Polio: from eradication to systematic, sustained control

Razum, Oliver; Sridhar, Devi; Jahn, Albrecht; Zaidi, Shehla; Ooms, Gorik; Müller, Olaf

doi:10.1136/bmjgh-2019-001633

Cited by 37 publications

(15 citation statements)

References 25 publications

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“…We agree with Razum et al 14 that while there have been many achievements to date, many problems remain that continue to delay the initiative reaching the eradication target. What we do not agree with is the proposed solution.…”

supporting

confidence: 89%

“…Over the years, there have been repeated calls for converting the eradication initiative into a control programme 12 13. Writing in BMJ Global Health , Razum et al 14 suggest that we abandon the eradication target and replace it with ‘sustained control’. For us, this is an unrealistic objective which was debated in previous communications 15 16.…”

mentioning

confidence: 99%

“…Thus, Razum et al 14 are correct when they write ‘There is one strategy, however, that the world should not be content with: namely more of the same.’ More of the same has brought the polio eradication effort very close to the finish line, but indeed the last two countries must assume much greater responsibility for the programme, coordinate their efforts and make eradication their national priority.…”

mentioning

confidence: 99%

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Polio: abandoning eradication would result in rapid resurgence of an ancient scourge

Sutter

Zaffran

2019

BMJ Glob Health

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supporting

confidence: 89%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Polio: abandoning eradication would result in rapid resurgence of an ancient scourge

Sutter

Zaffran

2019

BMJ Glob Health

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“…Being an island country with means to control immigration and thus the importation of the virus clearly has advantages. However, disease elimination is a difficult task which requires well-functioning surveillance and response mechanisms, political will and sufficient funds [ 69 ]. Interestingly, Australia – which has not officially put in place an elimination strategy – has achieved interruption of transmission through comprehensive public health measures including a major lockdown followed by intense TTT interventions in response to a second wave of the epidemic in July and August in the state of Victoria.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 in Germany and China: mitigation versus elimination strategy

Razum

Jahn

et al. 2021

Global Health Action

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Background : The COVID-19 pandemic shows variable dynamics in WHO Regions, with lowest disease burden in the Western-Pacific Region. While China has been able to rapidly eliminate transmission of SARS-CoV-2, Germany – as well as most of Europe and the Americas – is struggling with high numbers of cases and deaths. Objective : We analyse COVID-19 epidemiology and control strategies in China and in Germany, two countries which have chosen profoundly different approaches to deal with the epidemic. Methods : In this narrative review, we searched the literature from 1 December 2019, to 4 December 2020. Results : China and several neighbours (e.g. Australia, Japan, South Korea, New Zealand, Thailand) have achieved COVID-19 elimination or sustained low case numbers. This can be attributed to: (1) experience with previous coronavirus outbreaks; (2) classification of SARS-CoV-2 in the highest risk category and consequent early employment of aggressive control measures; (3) mandatory isolation of cases and contacts in institutions; (4) broad employment of modern contact tracking technology; (5) travel restrictions to prevent SARS-CoV-2 re-importation; (6) cohesive communities with varying levels of social control. Conclusions : Early implementation of intense and sustained control measures is key to achieving a near normal social and economic life.

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“…Guinea worm disease (GWD), which has a more restricted geographic reach than polio, is the subject of campaigns that cost approximately $30M when the disease causes only 54 cases yearly (6, 7). The eradication targets of both diseases have experienced delays 23 years and 10 years, respectively, therefore stalling the promise to recover investments (7, 8).…”

mentioning

confidence: 99%

Economic evaluation of disease elimination: an extension to the net-benefit framework and application to human African trypanosomiasis

Antillón

Huang

Rock

et al. 2021

Preprint

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The net benefits framework has become a mainstay of the cost-effectiveness literature, guiding decision-makers to select among strategies in the presence of budget constraints and imperfect information. However, disease elimination programs are socially desirable but not always cost-effective. Therefore, analytical frameworks are necessary to consider the additional premium for reaching global goals that are beyond the cost-effective use of country resources. We propose a modification to the net benefits framework to consider the implications of switching from an optimal strategy (in terms of cost-per-burden-averted) to a strategy with a higher likelihood of meeting the global target (i.e. elimination of transmission by a specified date). Our expanded framework informs decisions under uncertainty, determines the share of funding necessary to align local and global priorities, enabling local partners to use their resources efficiently while cooperating to meet global health targets. We illustrate the advantages of our framework by considering the economic case of efforts to eliminate transmission by 2030 of gambiense human African trypanosomiasis (gHAT), a vector-borne parasitic disease in West and Central Africa.

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Polio: from eradication to systematic, sustained control

Cited by 37 publications

References 25 publications

Polio: abandoning eradication would result in rapid resurgence of an ancient scourge

Polio: abandoning eradication would result in rapid resurgence of an ancient scourge

COVID-19 in Germany and China: mitigation versus elimination strategy

Economic evaluation of disease elimination: an extension to the net-benefit framework and application to human African trypanosomiasis

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