees in Venezuela and through health volunteers in Thailand. The yearly cost of the RACP per household amounted to US$2.14 and $1.89, respectively. The ITC implementation cost over three times more, depending on the channel used. In Venezuela the RACP was the most efficient implementation-channel. It spent US$1.90 (95% confidence interval [CI]: 1.83; 1.97) per curtain distributed, of which 76.9% for the curtain itself. Implementation by health committees cost significantly (P = 0.02) more: US$2.32 (95% CI: 1.93; 2.61) of which 63% for the curtain. For ITC implementation to be at least as cost-effective as the RACP, at equal effectiveness and actual ITC prices, the attained curtain coverage and the adulticiding effect should last for 3 years.
authors.affiliation: Institute of Tropical Medicine Pedro Kourí, Autopista Novia del Mediodia Km. 6½, La Lisa, Havana City, Cuba. baly@ipk.sld.cu
authors.forename: Alberto
authors.initials: A
authors.lastname: Baly
authors.forename: Steffen
authors.initials: S
authors.lastname: Flessa
authors.forename: Marilys
authors.initials: M
authors.lastname: Cote
authors.forename: Thirapong
authors.initials: T
authors.lastname: Thiramanus
authors.forename: Veerle
authors.initials: V
authors.lastname: Vanlerberghe
authors.forename: Elci
authors.initials: E
authors.lastname: Villegas
authors.forename: Somchai
authors.initials: S
authors.lastname: Jirarojwatana
authors.forename: Patrick
authors.initials: P
authors.lastname: Van der Stuyft
mesh_terms: D000330:Aedes / Q000821:virology; D000818:Animals; D003365:Costs and Cost Analysis; D007306:Insecticides; D009032:Mosquito Control / Q000191:economics*; D057147:Mosquito Nets
chemical_list: D007306:Insecticides