title: Cost-effectiveness of interventions to control Campylobacter in the New Zealand poultry meat food supply.
abstract: An analysis of the cost-effectiveness of interventions to control Campylobacter in the New Zealand poultry supply examined a series of interventions. Effectiveness was evaluated in terms of reduced health burden measured by disability-adjusted life years (DALYs). Costs of implementation were estimated from the value of cost elements, determined by discussions with industry. Benefits were estimated by changing the inputs to a poultry food chain quantitative risk model. Proportional reductions in the number of predicted Campylobacter infections were converted into reductions in the burden of disease measured in DALYs. Cost-effectiveness ratios were calculated for each intervention, as cost per DALY reduction and the ratios compared. The results suggest that the most cost-effective interventions (lowest ratios) are at the primary processing stage. Potential phage-based controls in broiler houses were also highly cost-effective. This study is limited by the ability to quantify costs of implementation and assumptions required to estimate health benefits, but it supports the implementation of interventions at the primary processing stage as providing the greatest quantum of benefit and lowest cost-effectiveness ratios.
authors.affiliation: Institute of Environmental Science and Research Limited, P.O. Box 29-181, Christchurch 8540, New Zealand. rob.lake@esr.cri.nz
authors.forename: Robin J
authors.initials: RJ
authors.lastname: Lake
authors.forename: Beverley J
authors.initials: BJ
authors.lastname: Horn
authors.forename: Alex H
authors.initials: AH
authors.lastname: Dunn
authors.forename: Ruth
authors.initials: R
authors.lastname: Parris
authors.forename: F Terri
authors.initials: FT
authors.lastname: Green
authors.forename: Don C
authors.initials: DC
authors.lastname: McNickle
mesh_terms: D000818:Animals; D002167:Campylobacter / Q000254:growth & development*; D003362:Cost-Benefit Analysis; D005506:Food Contamination / Q000191:economics* / Q000517:prevention & control*; D005511:Food Handling / Q000379:methods*; D006801:Humans; D009520:New Zealand; D011200:Poultry; D011202:Poultry Products / Q000382:microbiology*; D019057:Quality-Adjusted Life Years