Chang-Hai Zhou, Wei Zang, Guo-Fei Wang
National Institute of Parasitic Diseases, Chinese Center for Diseases Control and Prevention, Shanghai 200025, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2011 Oct;23(5):506-9.
To analyze the effect of ancylostomiasis control in 6 demonstration plots of parasitic disease comprehensive control, so as to provide the evidence for formulating the prevention and control measures of ancylostomiasis in the future.
According to the drugs and deworming schemes, the 6 demonstration plots (counties) were divided into 4 groups, namely A1 (Tunchang in Hainan Province and Danling in Sichuan Province), A2 (Tongcheng in Anhui Province and Yueyang in Hunan Province), B (Guixi in Jiangxi Province), C (Rongxian in Guangxi Zhuang Autonomous Region) groups. The infection rates of hookworm before and after the comprehensive control in the 6 counties were compared, and the costs of reducing one infected case and 1% of infection rate were calculated.
The infection rates of hookworm in Group A1, A2, B and C were reduced by 73.36%, 93.67%, 75.95% and 59.04%, respectively. The costs of reducing one infected person were 17.33, 30.06, 11.50, 73.34, 31.28 Yuan and 27.34 Yuan in Tunchang, Danling, Tongcheng, Guixi, Rongxian and Yueyang, respectively, while those of reducing 1% of the infection rate were 38 206.93, 28 577.55, 59 716.30, 295 074.91, 110 729.47 Yuan and 202 328.80 Yuan, respectively.
The effect of comprehensive control of ancylostomiasis in demonstration plots is remarkable. Under the same control measure, the higher the infection rates are, the less the cost will be for reducing one infected person or infection rate by 1%, and when the infection rate is below 10%, the control cost is high.
分析寄生虫病综合防治6个示范区钩虫病防治效果,为今后制定钩虫病防治措施提供依据。
根据药物及驱虫方案,将6个示范区(县)分为4组,即A1组(海南省屯昌县、四川省丹棱县)、A2组(安徽省桐城市、湖南省岳阳市)、B组(江西省贵溪市)、C组(广西壮族自治区容县)。比较6个县综合防治前后钩虫感染率,并计算减少1例感染病例和降低1%感染率的成本。
A1组、A2组、B组和C组钩虫感染率分别下降了73.36%、93.67%、75.95%和59.04%。屯昌、丹棱、桐城、贵溪、容县和岳阳减少1例感染者的成本分别为17.33元、30.06元、11.50元、73.34元、31.28元和27.34元,而降低1%感染率的成本分别为38206.93元、28577.55元、59716.30元、295074.91元、110729.47元和202328.80元。
示范区钩虫病综合防治效果显著。在相同防治措施下,感染率越高,减少1例感染者或降低1%感染率的成本越低;当感染率低于10%时,防治成本较高。