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COST OF DENGUE CONTROL: ILLUSTRATION FROM MALAYSIA
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  1. COST OF DENGUE CONTROL:ILLUSTRATION FROM MALAYSIA Donald S. Shepard Jose A. Suaya Presentation at Dengue Cost Workshop Brandeis University, Waltham, MA 02454 USA April 2007

  2. Acknowledgments • Vector-borne disease section, Division of disease control, Ministry of Health of Malaysia • Special thanks to: • Dr. Abdullah Hassan • Mr. Tham Ah Seng • Mr. Wagimon Amat • Prof. Lucy Lum Chai See, University of Malaya PDVI

  3. Decentralized management and implementation • Multiple levels of government participate in the management, implementation and funding of vector control. • National government—purchases chemicals, oversees monitoring • State—Control in smaller towns, rural areas • Municipal—Control in larger towns PDVI

  4. Methods of cost estimation in a decentralized program • Principle: “Divide and conquer” • Total cost equals sum of the components • Inspection and enforcement • Fumigation • Cost of each component equals • Quantity x Unit cost • Triangulation: comparing multiple sources, the “gag” rule PDVI

  5. Inspection and enforcement 1 • (Number of teams) x (cost per team) • To get number of teams: • Use national number of inspections (3,935,130 premises) • Factor in productivity—premises inspected per day PDVI

  6. Inspection and enforcement 2 • To get personnel cost per team • (Number of workers) x (personnel cost per worker) • Personnel cost per worker is • Gross salary • Cost to employer of allowances and benefits PDVI

  7. Inspection and enforcement 2:Personnel cost per full team PDVI

  8. Inspection and enforcement 3:National personnel cost PDVI

  9. Inspection and enforcement 4:Total components • Personnel • Vehicles • Office expenses PDVI

  10. Breakdown of dengue control cost PDVI

  11. Total control cost - distribution PDVI

  12. Per capita control cost PDVI

  13. Conclusions • Costs of dengue control are substantial and paid from a limited public health budget • While substantial treatment costs may be limited to years with outbreaks, costs of dengue control are incurred annually PDVI