血吸虫病传播阻断地区监测人群筛查的费用与效果

目的通过对血吸虫病传播阻断地区监测人群查治病费用与效果数据的收集和分析,探索主、被动监测防治策略的合理配置。方法采用回顾性调查、历史文献复习法分析2003~2005年血吸虫病传播阻断地区浙江省、广东省、广西壮族自治区监测人群查治病费用与效果。结果2003~2005年,3省(区)血吸虫病主动监测查治病费用中,浙江省监测总费用及年平均费用最高,分别为679.82、226.61万元;广西区最低,分别为8.39、2.80万元。被动监测查治病费用中,浙江省监测总费用及年平均费用最高,分别为0.59、0.20万元;广西区最低,分别为0.18、0.06万元。每查治一病例的平均费用,主动监测中,广东省最高,为17.23万元;广西区最低,为8.39万元。被动监测中,广东省最高,为0.06万元;浙江省最低,为0.02万元。人均血检费用广西区最低,广东省最高。人均粪检费用广西区最低,浙江省最高。结论在不同区域内血吸虫病主、被动监测查治病策略的优化配置模式需要进一步深入探讨。

Cost-effectiveness analysis on screening for surveillance of schistosomiasis among population in transmission interrupted areas

Objective To analyze the relationship between cost and effectiveness on screening and treatment for schistosomiasis among population in areas of transmission interrupted for surveillance and consolidation of schistosomiasis control, and explore the reasonable allocation between the strategies for active surveillance and passive surveillance.Methods Retrospective survey and review of historical literature were carried out to analyze the cost and effectiveness for screening and treatment of schistosomiasis among population for surveillance in transmission interrupted areas in the provinces of Zhejiang and Guangdong and the Guangxi Zhuang Autonomous Region during the period of 2003-2005. Results From 2003 to 2005, the total cost for active surveillance and treatment, and average cost per year were the highest, i.e., 6798.2 thousand yuan and 2266.1 thousand yuan respectively in Zhejiang Province, whereas the costs in Guangxi Zhuang Autonomous Region the lowest, being 83.9 thousand yuan and 28.0 thousand yuan respectively. For passive surveillance and treatment, the costs in Zhejiang Province were also the highest, being 5.9 thousand yuan and 2.0 thousand yuan respectively, whereas the costs in Guangxi Zhuang Autonomous Region the lowest, being 1.8 thousand yuan and 0.6 thousand yuan respectively. The average cost for screening and treatment of one case for active surveillance was the highest in Guangdong Province, being 172.3 thousand yuan whereas the average cost in Guangxi Zhuang Autonomous Region the lowest, 83.9 thousand yuan. Among the passive surveillance, the cost in Guangdong Province was the highest, 0.6 thousand yuan, whereas the cost in Zhejiang Province the lowest, 0.2 thousand yuan. In addition, the average cost of serological examination per person among population was the highest in Guangdong Province, whereas it was the lowest in Guangxi Zhuang Autonomous Region. The average cost of fecal examination per person was the highest in Zhejiang Province whereas it was the lowest in Guangxi Zhuang Autonomous Region Conclusions In areas where the transmission of schistosomiasis is interrupted, the input for surveillance, screening and treatment is different, so the choice of control strategies for active and passive surveillance needs to be explored in depth with a view of using the minimum input and acquiring the maximum control efficacy.