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Table 2 Summary of the sensitivity analysis

From: A refined and updated health impact assessment of the Global Programme to Eliminate Lymphatic Filariasis (2000–2020)

Parameter

 

Baseline hydrocele average estimate (range)

Baseline lymphedema average estimate (range)

Sources

Pre-control burden

 Percentage of the at-risk population that develop clinical disease

 

2.08% (1.04%)

1.25% (0.63%)

[16]

Disability weights

 Disability weights related to chronic disease

 

0.128 (0.086–0.180)

0.109 (0.073–0.154)

[17]

 Disability weight for ADL episodes

 

0.051 (0.032–0.074)

0.051 (0.032–0.074)

[17]

Disease progression & incidence rates

 Percentage of clinical patients who experience ADL episodes per year

 

70% (45–90%)

95% (90–95%)

[26,27,28,29,30,31,32,33,34]

 Frequency of ADL episodes for clinical patients (in absence of MDA)

 

2 (0–7) per year

4 (0–7) per year

[26,27,28,29,30,31,32,33,34]

 Average duration of an ADL episode

 

4 (1–9) days

4 (1–9) days

[26,27,28,29,30,31,32,33,34]

 Mean age of the benefit cohorts (years)

 

Cohort 1: 20 (30)

Cohort 2: 20 (30)

Cohort 3: 30 (40)

Cohort 1: 20 (30)

Cohort 2: 20 (30)

Cohort 3: 30 (40)

 

Impact of treatment

 The reduction in transmission experienced by the treated population (Benefit cohort 1)

 

Year 1: 50% (35%)

Year 2: 75% (53%)

Year 3: 88% (62%)

Year 4: 94% (66%)

Year 5 95% (67%)

Year 1: 50% (35%)

Year 2: 75% (53%)

Year 3: 88% (62%)

Year 4: 94% (66%)

Year 5 95% (67%)

[12]

 Reduction in the frequency of ADL episodes by MDA (Benefit cohort 3)

 

50% (15–88%)

50% (15–88%)

[35,36,37]

 Percentage of chronic disease alleviated by MDA (Benefit cohort 3)

 

10% (0–20%)

15% (0–30%)

[35, 38,39,40,41,42,43]

  1. Based on Chu et al. [10], though updated where appropriate
  2. ADL acute adenolymphangitis, DALY disability-adjusted life year, MDA mass drug administration