珠三角地区学校诺如病毒感染性腹泻疫情经济负担评估

对珠三角地区学校诺如病毒感染性腹泻疫情的疾病经济负担进行评估,为政府部门制定疾病管理策略和控制措施提供科学依据.方法 使用统一问卷进行调查,评估珠三角地区2017年10月至2018年4月发生诺如病毒感染性腹泻疫情的学校和涉病班级全体学生家庭的疾病经济负担.结果 患病学生经济负担人均720.41(95%UI=640.45~804.63)元,其中门诊就医人均费用213.70(95%UI=191.83~236.33)元,住院人均费用1 712.75(95% UI=328.50~3 400.00)元,自行购药人均费用58.97 (95% UI=43.00~ 77.69)元,交通费人均53.63(95%UI=43.98~63.58)元,补习费人均558.49(95% UI=381.40~ 774.01)元,误工费人均695.62(95% UI=630.25 ~ 767.29)元.班级停课导致健康学生经济损失人均382.62(95% UI=343.29~424.45)元,学校经济损失平均每起疫情49 264.53(95% UI=22 363.38~ 79 976.25)元.疫情总经济负担随疫情级别升高而增加,疫情级别越大,患病学生经济负担所占比例逐步下降,2~9例组、10~19例组和≥20例组分别为56.58%,23.27%和10.93%.结论 珠三角地区诺如病毒感染性腹泻疫情疾病经济负担高,相关部门要重视加强预防控制及宣传教育工作,开展有针对性的防控,减少疾病经济负担.

Estimated economic burden of disease of Norovirus gastroenteritis of schools in the Pearl River Delta Region

Objective This study aims to estimate the economic burden of disease of outbreak of norovirus gastroenteritis in the Pearl River Delta Region,and provide scientific evidence for the government ’s decision-making and control measures.Methods Using a unified questionnaire,a survey was conducted to the schools and students’ families which had suffered an outbreak of norovirus gastroenteritis in the Pearl River Delta Region from October 2017 to April 2018. Results The survey found that the mean total economic burden of sick students was 720.41( 95% UI = 640.45-804.63) RMB. The mean economic burden of sick students who were inpatient,outpatient and self-treatment were 1 712.75( 95%UI = 328.50-34 00.00),213.70( 95%UI = 191.83-236.33) and 58.97( 95%UI = 43.00-77.69) RMB,respectively. The mean economic burden of transport,extra tutoring and cost of lost labor were 53.63( 95%UI = 43.98-63.58),558.49( 95%UI = 381.40-774.01) and 695.62( 95 UI = 630.25-767.29) RMB. The mean total economic burden of health students was 382.62( 95% UI = 343. 29-424. 45) RMB. The mean total economic burden of school was 49 264.53( 95%UI = 22 363.38-79 976.25) RMB. The total economic burden of disease increases as the level of outbreak increases. The larger the epidemic level,the proportion of sick students’ financial burden gradually decreased,56.58%,23.27% and 10.93%. Conclusion The high economic burden of disease of norovirus gastroenteritis in the Pearl River Delta Region,respectively,indicating that relevant departments should strengthen the prevention,control and education in order to mitigate the disease economic burden.