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An economic evaluation of expanding hookworm control strategies to target the whole community

Overview of attention for article published in Parasites & Vectors, November 2015
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  • Good Attention Score compared to outputs of the same age (74th percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

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10 X users

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Title
An economic evaluation of expanding hookworm control strategies to target the whole community
Published in
Parasites & Vectors, November 2015
DOI 10.1186/s13071-015-1187-5
Pubmed ID
Authors

Hugo C. Turner, James E. Truscott, Alison A. Bettis, Kathryn V. Shuford, Julia C. Dunn, T. Déirdre Hollingsworth, Simon J. Brooker, Roy M. Anderson

Abstract

The WHO treatment guidelines for the soil-transmitted helminths (STH) focus on targeting children for the control of morbidity induced by heavy infections. However, unlike the other STHs, the majority of hookworm infections are harboured by adults. This untreated burden may have important implications for controlling both hookworm's morbidity and transmission. This is particularly significant in the context of the increased interest in investigating STH elimination strategies. We used a deterministic STH transmission model and parameter estimates derived from field epidemiological studies to evaluate the impact of child-targeted (2-14 year olds) versus community-wide treatment against hookworm in terms of preventing morbidity and the timeframe for breaking transmission. Furthermore, we investigated how mass treatment may influence the long-term programmatic costs of preventive chemotherapy for hookworm. The model projected that a large proportion of the overall morbidity due to hookworm was unaffected by the current child-targeted strategy. Furthermore, driving worm burdens to levels low enough to potentially break transmission was only possible when using community-wide treatment. Due to these projected reductions in programme duration, it was possible for community-wide treatment to generate cost savings - even if it notably increases the annual distribution costs. Community-wide treatment is notably more cost-effective for controlling hookworm's morbidity and transmission than the current child-targeted strategies and could even be cost-saving in many settings in the longer term. These calculations suggest that it is not optimum to treat using the same treatment strategies as other STH. Hookworm morbidity and transmission control require community-wide treatment.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 85 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 85 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 18%
Student > Ph. D. Student 15 18%
Researcher 10 12%
Student > Bachelor 9 11%
Other 5 6%
Other 11 13%
Unknown 20 24%
Readers by discipline Count As %
Medicine and Dentistry 27 32%
Agricultural and Biological Sciences 10 12%
Immunology and Microbiology 6 7%
Social Sciences 5 6%
Nursing and Health Professions 5 6%
Other 6 7%
Unknown 26 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 November 2015.
All research outputs
#6,103,649
of 24,294,766 outputs
Outputs from Parasites & Vectors
#1,252
of 5,727 outputs
Outputs of similar age
#73,017
of 290,468 outputs
Outputs of similar age from Parasites & Vectors
#21
of 155 outputs
Altmetric has tracked 24,294,766 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 5,727 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.9. This one has done well, scoring higher than 77% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 290,468 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 155 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.