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1
Disease/Condition
Intervention
Intervention type
Intervention description
Intervention setting
Objective
Target population
Cost effectiveness (US$/DALY)
Cost effectiveness range (US$/DALY)
Number of DALYs averted (hundreds)
Number of deaths averted
Quality of cost effectiveness analysis evidence
Cost effectiveness (US$/DALY), cleaned
LOG10(US$/DALY)
DALY per $1000
LOG10(DALY per $1000)
2
Soil-transmitted helminthic infections
Albendazole
Population-Based
Annual albendazole anthelmintic drug treatment to reduce morbidity through the deworming of Ascaris Trichuris and hookworm in school-age children
community school
Population-oriented medical intervention
School-age children
3--127.761.98530.4771212547333.33333332.522878745
3
Measles
Second opportunity vaccination in a fixed facility
Population-Based
Second opportunity to receive a dose of measles vaccine (either through routine or supplemental immunization activities) at a fixed facility
clinic
Population-oriented medical intervention
Infants and children
4------540.60205999132502.397940009
4
Emergency medical care
Training volunteer paramedics with lay first responders
Population-Based
Identification and training of community member first responders and paramedics to act in health emergencies recognize lifeor limb-threatening situations transport patients and provide basic first aid
policy level
Instrument of policy
All ages6--18.4274560.7781512504166.66666672.22184875
5
Malaria
Intermittent preventive treatment in pregnancy with drug other than sulfadoxinepyrimethamine
Personal
Intermittent preventive treatment in areas with high and stable transmission of Plasmodium falciparum malaria; two curative doses of antimalarial treatment given with a possible change in first-line therapies from chloroquine to sulfadoxinepyrimethamine chloroquine to artemisinin combination therapy or sulfadoxine-pyrimethamine to artemisinin combination therapy
clinic
Primary prevention
Pregnant women
7 (Sub-Saharan Africa)
2-11 (SubSaharan Africa)
--
77500.00 (SubSaharan Africa)
5 (Sub-Saharan Africa)
70.84509804142.85714292.15490196
6
Tuberculosis diphtheria pertussis tetanus polio measles
Traditional Expanded Program on Immunization (EPI)
Population-Based
Scaling up of EPI; a fixed increment of coverage added for each year 2002-11 to reach 90 percent; coverage increases assumed to result from switching to more effective and intensive implementation strategies rather than additional infrastructure investments
community
Population-oriented medical intervention
Infants and children
7------570.84509804142.85714292.15490196
7
Leishmaniasis
Case finding and treatment
Personal
Combination of identification and treatment vector control where feasible and (in zoonotic foci) control of animal reservoirs
clinic district hospital
Primary prevention
All ages9------290.9542425094111.11111112.045757491
8
African trypanosomiasis
MelarsoprolPersonal
Used in the second stage of the disease
clinic
Secondary prevention
All ages
10 (Sub-Saharan Africa)
------
2 (Sub-Saharan Africa)
1011002
9
Malaria
Insecticidetreated bednets
Population-Based
Impregnation of bednets with deltamethrin one treatment of permethrin or two treatments of permethrin with the bednets either purchased or subsidized
home
Control of environmental hazards
All ages
11 (Sub-Saharan Africa)
5-17 (SubSaharan Africa)
376.00 (SubSaharan Africa)
1429.60 (SubSaharan Africa)
5 (SubSaharan Africa)
111.04139268590.909090911.958607315
10
Myocardial infarction
Aspirin and beta-blocker
Personal
Aspirin with or without betablocker (atenolol)
district hospital referral hospital
Acute management
Adults1413-151.04--5141.14612803671.428571431.853871964
11
African trypanosomiasis
Case finding and treatment
Personal
Identification and treatment of Trypanosoma brucei gambiense using the card agglutination trypanosomiasis test with parasitological confirmation allowing for rapid diagnosis and treatment
clinic
Primary prevention cure
All ages
15 (Sub-Saharan Africa)
------
2 (Sub-Saharan Africa)
151.17609125966.666666671.823908741
12
Down syndrome
Prenatal screening with option of pregnancy termination
Population-Based
Prenatal genetic screening program incorporating maternal serum triple screening of all pregnant women for trisomy of chromosome 21 to allow parents to determine whether to continue with an affected pregnancy
clinic district hospital
Population-oriented medical intervention
Pregnant women
15------5151.17609125966.666666671.823908741
13
Lymphatic filariasis
Annual mass drug administration
Population-Based
Two annual single-dose twodrug regimens are recommended: ivermectin plus albendazole in African countries that are coendemic for onchocerciasis and diethylcarbamazine plus albendazole for all other endemic countries
clinic community
Population-oriented medical intervention
All ages15 (South Asia)4-27 (South Asia)----4 (South Asia)151.17609125966.666666671.823908741
14
Malaria
Residual household spraying
Population-Based
One or two doses of malathion DDT deltamethrin or lambdacyhalothrin applied to household surfaces
home
Control of environmental hazards
All ages
17 (Sub-Saharan Africa)
9-24 (SubSaharan Africa)
376.00 (SubSaharan Africa)
1429.60 (SubSaharan Africa)
5 (SubSaharan Africa)
171.23044892158.823529411.769551079
15
Malaria
Intermittent preventive treatment in pregnancy with sulfadoxinepyrimethamine
Personal
Intermittent preventive treatment in areas with high and stable transmission of Plasmodium falciparum malaria; two curative doses of sulfadoxine-pyrimethamine given during the second and third trimesters of pregnancy during prenatal care visits
clinic
Primary prevention
Pregnant women
19 (Sub-Saharan Africa)
13-24 (Sub-Saharan Africa)
208.00 (Sub-Saharan Africa)
827.80 (Sub-Saharan Africa)
5 (Sub-Saharan Africa)
191.27875360152.631578951.721246399
16
African trypanosomiasis
EflornithinePersonal
Used in the second stage of the disease
clinic
Secondary prevention
All ages
20 (Sub-Saharan Africa)
------
2 (Sub-Saharan Africa)
201.301029996501.698970004
17
Traffic accidents
Increased speeding penalties enforcement media campaigns and speed bumps
Population-Based
Minimizing exposure to high-risk scenarios by installation of speed bumps at hazardous junctions increased penalties for speeding and other effective road-safety regulations combined with media coverage and better enforcement of legislation
policy level
Instrument of policy
Adults213-380.67197.165211.32221929547.619047621.677780705
18
Lymphatic filariasis
Diethyl carbamazine salt
Population-Based
Fortification of salt with diethyl carbamazine
policy level
Instrument of policy
All ages22 (South Asia)1-43 (South Asia)----4 (South Asia)221.34242268145.454545451.657577319
19
Tobacco addiction
Taxation causing 33% price increase
Population-Based
A 33 percent price increase due to tobacco taxes to discourage tobacco use prevent initiation (and subsequent addiction) among youths increase the likelihood of cessation among current users reduce relapse among former users and reduce consumption among continuing users
policy level
Instrument of policy
Adolescents and adults
22--37.271905.995221.34242268145.454545451.657577319
20
Adolescent health and nutrition
School health and nutrition programs
Population-Based
Inclusion of deworming of intestinal worms and schistosomiasis; prompt recognition and treatment of malaria; insecticide-treated bednets; micronutrient supplements; breakfast snacks other meals; first-aid kits; referral to youthfriendly clinics; and counseling and psychosocial support
community school
Population-oriented medical intervention
School-age children
37------3371.56820172427.027027031.431798276
21
HIV/AIDS
Peer and education programs for high-risk groups
Population-Based
Targeting community members (for example students or commercial sex workers) to disseminate information and teach specific skills
community
Personal behavior change
Adolescents and adults
376-68----2371.56820172427.027027031.431798276
22
OnchocerciasisIvermectin
Population-Based
Annual dose of ivermectin
clinic community
Population-oriented medical intervention
Adults over 4037------3371.56820172427.027027031.431798276
23
Integrated management of childhood illness
Integrated management of childhood illness
Personal
Integration of effective interventions to improve child health and nutrition into a coordinated strategy by improving health worker performance child health service delivery and family and community practices
clinic
Primary prevention secondary prevention cure
Children
39 (SubSaharan Africa)
------
3 (Sub-Saharan Africa)
391.59106460725.641025641.408935393
24
Trachoma
Trichiasis surgery
Personal
Trichiasis surgery (eyelid correction) to prevent blindness and reduce likelihood of other conditions
district hospital referral hospital
Secondary prevention
Adults over 4039------3391.59106460725.641025641.408935393
25
Underweight children
Child survival program with nutrition component
Population-Based
Community-based nutrition programs to prevent growth faltering control morbidity and improve survival by promoting breastfeeding providing education and counseling on optimal child feeding preventing diarrheal disease and monitoring growth
community
Population-oriented medical intervention
Children under 542------2421.6232492923.809523811.37675071
26
Diarrheal disease
Water sector regulation with advocacy where clean water supply is limited
Population-Based
Surveillance of drinking water quality and quality of service by the water supply utility in terms of coverage quantity continuity control of sanitary hazards and cost as well as advocacy of lower connection charges
policy level community
Instrument of policy control of environmental hazards
All ages47------1471.67209785821.276595741.327902142
27
HIV/AIDS
Voluntary counseling and testing
Population-Based
Routine and voluntary confidential HIV counseling and testing
clinic
Population-oriented medical intervention
Adults4710-85----2471.67209785821.276595741.327902142
28
Coronary artery disease
Legislation substituting 2% of trans fat with polyunsaturated fat at $0.50 per adult
Population-Based
Legislation replacing 2% of dietary trans fat from partial hydrogenation in manufactured foods with polyunsaturated fat at a cost of $0.50 per adult and assuming a 7% reduction in coronary artery disease
policy level
Instrument of policy
Adults48------5481.68124123720.833333331.318758763
29
HIV/AIDS
Sexually transmitted infection diagnosis and treatment
Personal
Sexually transmitted infection screening and treatment promotion to prevent future infection and to identify and treat highrisk populations
clinic
Primary prevention cure
Adolescents and adults
57 (SubSaharan Africa)
9-105 (SubSaharan Africa)
----
2 (Sub-Saharan Africa)
571.75587485617.543859651.244125144
30
Tuberculosis (endemic)
BCG vaccine
Population-Based
Live attenuated vaccine BCG; recommended at birth or at first contact with health services in areas of high incidence
clinic district hospital
Primary prevention Population-oriented medical intervention
Children6855-82----5681.83250891314.705882351.167491087
31
Zinc deficiency
Supplements with oral rehydration salts
Personal
Provision of zinc as an adjunct to oral rehydration salts in treating diarrhea in young children
clinic district hospital
Primary prevention
Children under 573------3731.8633228613.698630141.13667714
32
Stroke (recurrent)
Aspirin and dipyridamole
Personal
Daily aspirin dose or combination of aspirin and extended release dipyridamole
clinic district hospital
Secondary prevention
Adults over 158170-931.7714.295811.90848501912.345679011.091514981
33
HIV/AIDS
Condom promotion and distribution
Population-Based
Targeted distribution and placement of condoms in locations such as bars or brothels; distribution linked to voluntary counseling and testing and sexually transmitted infection care to ensure universal access; information education and communication including education through literature classroom and clinical settings and radio newspapers and television
community clinic
Personal behavior change
Adolescents and adults
82 (Sub-Saharan Africa)
52-112 (SubSaharan Africa)
----
1 (SubSaharan Africa)
821.91381385212.195121951.086186148
34
HIV/AIDS
Blood and needle safety
Population-Based
Screening of all blood for transfusions; sterilization for all injections; harm reduction for injecting drug users including needle exchange and drug substitution programs
community clinic referral hospital district hospital
Population-oriented medical intervention
All ages
84 (Sub-Saharan Africa)
7-161 (SubSaharan Africa)
----
2 (SubSaharan Africa)
841.92427928611.90476191.075720714
35
Maternal mortality
Improved quality of care and coverage
Personal
Improvements to quality of prenatal and delivery care and increase in the proportion of women receiving needed care; enhanced package including availability of doctor and full range of basic and comprehensive emergency obstetric care (all six essential obstetric functions noted above); optional nutritional supplementation
clinic
Primary prevention acute management
Pregnant women
152 (South Asia) 86 (SubSaharan Africa)
138-167 (South Asia) 85-86 (SubSaharan Africa)
23.51 (South Asia) 56.93 (Sub-Saharan Africa)
60.29 (South Asia) 164.14 (Sub-Saharan Africa)
5 (South Asia) 5 (Sub-Saharan Africa)
861.93449845111.627906981.065501549
36
Maternal mortality
Improved quality of comprehensive emergency obstetric care
Personal
Increased percentage of women with severe complications receiving comprehensive emergency obstetric care
clinic district hospital
Acute management
Pregnant women
127 (South Asia) 87 (SubSaharan Africa)
--
13.28 (South Asia) 28.28 (Sub-Saharan Africa)
32.00 (South Asia) 78.00 (Sub-Saharan Africa)
5 (South Asia) 5 (Sub-Saharan Africa)
871.93951925311.494252871.060480747
37
Maternal mortality
Increased primary care coverage
Personal
Increased percentage of women accessing routine prenatal intranatal and postnatal care
clinic district hospital
Primary prevention
Pregnant women
132 (South Asia) 88 (SubSaharan Africa)
--
13.09 (South Asia) 27.88 (Sub-Saharan Africa)
32.00 (South Asia) 77.00 (Sub-Saharan Africa)
5 (South Asia) 5 (Sub-Saharan Africa)
881.94448267211.363636361.055517328
38
Epilepsy
First-line treatment with phenobarbital
Personal
First line treatment with phenobarbital to treat epilepsy patients
district hospital
Secondary prevention
All ages89--2.993.325891.94939000711.235955061.050609993
39
Tuberculosis (epidemic infectious)
Directly observed short-course chemotherapy
Personal
Short-course chemotherapy of infectious TB (allowing for transmission non-HIV positive) carried out for epidemic TB
clinic
Primary prevention cure
Adults over 1510215-189----51022.0086001729.8039215690.9913998282
40
Unwanted pregnancy
Family-planning programs
Personal
Intrauterine devices voluntary sterilization condoms and other barrier methods implants and oral contraceptives
clinic
Primary prevention
Women of childbearing age
117------31172.0681858628.5470085470.9318141383
41
Emergency medical care
Staffed community ambulance
Population-Based
Introduction or promotion of training programs for emergency responders and ambulance drivers in urban or rural settings for countries that lack ambulances and training programs
policy level
Instrument of policy
All ages12060-17934.8414051202.0791812468.3333333330.920818754
42
HIV/AIDS
Tuberculosis coinfection prevention and treatment
Personal
Preventive therapy short-course chemotherapy or co-trimoxazole prophylaxis
clinic
Primary prevention cure
All ages
121 (SubSaharan Africa)
6-235 (SubSaharan Africa)
----
2 (Sub-Saharan Africa)
1212.082785378.264462810.9172146297
43
Lower acute respiratory infections (nonsevere)
Case management at community or facility level
Personal
Nonsevere infection diagnosed by breath rate and treated by a community health worker or at a health facility with amoxicillin acetaminophen and possibly salbutamol
clinic communityCureChildren under 512950-2085.1517.3651292.110589717.7519379840.8894102897
44
Problems requiring surgery
Surgical ward or services in district hospital or community clinic
Population-Based
Surgical ward in a district hospital or community clinic to provide care for a wide range of conditions such as trauma childbirth and abdominal conditions
district hospital clinic
Instrument of policy
All ages13654-217----51362.1335389087.3529411760.8664610916
45
Diarrheal disease
Construction and promotion of basic sanitation where facilities are limited
Population-Based
Construction of low-cost excreta disposal facilities such as household pit latrines ventilationimproved latrines or pour-flush toilets combined with public promotion of sanitation and hygiene
policy level community
Instrument of policy control of environmental hazards
All ages14111-270----11412.1492191137.0921985820.8507808873
46
Maternal mortality
Improved overall quality of care
Personal
Improvements to quality of prenatal and delivery care; enhanced package including availability of doctor and full range of basic and comprehensive emergency obstetric care (all six essential obstetric functions: administering antibiotics intravenously or intramuscularly administering oxytocics intravenously or intramuscularly manually removing the placenta administering anticonvulsants intravenously or intramuscularly carrying out instrumental delivery and removing retained products of conception; optional nutritional supplementation
clinic
Primary prevention acute management
Pregnant women
147 (South Asia) 83 (SubSaharan Africa)
133-160 (South Asia) 82-85 (SubSaharan Africa)
21.90 (South Asia) 53.05 (Sub-Saharan Africa)
56.20 (South Asia) 153.20 (Sub-Saharan Africa)
5 (South Asia) 5 (Sub-Saharan Africa)
1472.1673173356.8027210880.8326826653
47
Stroke (ischemic)
AspirinPersonal
Aspirin dose within 48 hours of onset of acute stroke
clinic district hospital
Acute management
Adults over 15149--1.620.1251492.1731862686.7114093960.8268137316
48
Congestive heart failure
ACE inhibitor and beta-blocker with diuretics
Personal
Use of ACE inhibitor and an optional beta-blocker (metoprolol) incremental to diuretics
district hospital
Secondary prevention
Adults15027-27411.59--51502.1760912596.6666666670.8239087409
49
HIV/AIDS
Treatment of opportunistic infections
Personal
Opportunistic infection prophylaxis; necessary for patients without access to antiretroviral treatment for immunosuppressed patients waiting for antiretroviral treatment to take effect for patients who refuse or cannot take antiretroviral treatment for patients for whom antiretroviral treatment fails and for groups of patients who are unable to recover sufficient CD4 cells despite good inhibition of viral replication
clinic district hospital
Primary prevention cure
All ages1563-310----31562.1931245986.410256410.8068754016
50
Diarrheal disease
Hand pump standpost or house connection where clean water supply is limited
Population-Based
Installation of hand water pump standpost or house connection where clean water supply is limited and associated infrastructure currently do not exist
community
Control of environmental hazards
All ages159------11592.2013971246.2893081760.7986028757
51
Lymphatic filariasis
Vector control
Population-Based
Integrated vector control to reduce overall prevalence of microfilaria parasites such as polystyrene beads in vector (mosquito) breeding habitats
policy level
Instrument of policy
All ages160 (South Asia)
43-277 (South Asia)
----4 (South Asia)1602.2041199836.250.7958800173
52
Cataract
Extracapsular surgery
Personal
Extracapsular cataract extraction with implantation of a posterior chamber intraocular lens; removal of the lens and the front portion of the capsule which are then replaced with an artificial lens
district hospital referral hospital
CureAdults over 40183------31832.262451095.4644808740.7375489103
53
HIV/AIDS
Mother-to-child transmission prevention
Personal
All pregnant women offered screening to prevent mother-tochild transmission; administration of a short-course of AZT lamivudine or nevirapine to mothers prepartum and intrapartum and to newborns postpartum to reduce the risk of motherto-child transmission; also includes breastfeeding advice
clinic
Primary prevention
Mothers and infants
1927-377----21922.2833012295.2083333330.7166987713
54
Tuberculosis (epidemic latent)
Isoniazid treatment
Personal
Isoniazid treatment of latent infection (x-ray exclusion of active cases; non-HIV-positive population) is conducted for epidemic tuberculosis
district hospital
Secondary prevention
Adults over 1519745-348----51972.2944662265.0761421320.7055337738
55
Tuberculosis (epidemic)
Management of drug resistance
Personal
Management of drug resistance (standard regimen) for epidemic TB conducted via introduction of resistance testing second-line drugs longer treatment regimen (12-18 months) and rigorous bacteriological and clinical monitoring
district hospital
Secondary prevention cure
Adults over 15207201-212----52072.3159703454.8309178740.6840296545
56
Undernutrition and malnutrition
Sustained child health and nutrition program
Population-Based
Possible inclusion of prenatal care women’s health and nutrition breastfeeding promotion and counseling complementary feeding growth monitoring and promotion micronutrient supplementation micronutrient fortification supplementary feeding using local supplies oral rehydration and immunization and deworming; actual mix depends on local capabilities and conditions
community clinic
Population-oriented medical intervention
Children under 5225------32252.3521825184.4444444440.6478174819
57
Chagas diseaseVector control
Population-Based
Vector control activities including spraying combined with housing improvement community involvement in surveillance and strong programs of health education
community
Control of environmental hazards
All ages
284 (Latin America and the Caribbean)
------
1 (Latin America and the Caribbean)
2842.453318343.5211267610.54668166
58
Tuberculosis (endemic infectious or noninfectious)
Directly observed short-course chemotherapy
Personal
Short-course chemotherapy of infectious or noninfectious tuberculosis (with or without transmission non-HIV-positive) diagnosed via directly observed treatment strategy
clinic
Primary prevention cure
Adults over 1530184-551----53012.4785664963.3222591360.5214335044
59
Tuberculosis (endemic)
Management of drug resistance
Personal
Introduction of resistance testing second-line drugs longer treatment regimen (12-18 months) and rigorous bacteriological and clinical monitoring; standardized or individualized regimen
district hospital
Secondary prevention cure
Adults over 15318208-429----53182.502427123.1446540880.49757288
60
Neonatal mortality
Family community or clinical neonatal package
Personal
Healthy home care practices including exclusive breastfeeding warmth protection clean cord care care seeking for emergencies; if birth outside a facility then clean delivery kit
clinic community home
Primary prevention
Mothers and infants
349 (South Asia) 345 (Sub-Saharan Africa)
305-394 (South Asia) 338-351 (Sub-Saharan Africa)
----
4 (South Asia) 5 (Sub-Saharan Africa)
3452.5378190952.8985507250.4621809049
61
Tobacco addiction
Nonprice interventions
Population-Based
Advertising bans on television radio and billboards; health information and advertising in the form of health warning labels on tobacco products; interventions to reduce tobacco supply such as smuggling control; restrictions on smoking
policy level
Instrument of policy
Adolescents and adults
353------53532.5477747052.832861190.4522252946
62
Tobacco addiction
Nicotine replacement therapy
Personal
Smoking cessation treatments in the form of nicotine replacement therapy
clinic
Primary prevention
Adults396--37.14452.0553962.5976951862.5252525250.4023048141
63
Lower acute respiratory infections
Casemanagement package at community facility and hospital levels
Personal
Comprehensive case-management strategy covering nonsevere infection being treated by a community health worker or at a health facility severe infection treated at a hospital and very severe infection treated at a hospital
clinic district hospital
CureChildren under 5398--11.2637.8653982.5998830722.5125628140.4001169279
64
Alcohol abuse
Advertising ban and reduced access to beverage retail
Population-Based
Reduced access to alcoholic beverage retail outlets by reducing the hours of sale or advertising bans on television radio and billboards
policy level
Instrument of policy
Adolescents and adults
404367-4410.44--54042.6063813652.4752475250.3936186349
65
Myocardial infarction and stroke
PolypillPersonal
Combination treatment with aspirin beta-blocker thiazide diuretic ACE inhibitor and statin based on 10-year risk of cardiovascular disease
district hospital
Secondary prevention
Adults409------54092.6117233082.4449877750.388276692
66
Dengue
Improved case management
Personal
No specific treatment: early recognition of symptoms such as intense continuous abdominal pain persistent vomiting restlessness or lethargy; supportive treatment includes fluid replacement and electrolytic therapy
clinic district hospital
Acute management
All ages587------25872.7686381011.7035775130.2313618988
67
Alcohol abuse
Excise tax advertising ban with brief advice
Population-Based
50 percent increase in the current excise tax rate on alcoholic beverages combined with advice education sessions and psychosocial counseling; possible inclusion of random driver breath testing and advertising bans
policy level
Instrument of policy
Adolescents and adults
631601-6612.85--56312.8000293591.5847860540.1999706408
68
Alcohol abuse
Brief advice to heavy drinkers by primary health care providers
Personal
During primary health care visits provision of advice by physicians through education sessions and psychosocial counseling
clinic
Primary prevention
Adolescents and adults
642--1.75--56422.8075350281.5576323990.1924649719
69
Myocardial infarction
Streptokinase with aspirin and beta-blocker
Personal
Incremental use of streptokinase in addition to aspirin and beta-blocker (atenolol)
district hospital referral hospital
Acute management
Adults671--1.04--56712.826722521.4903129660.1732774798
70
HIV/AIDSHome carePersonal
Home visits providing basic care to sick AIDS patients or comprehensive schemes that provide palliative care nutrition psychosocial support and counseling and links to primary and secondary health care
home
Secondary prevention palliation
All ages
673 (SubSaharan Africa)
------
2 (Sub-Saharan Africa)
6732.8280150641.4858841010.1719849358
71
Ischemic heart disease
Aspirin betablocker and optional ACE inhibitor
Personal
Aspirin plus beta-blocker (atenolol) with optional ACE inhibitor (enalapril) with or without hospital availability
district hospital referral hospital
Secondary prevention
Adults688451-9268.4--56882.8375884381.4534883720.1624115618
72
Haemophilus influenzae type B (Hib)
Vaccine containing Hib
Population-Based
Hib vaccination (three or four doses) given concurrently with diphtheria-pertussis-tetanus
clinic
Population-oriented medical intervention
Infants and children
733d--29.25113.8357332.8651039751.364256480.1348960254
73
Panic disorder
Drugs with optional psychosocial treatment
Personal
Anxiolytic drugs (benzodiazepine) tricyclic antidepressants or selective serotonin reuptake inhibitor used with or without psychosocial treatment
district hospital referral hospital
Secondary prevention
Adults over 15734384-10840.83--57342.865696061.362397820.1343039401
74
Neonatal mortality
Combined maternal and child health with neonatal packages
Personal
Family planning prenatal care and comprehensive obstetric care packages as well as healthy home care practices including exclusive breastfeeding warmth protection clean cord care care seeking for emergencies; if birth outside a facility then clean delivery kit
clinic community home
Primary prevention
Mothers and infants
839 (South Asia) 789 (SubSaharan Africa)
------
4 (South Asia) 5 (Sub-Saharan Africa)
7892.8970770031.2674271230.1029229968
75
Coronary artery disease
Legislation substituting 2% of trans fat with polyunsaturated fat at $6 per adult
Population-Based
Legislation replacing 2% of dietary trans fat from partial hydrogenation in manufactured foods with polyunsaturated fat at a cost of $6 per adult and assuming a 7-40% reduction in coronary artery disease
policy level
Instrument of policy
Adults838199-1478----58382.9232440191.1933174220.07675598137
76
HIV/AIDS
Antiretroviral therapy
Personal
Combination therapy with multiple antiretroviral drugs associated with prolonged survival in treated patients
clinic
Primary prevention
All ages
922 (SubSaharan Africa)
350-1494 (SubSaharan Africa)
----
3 (Sub-Saharan Africa)
9222.9647309211.0845986980.03526907895
77
Neonatal mortality
Maternal and child health package with no neonatal care after birth
Personal
Mother and child health package that includes family planning prenatal care and comprehensive obstetric care
clinic district hospital
Primary prevention
Mothers and infants
1060 (South Asia) 924 (SubSaharan Africa)
------
4 (South Asia) 5 (Sub-Saharan Africa)
9242.9656719711.0822510820.03432802878
78
Diarrheal disease
Breastfeeding promotion
Population-Based
Promotion of exclusive breastfeeding (recommended for six months) to new mothers in which no other food or drink including water is permitted except for supplements of vitamins and minerals and necessary medicines
community clinic district hospital
Personal behavior change
Adult women930--0.431.3359302.9684829491.0752688170.03151705145
79
Diarrheal disease
Oral rehydration therapy for package costing $5.50 per episode
Personal
Case management of acute diarrheal infection with oral rehydration salt solutions for package costing $5.50 per child per episode
clinic
Acute management
Children1062--16.5758.2510623.0261245170.9416195857-0.02612451675
80
Parkinson’s disease
Ayurvedic treatment and levodopa or carbidopa
Personal
Levodopa (l-dopa) carbidopa or ayurvedic therapy for partial relief of symptoms
district hospital referral hospital
Secondary prevention
Adults over 451132752-15120.13--511323.0538464270.8833922261-0.05384642685
81
Alcohol abuseExcise tax
Population-Based
25 to 50 percent increase in the current excise tax rate on alcoholic beverages
policy level
Instrument of policy
Adolescents and adults
13771249-15040.62--513773.138933940.7262164125-0.1389339403
82
Tetanus
Tetanus toxoid vaccination mix of strategies
Population-Based
Tetanus toxoid vaccination via a mix of strategies depending on local needs including fixed facilities immunization campaigns mobile delivery and community outreach
clinic community
Population-oriented medical intervention
Infants and children
1411------514113.1495270140.7087172218-0.1495270138
83
DengueImmunization
Population-Based
Dengue immunization (a vaccine is currently undergoing clinical trials in Southeast Asia)
community clinic district hospital
Population-oriented medical intervention
Children1440------214403.1583624920.6944444444-0.1583624921
84
Stroke (recurrent)
Carotid endarterectomy
Personal
Carotid endarterectomy surgery to remove harmful plaque from the carotid arteries
referral hospital
Secondary prevention
Adults over 151458--4.9339.82514583.1637575240.6858710562-0.163757524
85
Depression
Drugs with optional episodic or maintenance psychosocial treatment
Personal
Antidepressant drugs (tricyclic antidepressant or selective serotonin reuptake inhibitor) used alone or in combination with psychosocial treatment for episodic depression or maintenance treatment
district hospital referral hospital
Secondary prevention
Adults over 151699657-27413.96--516993.2301933790.5885815185-0.2301933789
86
Diabetes ischemic heart disease and stroke
Legislation with public education to reduce salt content
Population-Based
Legislated reduction in salt content of manufactured foods and an accompanying public education campaign
policy level
Instrument of policy
All ages1937--18.73--519373.2871296210.5162622612-0.2871296207
87
Stroke (ischemic)
Heparin and recombinant tissue plasminogen activator
Personal
Heparin within 48 hours of onset of stroke or thrombolytic therapy using recombinant tissue plasminogen activator within 3 hours of onset
district hospital
Acute management
Adults over 1519771278-26751.221.7519773.2960066690.5058168943-0.2960066693
88
Ischemic heart disease
Statin with aspirin and betablocker with ACE inhibitor
Personal
Statin (lovastatin) incremental to aspirin beta-blocker (atenolol) and ACE inhibitor (enalapril) with or without hospital availability
district hospital referral hospital
Secondary prevention
Adults20281864-21933.54--520283.3070679510.4930966469-0.3070679507
89
Stroke and ischemic and hypertensive heart disease
Polypill by absolute risk approach
Personal
Combination treatment with aspirin beta-blocker thiazide diuretic ACE inhibitor and statin based on 10-year risk of cardiovascular disease
district hospital referral hospital
Primary prevention
Adults2128773-348361.65--521283.3279716240.469924812-0.3279716236
90
Traffic accidents
Enforcement of seatbelt laws promotion of child restraints and random driver breath testing
Population-Based
Mandatory seat belt and childrestraint laws enforcement of drunk-driving laws and random breath testing of drivers
policy level
Instrument of policy
Adults2449999-38990.3293.87524493.3889887850.4083299306-0.3889887851
91
DengueVector control
Population-Based
Chemical vector control using larvicides and insecticide space sprays (including emephos permethrin methoprene pyriproxyfen and Bacillus thuringiensis israelensis) to protect drinking water or environmental vector control such as removal of standing water
community district hospital
Control of environmental hazards
All ages25661992-3139----225663.4092566520.3897116134-0.409256652
92
Diabetes ischemic heart disease and stroke
Media campaign to reduce saturated fat
Population-Based
Media campaign to reduce saturated fat content in manufactured foods and replacing part of the saturated fat with polyunsaturated fat
policy level
Instrument of policy
All ages2617--13.86--526173.4178037230.3821169278-0.4178037226
93
Diarrheal disease
Cholera or rotavirus immunization
Population-Based
Immunization for endemic cholera with live oral vaccine or rotavirus immunization with rhesus-human rotavirus reassortant-tetravalent vaccine (currently under development) in populations at risk of an outbreak
clinic
Population-oriented medical intervention
Children27122478-29450.621.98527123.4332896850.3687315634-0.4332896852
94
Epilepsy (refractory)
Second-line treatment with phenobarbital and lamotrigine or surgery
Personal
Antiepileptic drugs phenobarbital and lamotrigine or a combination of phenobarbital and surgery to treat epilepsy patients unresponsive to phenobarbital
referral hospital
Secondary prevention
All ages30272994-30600.290.32530273.4810124210.3303600925-0.481012421
95
Bipolar disorder
Lithium valproate with optional psy-chosocial treatment community-based
Personal
Episodic treatment of bipolar disorder in a community setting using lithium or valproate with or without maintenance or episodic psychosocial treatment
district hospital referral hospital
Secondary prevention
Adults over 1531132498-37281.35--531133.4931791210.3212335368-0.4931791207
96
Diarrheal disease
Improved water and sanitation at current coverage of amenities and other interventions
Population-Based
Improved water supply and excreta disposal where established infrastructure currently exists in urban or rural settings for at least five years
community
Control of environmental hazards
All ages41851974-6393.52315.3541853.6216954620.238948626-0.6216954623
97
Bipolar disorder
Lithium valproate with optional psychosocial treatment hospital-based
Personal
Episodic treatment in a hospital setting with lithium or valproate with or without maintenance or episodic psychosocial treatment
district hospital referral hospital
Secondary prevention
Adults over 1544173590-52441--544173.6451273990.2263980077-0.6451273993
98
Lower acute respiratory infections (severe and very severe)
Case management at hospital level
Personal
Severe or very severe infection diagnosed by breath rate and with x-ray tests and treated at a hospital with antibiotics and possibly salbutamol oxygen and prednisolone
district hospitalCureChildren under 545302916-61440.481.57545303.6560982020.2207505519-0.656098202
99
Trachoma
Tetracycline or azithromycin
Personal
Tetracycline or azithromycin to treat the initial trachoma infection through either mass treatment of all children younger than 10 or through targeted treatment of infected children and household members
clinic
Primary prevention
Children and adults
62693752-8785----362693.797198270.1595150742-0.7971982698
100
Schizophrenia
Antipsychotic drugs with optional psychosocial treatment communitybased
Personal
Maintenance treatment in a community-based setting with antipsychotic drugs neuroleptic antipsychotic drug or an atypical antipsychotic drug with or without psychosocial treatment
community
Secondary prevention
Adults over 1598342472-171970.7--598343.9927302040.1016880212-0.992730204