Ya Yang, Jian-Bing Li, Hao Liu, Shi-Gui Li, Zhong He, Bin Cai, Lin-Han Li, Wan-Ting Cheng, Yu Yang, Jie Zhou, Zhi-Yang Li, Guang-Hui Ren, Zhi-Hong Luo, Yi-Biao Zhou, Qing-Wu Jiang
Department of Epidemiology, School of Public Health, Fudan University, Key Laboratory of Public Health Safety, Ministry of Education, Tropical Disease Research Center, Shanghai 200032, China.
Junshan District Bureau of Health and Family Planning, Yueyang City, Hunan Province, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Dec 26;30(1):14-17. doi: 10.16250/j.32.1374.2017136.
To evaluate the cost-effectiveness of comprehensive schistosomiasis control measures with focus on total removal of cattle and sheep in Juanshan District, Yueyang City.
The schistosome infection status of human, cattle, sheep and snails and costs of control measures were gathered during the period of 2006 to 2016. The costs for different periods and cost-effectiveness ratios were calculated.
The prevalence of schistosome infection in residents in the pilot villages decreased from 3.44% in 2006 to 0 in 2016. The annual costs of schistosomiasis prevention and control were 4 708 500 yuan from 2006 to 2008, 5 094 700 yuan from 2009 to 2012 and 9 522 700 yuan from 2013 to 2016. The cost-effectiveness analysis showed that the average annual cost of reduction in the residents'infection rate by 1% were 79 500 yuan from 2006 to 2008, 101 200 yuan from 2009 to 2012, and 95 200 yuan from 2013 to 2016, respectively.
The comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District is cost effective which could be extended to other lake and marshland schistosomiasis endemic areas.
评估以岳阳市君山区全面淘汰牛羊为重点的血吸虫病综合防治措施的成本效益。
收集2006年至2016年期间人、牛、羊的血吸虫感染状况、钉螺情况及防治措施成本，计算不同时期的成本及成本效益比。
试点村居民血吸虫感染率从2006年的3.44%降至2016年的0。2006年至2008年血吸虫病防治年成本为4708500元，2009年至2012年为5094700元，2013年至2016年为9522700元。成本效益分析显示，2006年至2008年居民感染率每降低1%的年均成本为79500元，2009年至2012年为101200元，2013年至2016年为95200元。
君山区以淘汰牛羊为重点的血吸虫病综合防治策略具有成本效益，可推广至其他湖沼型血吸虫病流行区。
