Cost-effectiveness of Novel System of Mosquito Surveillance and Control, Brazil
Kim M. Pepin, Cecilia Marques-Toledo, Luciano Scherer, Maira M. Morais, Brett Ellis, and Alvaro E. Eiras
Author affiliations: National Institutes of Health, Bethesda, Maryland, USA (K.M. Pepin); Colorado State University, Fort Collins, Colorado, USA (K.M. Pepin); Ecovec SA, Belo Horizonte, Brazil (C. Marques-Toledo, L. Scherer); Universidade Federal de Minas Gerais, Belo Horizonte (M.M. Morais, A.E. Eiras); Duke–National University of Singapore Graduate Medical School, Singapore (B. Ellis)
Figure 6. . . Cost-effectiveness of and savings from Monitoramento Inteligente da Dengue (Intelligent Dengue Monitoring System [MID]), Minas Gerais, Brazil, mid-2009–mid-2011. A) For cost-effectiveness, the number of US dollars (USD$) spent per dengue fever case prevented is plotted against the annual incidence of dengue fever cases during MID for the city. Each point represents cost-effectiveness for a city. Points are coded by population size classes. Horizontal line indicates average cost-effectiveness ($227) per case prevented. B) Savings for each cost component from the benefits of MID. Direct savings include only health care, nonmedical direct savings, and vector control savings. Indirect savings include only savings in the work force. Total savings include direct and indirect savings. Negative values indicate dollars lost because of implementing MID. Vertical line indicates 0. Shaded symbols distinguish population size classes as follows: black circles indicate 18,000–21,000; gray circles indicate 35,000–60,000; white circles indicate 70,000–90,000; triangles indicate 100,000–140,000; squares indicate 150,000–300,000.
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