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[2010 - 2014年丹阳市人群血吸虫病监测及其成本]

[Schistosomiasis monitoring and its cost in population in Danyang City, 2010-2014].

作者信息

Zhu Tao, Jiang Tao, Shi Yu-kun, Wang Juan

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2015 Dec;27(6):615-7, 627.

PMID:27097481
Abstract

OBJECTIVE

To explore the monitoring method of the infection source of schistosomiasis in the population of the schistosomiasis transmission-interrupted area with Oncomelania hupensis snails.

METHODS

The changes of schistosomiasis among the population were investigated by using the active and passive monitoring methods in Danyang City from 2010 to 2014, and the cost-effectiveness of the two monitoring methods was evaluated.

RESULTS

Totally 49,277 persons were detected for schistosomiasis by dipstick dye immunoassay (DDIA) from 2010 to 2014 and 608 cases were positive, and the positive rate was 1.23%. There were no positive persons by etiology detections. The positive rates of active and passive monitoring methods were 1.61% and 1.13%, respectively and there was a significant difference between them (χ² = 15.982, P < 0.05). The average cost per positive case of the active monitoring was higher than that of the passive monitoring without considering the costs of the mobilization and labor.

CONCLUSION

In the schistosomiasis transmission-interrupted area with snails, the active and passive monitoring methods need to be combined in the future.

摘要

目的

探索有钉螺的血吸虫病传播阻断地区人群血吸虫病传染源的监测方法。

方法

采用主动监测和被动监测方法,对2010年至2014年丹阳市人群血吸虫病变化情况进行调查,并对两种监测方法的成本效益进行评估。

结果

2010年至2014年采用胶体染料试纸条法(DDIA)共检测49277人,阳性608例,阳性率为1.23%。病原学检测无阳性者。主动监测和被动监测方法的阳性率分别为1.61%和1.13%,两者差异有统计学意义(χ² = 15.982,P < 0.05)。不考虑动员和人工成本,主动监测每例阳性病例的平均成本高于被动监测。

结论

在有钉螺的血吸虫病传播阻断地区,今后需将主动监测和被动监测方法相结合。

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