937 resultados para Pulmonary Tuberculosis
Resumo:
This note reports on the results of a choice experiment survey of 400 people in England and Wales, conducted to estimate the value that society places on changes to the size of the badger population. The study was undertaken in the context of the possible need to reduce the badger population by culling to help control bovine tuberculosis in cattle. The study found that people were concerned about the problem of bovine tuberculosis in cattle, which was reflected in their willingness to pay to control the disease, and gave a relatively low value to changes in the size of the badger population (within limits). However, people did not like the idea of a policy that intentionally killed large numbers of badgers and had a relatively very high willingness to pay not to have such a policy.
Resumo:
Sixty cattle farmers in England were questioned about the costs associated with premovement testing for bovine tuberculosis (TB). On average, the farmers had premovement tested 2-45 times in the previous 12 months, but the majority had tested only once. An average of 28.6 animals were tested on each occasion, but there were wide variations. The average farm labour costs were (sic)4.00 per animal tested, veterinary costs were (sic)4.33 and other costs were (sic)0.51, giving a total cost of (sic)8.84, but there were wide variations between farms, and many incurred costs of more than (sic)20 per animal. A majority of the farmers also cited disruption to the farm business or missed market opportunities as costs, but few could estimate their financial cost. Most of the farmers thought that premovement testing was a cost burden on their business, and over half thought It was not an effective policy to control bovine TB.
Resumo:
An on-farm survey of 151 cattle farmers who had experienced a bovine tuberculosis (Mycobacterium bovis) breakdown on their farms was undertaken in 2003 to assess the costs associated with the breakdown. In 90 per cent of cases the cost was estimated to be less than 18,513 pound for dairy herds and less than El 1,462 for beef herds, but with a range from 229 pound to 103,817 pound. The main cost was the slaughter of reactor cattle. For the majority of the farmers, the compensation payments seemed to meet most of the costs of their breakdowns, although a majority was still left with net losses.
Resumo:
Break-even analyses of the costs and benefits of six alternative bovine tuberculosis (bTB) control strategies were undertaken. The results show that some strategies, such as zoning, would require relatively small reductions in bTB incidence as a result to be cost effective, whilst for others, such as proactive badger removal, the costs would require a substantial and relatively rapid reduction in bTB incidence to be worthwhile.
Resumo:
Bovine tuberculosis (TB) is an important economic problem. The incidence of TB in cattle herds has steadily risen in the UK, and badgers are strongly implicated in spreading disease. Since the mid-1970s the UK government has adopted a number of badger culling strategies to attempt to reduce infection in cattle. In this report, an established model has been used to simulate TB in badgers, transmission to cattle, and control by badger culling. Costs were supplied by the UK Government's Department for Environment Food and Rural Affairs (Defra) for badger trapping and gassing. Regardless of culling intensity or area simulated, an overall reduction in the herd breakdown rate was seen. With a high culling efficacy and no social perturbation, the mean Net Present Value of a few simulated culling strategies in an "ideal world" was positive, meaning the economic benefits outweighed the costs. Further work is required before these results could be considered definitive, as it is necessary to evaluate uncertainties and simulate less than perfect conditions. (c) 2005 Elsevier Ltd. All rights reserved.
Resumo:
Bovine tuberculosis (TB)is an important economic disease. Badgers (Meles meles) are the wildlife source implicated in many cattle outbreaks of TB in Britain, and extensive badger control is a controversial option to reduce the disease. A badger and cattle population model was developed, simulating TB epidemiology; badger ecology, including postcull social perturbation; and TB-related farm management. An economic cost-benefit module was integrated into the model to assess whether badger control offers economic benefits. Model results strongly indicate that although, if perturbation were restricted, extensive badger culling could reduce rates in cattle, overall an economic loss would be more likely than a benefit. Perturbation of the badger population was a key factor determining success or failure of control. The model highlighted some important knowledge gaps regarding both the spatial and temporal characteristics of perturbation that warrant further research.
Resumo:
A tuberculose (TB) é uma doença infecto-contagiosa causada pelo bacilo Mycobacterium tuberculosis e que permanece como um importante problema de saúde pública mundial, sendo a TB pulmonar a forma mais comum de apresentação da doença. O diagnóstico precoce e tratamento adequado são essenciais para a eficácia dos programas públicos de controle da TB. Novos metodologias mais rápidas, sensíveis e específicas, como a reação em cadeia da polimerase (PCR), vem sendo propostas no diagnóstico da doença. O objetivo desse estudo foi avaliar o desempenho de duas PCR, a PCR em tempo real (qPCR) e a Nested PCR em único tubo (STNPCR), em diferentes amostras biológicas, no diagnóstico da tuberculose pulmonar, além de compará-las com as metodologias convencionais (baciloscopia e cultura) e entre si. Para isso foram analisados 125 pacientes que tiveram amostras de sangue (125 amostras de plasma e 116 amostras de PBMC), urina (n=125) e escarro (n=125) coletadas, totalizando a análise de 491 amostras biológicas. Amostras de escarro e urina foram descontaminadas pelo método de Petroff NAOH 4 por cento modificado e semeadas em meio de cultura Lõwenstein-Jensen (LJ), enquanto as amostras de sangue eram separadas em plasma e PBMC. Após processamento, deu-se a extração de DNA através do kit comercial da Qiagen seguida de amplificação pelas duas metodologias de PCR. Para análise estatística calculou-se a sensibilidade, especificidade, valores preditivos positivo e negativo e índice kappa das técnicas. A STNPCR apresentou, em amostras de sangue, sensibilidade de 26,3 por cento e especificidade de 97,7 por cento. Em amostras de urina observou-se uma S = 7,9 por cento e E = 98,9 por cento e em escarro S = 21,1 por cento e E = 98,9 por cento. Quando analisadas as asmotras em paralelo, a sensibilidade da STNPCR foi igual a 44,7 por cento enquanto sua especificidade foi 97,7 por cento. Já a qPCR, em amostras de sangue, obteve sensibilidade igual a 26,3 por cento e especificidade de 95,4 por cento. Em amostras de urina a sensibilidade obtida foi 47,4 por cento e a especificidade 79,3 por cento e, em escarro, S = 36,8 por cento e E = 95,4 por cento. Quando analisada em paralelo, a sensibilidade da qPCR foi 65,8 por cento e a especificidade foi 79,3 por cento. A baciloscopia de escarro apresentou sensibilidade de 41,7 por cento e especificidade de 100 por cento, enquanto as culturas em urina e escarro apresentaram sensibilidade e especificidade, respectivamente, de 10,5 por cento e 100 por cento e 60,5 por cento e 96,6 por cento. Pode-se concluir que a qPCR apresentou melhor desempenho quando comparada à STNPCR e também bom desempenho quando comparada às metodologias convencionais, e que quando analisa-se mais de um tipo de amostras biológica, a eficácia das técnicas é aumentada. Espera-se que com a utilização dessa técnica molecular, seja possível a melhor elucidação dos casos de TB pulmonar, promovendo maior taxa de tratamento dos pacientes e menor risco de transmissão da doença
Resumo:
We use contingent valuation (CV) and choice experiment (CE) methods to assess cattle farmers’ attitudes to and willingness to pay (WTP) for a bovine tuberculosis (bTB) cattle vaccine, to help inform vaccine development and policy. A survey questionnaire was administered by means of telephone interviews to a stratified sample of 300 cattle farmers in annually bTB-tested areas in England and Wales. Farmers felt that bTB was a major risk for the cattle industry and that there was a high risk of their cattle getting the disease. The CE estimate produced a mean WTP of £35 per animal per single dose for a vaccine that is 90% effective at reducing the risk of a bTB breakdown and an estimated £55 for such a vaccine backed by 100% insurance of loss if a breakdown should occur. The CV estimate produced a mean WTP of nearly £17 per dose/per animal/per year for a vaccine (including 100% insurance) which, given the average lifespan of cattle, is comparable to the CE estimate. These WTP estimates are substantially higher than the expected cost of a vaccine which suggests that farmers in high risk bTB ‘hotspot’ areas perceive a substantial net benefit from buying the vaccine.
Resumo:
These findings strongly suggest that CFPE do not generally result from increased bacterial density within the airways. Instead, data presented here are consistent with alternative models of pulmonary exacerbation.