Show simple item record

AuthorMason, Helen
AuthorShoaibi, Azza
AuthorGhandour, Rula
AuthorO'Flaherty, Martin
AuthorCapewell, Simon
AuthorKhatib, Rana
AuthorJabr, Samer
AuthorUnal, Belgin
AuthorSozmen, Kaan
AuthorArfa, Chokri
AuthorAissi, Wafa
AuthorBen Romdhane, Habiba
AuthorFouad, Fouad
AuthorAl-Ali, Radwan
AuthorHusseini, Abdullatif
AuthorCritchley, J.
AuthorAhmad, B.
AuthorPhillimore, P.
AuthorZaman, S.
AuthorDherani, M.
AuthorVartjes, I.
AuthorBennett, K.
AuthorAltun, D.
AuthorArik, H.
AuthorAslan, O.
AuthorDemiral, Y.
AuthorDoganay, S.
AuthorErgor, G.
AuthorGerceklioglu, G.
AuthorKilic, B.
AuthorSaatli, G.
AuthorSimsek, H.
AuthorSatman, I.
AuthorGogen, S.
AuthorKalaca, S.
AuthorElias, M.
AuthorRastam, S.
AuthorSoulaiman, N.
AuthorMoukeh, G.
AuthorMaziak, W.
AuthorAbou Mayaleh, M.
AuthorAbu-Rmeileh, N.
AuthorJaber, S.
AuthorKhatib, R.
AuthorMikki, N.
AuthorAbu-Kteish, H.
AuthorAllani, R.
AuthorBeltaifa, L.
AuthorBen Mansour, N.
AuthorLassoued, O.
AuthorSaidi, O.
AuthorTlili, F.
AuthorAchour, N.
AuthorBen Salah, N.
AuthorCollins, M.
AuthorRoglic, G.
AuthorFadhil, I.
AuthorUnwin, N.
Available date2016-03-31T14:00:58Z
Publication Date2014-01
Publication NamePLoS ONE
ResourceScopus
CitationMason H, Shoaibi A, Ghandour R, O'Flaherty M, Capewell S, Khatib R, et al. (2014) A Cost Effectiveness Analysis of Salt Reduction Policies to Reduce Coronary Heart Disease in Four Eastern Mediterranean Countries. PLoS ONE 9(1): e84445.
ISSN1932-6203
URIhttp://dx.doi.org/10.1371/journal.pone.0084445
URIhttp://hdl.handle.net/10576/4301
AbstractBackground: Coronary Heart Disease (CHD) is rising in middle income countries. Population based strategies to reduce specific CHD risk factors have an important role to play in reducing overall CHD mortality. Reducing dietary salt consumption is a potentially cost-effective way to reduce CHD events. This paper presents an economic evaluation of population based salt reduction policies in Tunisia, Syria, Palestine and Turkey. Methods and Findings: Three policies to reduce dietary salt intake were evaluated: a health promotion campaign, labelling of food packaging and mandatory reformulation of salt content in processed food. These were evaluated separately and in combination. Estimates of the effectiveness of salt reduction on blood pressure were based on a literature review. The reduction in mortality was estimated using the IMPACT CHD model specific to that country. Cumulative population health effects were quantified as life years gained (LYG) over a 10 year time frame. The costs of each policy were estimated using evidence from comparable policies and expert opinion including public sector costs and costs to the food industry. Health care costs associated with CHDs were estimated using standardized unit costs. The total cost of implementing each policy was compared against the current baseline (no policy). All costs were calculated using 2010 PPP exchange rates. In all four countries most policies were cost saving compared with the baseline. The combination of all three policies (reducing salt consumption by 30%) resulted in estimated cost savings of $235,000,000 and 6455 LYG in Tunisia; $39,000,000 and 31674 LYG in Syria; $6,000,000 and 2682 LYG in Palestine and $1,3000,000,000 and 378439 LYG in Turkey. Conclusion: Decreasing dietary salt intake will reduce coronary heart disease deaths in the four countries. A comprehensive strategy of health education and food industry actions to label and reduce salt content would save both money and lives.
SponsorEuropean Community' Seventh Framework Programme (FP7/2007-2013) under grant agreement n223075 the MedCHAMPS project.
Languageen
PublisherPublic Library of Science
Subjectblood pressure regulation
cost control
cost effectiveness analysis
economic evaluation
food composition
food industry
food packaging
food processing
health care cost
health care policy
health education
health promotion
ischemic heart disease
Palestine
salt intake
sodium restriction
Syrian Arab Republic
Tunisia
Turkey (republic)
Coronary Disease
Cost-Benefit Analysis
Health Promotion
Middle East
Quality-Adjusted Life Years
Sodium Chloride, Dietary
TitleA cost effectiveness analysis of salt reduction policies to reduce coronary heart disease in four Eastern Mediterranean countries
TypeArticle
Issue Number1
Volume Number9
dc.accessType Open Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record