Reply to Kapur, V. Is Pre-Exposure Prophylaxis a Cost-Effective Intervention to Avert Rabies Deaths among School-Aged Children in India? Comment on "Royal et al. A Cost-Effectiveness Analysis of Pre-Exposure Prophylaxis to Avert Rabies Deaths in School-Aged Children in India. Vaccines 2023, 11, 88".

Thank you so much for forwarding the critical analysis the author (VK) conducted on our recently published modelling study 'A Cost-Effectiveness Analysis of Pre-Exposure Prophylaxis to Avert Rabies Deaths in School-Aged Children in India' in your reputed journal [...].

Biopolymer-based electrospun fibers in electrochemical devices: versatile platform for energy, environment, and health monitoring.

Electrochemical power tools are regarded as essential keys in a world that is becoming increasingly reliant on fossil fuels in order to meet the challenges of rapidly depleting fossil fuel supplies. Additionally, due to the industrialization of societies and the growth of diseases, the need for sensitive, reliable, inexpensive, and portable sensors and biosensors for noninvasive monitoring of human health and environmental pollution is felt more than ever before. In recent decades, electrospun fibers have emerged as promising candidates for the fabrication of highly efficient electrochemical devices, such as actuators, batteries, fuel cells, supercapacitors, and biosensors. Meanwhile, the use of synthetic polymers in the fabrication of versatile electrochemical devices has raised environmental concerns, leading to an increase in the quest for natural polymers. Natural polymers are primarily derived from microorganisms and plants. Despite the challenges of processing bio-based electrospun fibers, employing natural nanofibers in the fabrication of electrochemical devices has garnered tremendous attention in recent years. Here, various natural polymers and the strategies employed to fabricate various electrospun biopolymers are briefly covered. The recent advances and research strategies used to apply the bio-based electrospun membranes in different electrochemical devices are carefully summarized, along with the scopes in various advanced technologies. A comprehensive and critical discussion about the use of biopolymer-based electrospun fibers as the potential alternative to non-renewable ones in future technologies is briefly highlighted. This review will serve as a field opening platform for using different biopolymer-based electrospun fibers to advance the electrochemical device-based renewable and sustainable technologies, which will be of high interest to a large community. Accordingly, future studies should focus on feasible and cost-effective extraction of biopolymers from natural resources as well as fabrication of high-performance nanofibrous biopolymer-based components applicable in various electrochemical devices.

A Cost-Effectiveness Analysis of Pre-Exposure Prophylaxis to Avert Rabies Deaths in School-Aged Children in India.

Children contribute to one-half of the total painful rabies mortalities in India. The state-of-the-art rabies mortality averting strategies need exploration for the effective implementation of pre-exposure prophylaxis (PrEP) in India. This study reports on the economic evaluation of various PrEP and post-exposure prophylaxis (PEP) strategies to avert rabies mortalities in school-aged children in India. A decision tree model has been developed for children in the age group of 5-15 years to evaluate various PrEP + PEP and PEP only regimens. The 2-site intradermal regimen administered on day zero and seven was chosen as the intervention [PrEP (I)]. ICER was calculated from the quasi-societal and quasi-health systems' perspectives for the base case analysis, along with one-way sensitivity, and scenario analyses for each regimen. The incremental DALYs averted per million population with the implementation of PrEP (I) ranged between 451 and 85,069 in 2020. The ICER was reported in the range of USD 384-352/DALY averted (non-dominant) in comparison to PEP regimens from a quasi-societal perspective. PrEP (I) is reported to be 'very cost effective' in comparison with PEP regimens from the quasi-societal and quasi-health systems' perspectives and reduce deaths by up to 89.9%. This study concludes that the PrEP (I) regimen is a cost-effective and life-saving strategy to avert painful mortalities due to rabies in school-aged children in India.