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    Bartsch, Sarah M and Lee, Bruce Y 2014. Economics and financing of vaccines for diarrheal diseases. Human Vaccines & Immunotherapeutics, Vol. 10, Issue. 6, p. 1568.


    Schaetti, Christian Ali, Said M. Hutubessy, Raymond Khatib, Ahmed M. Chaignat, Claire-Lise and Weiss, Mitchell G. 2012. Social and cultural determinants of oral cholera vaccine uptake in Zanzibar. Human Vaccines & Immunotherapeutics, Vol. 8, Issue. 9, p. 1223.


    Schaetti, Christian Chaignat, Claire-Lise Hutubessy, Raymond Khatib, Ahmed M. Ali, Said M. Schindler, Christian and Weiss, Mitchell G. 2011. Social and cultural determinants of anticipated acceptance of an oral cholera vaccine prior to a mass vaccination campaign in Zanzibar. Human Vaccines, Vol. 7, Issue. 12, p. 1299.


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Community perceptions of bloody diarrhoea in an urban slum in South Asia: implications for introduction of a Shigella vaccine

  • W. ARVELO (a1), L. S. BLUM (a2), N. NAHAR (a2), L. VON SEIDLEIN (a3), L. NAHAR (a2), R. P. PACK (a4), A. W. BROOKS (a2), A. PACH (a3), R. F. BREIMAN (a1), S. P. LUBY (a1) and P. K. RAM (a1) (a5)
  • DOI: http://dx.doi.org/10.1017/S0950268810001391
  • Published online: 14 June 2010
Abstract
SUMMARY

Understanding local perceptions of disease causation could help public health officials improve strategies to prevent bloody diarrhoea. A cross-sectional survey was conducted in Dhaka, Bangladesh to elicit community beliefs about the causes of and prevention strategies for bloody diarrhoea. Between March and June 2003, we interviewed 541 randomly selected respondents. Overall, 507 (93%) respondents perceived that a vaccine could prevent bloody diarrhoea. If a vaccine provided lifetime protection, 445 (83%) respondents stated that they would opt to get the vaccine and would pay a median of $0·05 (range U.S.$0·01–0·15) for it, equivalent to <1% of their median weekly income. There was almost universal perception that an effective vaccine to prevent bloody diarrhoea was highly beneficial and acceptable. While respondents valued a vaccine for prevention of bloody diarrhoea, they were only willing to pay minimally for it. Therefore, achieving a high rate of Shigella vaccine coverage may require subsidy of vaccine purchase.

Copyright
Corresponding author
*Author for correspondence: W. Arvelo, M.D., M.Sc., Centers for Disease Control and Prevention, Unit 3190, Box 150, DPO, AA, 34024, Atlanta, GA, USA. (Email: warvelo@gt.cdc.gov)
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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