Memo
Memo
Memo
Arvophillia is an infectious that has been diagnosed in 27% of total population 34.6 million. Nearly 0.5
million of people (5% of all diagnosed cases) are severe cases. Without treatment, these severe cases
have 100% mortality rate.
Huffstatin has been the mainstay treatment for arvophillia since 1960s. In the treatment of severe
arvophillia, huffstatin is given three times a day in a slow, rate-controlled intravenous (IV) drip over four
hours per IV drip. The drawbacks of huffstatin treatment protocol includes: increase burden on health
care workers as it requires continual supervision and monitoring for huffstatin associated side effects
and may lead to extremely low blood sugar that can cause brain damage and developmental delays in
children.
Clairadol is a highly effective alternative option to huffstatin. It is safer and easier to administer than
huffstatin. Therefore, lowering side effects usually associated the administration of huffstatin. Clairadol
with quality standards is now available from verified and pre-approved suppliers.
There are two clinical trials: NEEDAN conducted in 2005 which was primarily conducted on adults in
South East Asia and MENDLAK conducted in 2010 which was conducted on children living in nine
different African countries. Those trials demonstrated that clairadol can reduce mortality rate 7% in
adults (over 14 years old) and 2.4% in children (under 14 years old).
In addition to mortality benefit, clairadol have clinical benefits such as lower risk of hypoglycemia, less
frequent development of coma and less frequent convulsions and programmatic benefits such as less
burden on health care workers, fewer doses to complete treatment, safer drug administration. World
Health Organization (WHO) updated its guideline for the treatment of severe arvophillia and now
recommends: “Clairadol as the preferred treatment for both adults and children in the treatment of
Severe Arvophillia”.
In terms of cost per person, clairadol will cost additional 2.74 USD over huffstatin in under 3 years old
severe cases and average additional cost of 5.21 USD over all ages of severe cases. By spending those
additional cost over diagnosed severe cases, it can save additional 14,000 lives over huffstatin. Although
cost per life saved over huffstatin is 155.69 USD, it can be reduced further by using optimal unit size of
one vial according to demographic distribution of severe patients.
As based upon WHO’s endorsement of clairadol as the most effective treatment for server arvophillia,
proven clinical trials with benefits in mortality rate, clinical and programmatic procedures and future
possibility of reducing treatment cost, CHAI strongly recommends the Ministry of Health of Zachistan to
switch clairadol as the preferred treatment for severe arvophillia cases.