Malaria transmission was controlled elsewhere in Brazil by 1980, but in the Amazon Basin cases increased steadily until 1989, to almost half a million a year and the coefficient of mortality quadrupled in 1977-1988.
The government's malaria control program almost collapsed financially in 1987-1989 and underwent a turbulent reorganization in 1991-1993.
A World Bank project supported the program from late 1989 to mid-1996, and in 1992-1993, with help from the Pan American Health Organization, facilitated a change toward earlier and more aggressive case treatment and more concentrated vector control.
The epidemic stopped expanding in 1990-1991 and reversed in 1992-1996.
The total cost of the program from 1989 through mid-1996 was US$616 million : US$526 million for prevention and US$90 million for treatment.
Compared to what would have happened in the absence of the program, nearly two million cases of malaria and 231,000 deaths were prevented ; the lives saved were due almost equally to preventing infection and to case treatment.
Converting the savings in lives and in morbidity into Disability-Adjusted Life Years yields almost nine million DALYs, 5.1 million from treatment and 3.9 million from prevention. (...)
Mots-clés Pascal : Paludisme, Protozoose, Parasitose, Infection, Programme sanitaire, Prévention, Transmission, Incidence, Indice gravité, Mortalité, Morbidité, Epidémiologie, Evaluation, Analyse coût efficacité, Homme, Brésil, Amérique du Sud, Amérique, Politique sanitaire, Economie santé
Mots-clés Pascal anglais : Malaria, Protozoal disease, Parasitosis, Infection, Sanitary program, Prevention, Transmission, Incidence, Severity score, Mortality, Morbidity, Epidemiology, Evaluation, Cost efficiency analysis, Human, Brazil, South America, America, Health policy, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0465590
Code Inist : 002B30A03B. Création : 22/03/2000.