Cost-effectiveness of Campylobacter interventions on broiler farms in six European countries

C.P.A. van Wagenberg, P.L.M. van Horne, Helle Mølgaard Sommer, Maarten Nauta

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Broilers are an important reservoir for human Campylobacter infections, one of the leading causes of acute diarrheal disease in humans worldwide. Therefore, it is relevant to control Campylobacter on broiler farms. This study estimated the cost-effectiveness ratios of eight Campylobacter interventions on broiler farms in six European countries: Denmark, the Netherlands, Norway, Poland, Spain, and United Kingdom. The cost-effectiveness ratio of an intervention was the estimated costs of the intervention divided by the estimated public health benefits due to the intervention, and was expressed in euro per avoided disability-adjusted life year (DALY). Interventions were selected on the basis of a European risk factor study and other risk factor research. A deterministic simulation model was developed to estimate the cost-effectiveness ratio of each intervention, if it would be implemented on all broiler farms in a country where it isn't implemented yet and implementation is possible. The model considered differences between countries in number and size of broiler farms and established practices, in import, export and transit of live broilers, broiler meat and meat products, in effect of interventions on Campylobacter prevalence in broilers, in disease burden of Campylobacter related human illness, in national economic factors, such as interest rate and general cost levels, and in technical and economic farm performance. Across interventions, cost-effectiveness ratios were the lowest for Poland and Spain, and highest for Norway and Denmark. Across countries, applying designated tools for each farm house and building an anteroom with hygiene barrier in each farm house had the lowest cost-effectiveness ratios, whereas a ban on thinning (partial depopulation), slaughter at 35 days, replacing old houses by new houses, and applying drink nipples without cup had the highest. Applying fly screens in Denmark had an intermediate cost-effectiveness ratio. A maximum downtime between flocks of ten days had a negative cost-effectiveness ratio (i.e. revenue) in Poland, a low positive cost-effectiveness ratio in Spain and high positive cost-effectiveness ratios in Denmark, the Netherlands and United Kingdom. Estimated cost-effectiveness ratios of Campylobacter interventions on broiler farms differed substantially between the six countries, but the order of interventions in increasing cost-effectiveness ratio was generally similar across the countries.
Original languageEnglish
JournalMicrobial Risk Analysis
Volume2-3
Pages (from-to)53-62
Number of pages10
ISSN2352-3522
DOIs
Publication statusPublished - 2016

Keywords

  • Campylobacter
  • Broiler
  • Cost-effectiveness
  • Intervention
  • Farm
  • Europe

Cite this

van Wagenberg, C.P.A. ; van Horne, P.L.M. ; Sommer, Helle Mølgaard ; Nauta, Maarten. / Cost-effectiveness of Campylobacter interventions on broiler farms in six European countries. In: Microbial Risk Analysis. 2016 ; Vol. 2-3. pp. 53-62.
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Cost-effectiveness of Campylobacter interventions on broiler farms in six European countries. / van Wagenberg, C.P.A.; van Horne, P.L.M.; Sommer, Helle Mølgaard; Nauta, Maarten.

In: Microbial Risk Analysis, Vol. 2-3, 2016, p. 53-62.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Cost-effectiveness of Campylobacter interventions on broiler farms in six European countries

AU - van Wagenberg, C.P.A.

AU - van Horne, P.L.M.

AU - Sommer, Helle Mølgaard

AU - Nauta, Maarten

PY - 2016

Y1 - 2016

N2 - Broilers are an important reservoir for human Campylobacter infections, one of the leading causes of acute diarrheal disease in humans worldwide. Therefore, it is relevant to control Campylobacter on broiler farms. This study estimated the cost-effectiveness ratios of eight Campylobacter interventions on broiler farms in six European countries: Denmark, the Netherlands, Norway, Poland, Spain, and United Kingdom. The cost-effectiveness ratio of an intervention was the estimated costs of the intervention divided by the estimated public health benefits due to the intervention, and was expressed in euro per avoided disability-adjusted life year (DALY). Interventions were selected on the basis of a European risk factor study and other risk factor research. A deterministic simulation model was developed to estimate the cost-effectiveness ratio of each intervention, if it would be implemented on all broiler farms in a country where it isn't implemented yet and implementation is possible. The model considered differences between countries in number and size of broiler farms and established practices, in import, export and transit of live broilers, broiler meat and meat products, in effect of interventions on Campylobacter prevalence in broilers, in disease burden of Campylobacter related human illness, in national economic factors, such as interest rate and general cost levels, and in technical and economic farm performance. Across interventions, cost-effectiveness ratios were the lowest for Poland and Spain, and highest for Norway and Denmark. Across countries, applying designated tools for each farm house and building an anteroom with hygiene barrier in each farm house had the lowest cost-effectiveness ratios, whereas a ban on thinning (partial depopulation), slaughter at 35 days, replacing old houses by new houses, and applying drink nipples without cup had the highest. Applying fly screens in Denmark had an intermediate cost-effectiveness ratio. A maximum downtime between flocks of ten days had a negative cost-effectiveness ratio (i.e. revenue) in Poland, a low positive cost-effectiveness ratio in Spain and high positive cost-effectiveness ratios in Denmark, the Netherlands and United Kingdom. Estimated cost-effectiveness ratios of Campylobacter interventions on broiler farms differed substantially between the six countries, but the order of interventions in increasing cost-effectiveness ratio was generally similar across the countries.

AB - Broilers are an important reservoir for human Campylobacter infections, one of the leading causes of acute diarrheal disease in humans worldwide. Therefore, it is relevant to control Campylobacter on broiler farms. This study estimated the cost-effectiveness ratios of eight Campylobacter interventions on broiler farms in six European countries: Denmark, the Netherlands, Norway, Poland, Spain, and United Kingdom. The cost-effectiveness ratio of an intervention was the estimated costs of the intervention divided by the estimated public health benefits due to the intervention, and was expressed in euro per avoided disability-adjusted life year (DALY). Interventions were selected on the basis of a European risk factor study and other risk factor research. A deterministic simulation model was developed to estimate the cost-effectiveness ratio of each intervention, if it would be implemented on all broiler farms in a country where it isn't implemented yet and implementation is possible. The model considered differences between countries in number and size of broiler farms and established practices, in import, export and transit of live broilers, broiler meat and meat products, in effect of interventions on Campylobacter prevalence in broilers, in disease burden of Campylobacter related human illness, in national economic factors, such as interest rate and general cost levels, and in technical and economic farm performance. Across interventions, cost-effectiveness ratios were the lowest for Poland and Spain, and highest for Norway and Denmark. Across countries, applying designated tools for each farm house and building an anteroom with hygiene barrier in each farm house had the lowest cost-effectiveness ratios, whereas a ban on thinning (partial depopulation), slaughter at 35 days, replacing old houses by new houses, and applying drink nipples without cup had the highest. Applying fly screens in Denmark had an intermediate cost-effectiveness ratio. A maximum downtime between flocks of ten days had a negative cost-effectiveness ratio (i.e. revenue) in Poland, a low positive cost-effectiveness ratio in Spain and high positive cost-effectiveness ratios in Denmark, the Netherlands and United Kingdom. Estimated cost-effectiveness ratios of Campylobacter interventions on broiler farms differed substantially between the six countries, but the order of interventions in increasing cost-effectiveness ratio was generally similar across the countries.

KW - Campylobacter

KW - Broiler

KW - Cost-effectiveness

KW - Intervention

KW - Farm

KW - Europe

U2 - 10.1016/j.mran.2016.05.003

DO - 10.1016/j.mran.2016.05.003

M3 - Journal article

VL - 2-3

SP - 53

EP - 62

JO - Microbial Risk Analysis

JF - Microbial Risk Analysis

SN - 2352-3522

ER -