Cost analysis of wildlife rabies and its control in Europe.
Within the WHO/FAC Coordinated Research Programme on Wildlife Rabies, a comprehensive survey of all costs involved in wildlife rabies and its control was carried out from 1972 to 1974 by the Government of the Land Nordrhein-Westfalen with the support of the Government of the Federal Republic of Germany and in collaboration with the World Health Organization. For extrapolation of data, administrative costs at the level of the State government and the provinces are considered as relatively constant figures, whereas all other cost components appear to depend largely on the local epidemiological conditions in counties and communities, e.g. administrative costs at county level, cost directly related to rabies cases in animals as well as costs of medical services for episode investigation and post-exposure treatment. The economic burden of wildlife rabies was estimated for the whole Land in 1974 to be in the order of DM 4.02 million. Of this amount, DM 0.77 million concerned costs of control measures in wildlife (intensified hunting and gassing operations for fox control). Assuming use of the most efficient measures according to newer concepts of wildlife rabies control in infected areas, the total expenditure for rabies control in wildlife would have been DM 1.36 million. These costs could be paid by the savings of less than one rabies-free year. This saving in the whole Land would be in the order of DM 1.9 million under the assumption of rabies being prevalent in adjacent "Länder". The paper contains guidelines for the extrapolation of the different cost factors to other periods and European areas for comparative analyses.