岳阳市君山区以淘汰牛羊为重点的血吸虫病综合防治策略成本-效果分析  

Cost-effectiveness of comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District,Yueyang City

作　　者：杨亚 李见兵 柳昊 李石桂 何忠 蔡斌 李林瀚 程婉婷 杨宇 周杰[5] 李之阳 任光辉[5] 罗志红[5] 周艺彪 姜庆五 

机构地区：[1]复旦大学公共卫生学院流行病学教研室公共卫生安全教育部重点实验室热带病学研究中心,上海200032 [2]湖南省岳阳市君山区卫生和计划生育局 [3]湖南师范大学医学院 [4]湖南省岳阳市君山区血吸虫病防治站 [5]湖南省血吸虫病防治所 [6]湖南省岳阳市外国语学校

出　　处：《中国血吸虫病防治杂志》2018年第1期14-17,31,共5页Chinese Journal of Schistosomiasis Control

基　　金：国家自然科学基金(81673236)

摘　　要：目的评价湖南省岳阳市君山区以全面淘汰牛羊为重点的血吸虫病综合防治措施的成本效果。方法回顾性收集2006-2016年君山区试点村淘汰牛羊、查治病、查灭螺及各项血防经费投入等资料,统计各项血防措施的成本,计算不同时期的成本效果比。结果 2006-2016年君山区试点村居民血吸虫感染率从3.44%下降至0,血防工作共投入7 259.48万元。2006-2008、2009-2012年和2013-2016年三个阶段的年平均血防成本分别为470.85万、509.47万元和952.27万元。成本-效果分析显示,2006-2008、2009-2012年和2013-2016年三个时期居民血吸虫感染率每下降1%的年均血防成本分别为7.95万、10.12万元和9.52万元。结论君山区采取的以全面淘汰牛羊为重点的血吸虫病综合防治措施取得了良好的防治效果,可向其他湖沼型血吸虫病流行区推广。Objective To evaluate the cost-effectiveness of comprehensive schistosomiasis control measures with focus on total removal of cattle and sheep in Juanshan District, Yueyang City. Methods The schistosome infection status of human, cattle, sheep and Oncomelania hupensis 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. Results 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. Conclusion 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.

关 键 词：血吸虫病 综合防治 牛羊淘汰 成本效果 君山区 

分 类 号：R532.21[医药卫生—内科学]