Costs and benefits of alternative strategies to control the spread of livestock-acquired methicillin-resistant Staphylococcus Aureus from pig production

TY - JOUR

T1 - Costs and benefits of alternative strategies to control the spread of livestock-acquired methicillin-resistant Staphylococcus Aureus from pig production

AU - Jensen, Jørgen Dejgaard

AU - Christensen, Tove

AU - Olsen, Jakob Vesterlund

AU - Sandøe, Peter

PY - 2020/1

Y1 - 2020/1

N2 - Background: Livestock-acquired methicillin-resistant Staphylococcus aureus (LA-MRSA) is a concern in healthcare and a political priority in some countries. Objective: This study investigates the net societal costs of 2 alternative strategies for controlling LA-MRSA in Denmark: (1) eradicating LA-MRSA in all pig housing units, and (2) containing LA-MRSA within the units. Methods: Benefits and costs are considered for affected economic sectors: healthcare, pig production, pig-related industries, and public administration. Results: The cost to society of eradication is estimated at €2.3 to €2.5 billion (present value). Containment will cost €55 to €93 million. For both strategies, the main cost lies in primary pig production—for containment this is mainly due to establishing and operating anterooms and shower rooms, and for eradication it is due to production losses, loss of genetic resources, and costs of cleaning and disinfection. Conclusion: Compared with these costs, health economic benefits are moderate for both strategies. Containment is superior to eradication when measured by a benefit-cost ratio.

AB - Background: Livestock-acquired methicillin-resistant Staphylococcus aureus (LA-MRSA) is a concern in healthcare and a political priority in some countries. Objective: This study investigates the net societal costs of 2 alternative strategies for controlling LA-MRSA in Denmark: (1) eradicating LA-MRSA in all pig housing units, and (2) containing LA-MRSA within the units. Methods: Benefits and costs are considered for affected economic sectors: healthcare, pig production, pig-related industries, and public administration. Results: The cost to society of eradication is estimated at €2.3 to €2.5 billion (present value). Containment will cost €55 to €93 million. For both strategies, the main cost lies in primary pig production—for containment this is mainly due to establishing and operating anterooms and shower rooms, and for eradication it is due to production losses, loss of genetic resources, and costs of cleaning and disinfection. Conclusion: Compared with these costs, health economic benefits are moderate for both strategies. Containment is superior to eradication when measured by a benefit-cost ratio.

KW - containment

KW - costs

KW - eradication

KW - MRSA CC398

U2 - 10.1016/j.jval.2019.07.006

DO - 10.1016/j.jval.2019.07.006

M3 - Journal article

C2 - 31952677

AN - SCOPUS:85071947598

SN - 1098-3015

JO - Value in Health

JF - Value in Health

ER -