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[2007 - 2012年庐山县血吸虫病综合防治的成本效益分析]

[Cost-effectiveness of schistosomiasis comprehensive control in Lushan County from 2007 to 2012].

作者信息

Zhu Ji-ying, Wang Cheng-xiang, Wang Chao-fui, Wang Shi-zhong, Lu Ke, Hu Xiao-jun, Li Yong-quan, Li Zong-qin, Lu Xiao-qin, Wang Ying-ji, Liu Yong, Xu Wei, Sheng Xiao-yan

机构信息

Ya 'an Vocational Technology College, Sichuan Province, Ya' an 625000, China.

Lushan Disease Prevention and Control Center, Sichuan Province, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2013 Oct;25(5):513-5.

PMID:24490367
Abstract

OBJECTIVE

To evaluate the cost-effectiveness of comprehensive control strategy which mainly controls the schistosomiasis infection source in Lushan County from 2007 to 2012.

METHODS

The data of the schistosomiasis endemic, Oncomelania hupensis snail status, control technology, and funding were collected and analyzed statistically in the endemic villages of Lushan County from 2007 to 2012.

RESULTS

The schistosome infection rate of the residents decreased from 0.04% in 2007 to 0 in 2012. The numbers of advanced schistosomiasis patients decreased from 128 in 2007 to 121 in 2012. No acute schistosomiasis patients were found. The average density of living snails decreased from 0.06 snial/0.1 m2 to 0.05 snail/0.1 m2, with the decreased rate of 16.67%, and no schistosome infected snails were found. However, the snail area increased from 15.84 hm2 in 2007 to 52.12 hm2 in 2012, with the rise rate of 229.04%. The year per capita was 200.48 yuan, the cost of the infection rate decreasing by 1% was 949,900 yuan, and the cost of living snail density decreasing by 1% was 5,698,200 yuan.

CONCLUSION

The cost-effectiveness of comprehensive control strategy which mainly controls the schistosomiasis infection source is relatively good in Lushan County from 2007 to 2012.

摘要

目的

评价2007 - 2012年庐山县以控制血吸虫病传染源为主的综合防治策略的成本效果。

方法

收集2007 - 2012年庐山县血吸虫病流行、钉螺现状、防治技术及经费等资料,并进行统计分析。

结果

居民血吸虫感染率由2007年的0.04%降至2012年的0;晚期血吸虫病患者人数由2007年的128例降至2012年的121例,无急性血吸虫病患者发现;活螺平均密度由0.06只/0.1平方米降至0.05只/0.1平方米,下降率为16.67%,未发现感染性钉螺。但有螺面积由2007年的15.84公顷增至2012年的52.12公顷,上升率为229.04%。年人均成本为200.48元,感染率下降1%的成本为949900元,活螺密度下降1%的成本为5698200元。

结论

2007 - 2012年庐山县以控制血吸虫病传染源为主的综合防治策略成本效果较好。

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