Abstract:

Objective To understand the cost ?effectiveness of schistosomiasis monitoring in Rugao City，a schistosomiasis transmission interrupted area，so as to provide the evidence for improving schistosomiasis control. Methods According to the na? tional and Jiangsu provincial working scheme of schistosomiasis monitoring and consolidation，the data of schistosomiasis monitor? ing were collected and the cost?effectiveness was analyzed in Rugao City from 2001 to 2010. Results During 10 years，the finan? cial input for Oncomelania snail survey was 11.694 8 million Yuan，accounting for 92.9% of the total monitoring cost. In 6 years，a few remaining snails with low density and small area were detected，and per 100 m2 snail area spent 76 788 Yuan averagely. Total? ly 23 694 people were investigated with serological tests and 15 persons were positive，but no person was positive in feces tests， and the accumulative total cost was 410 350 Yuan. The average cost for detection of 1 person was 17.32 Yuan. Totally 454 heads of cattle were investigated but there was no positive，and the accumulative total cost was 18 716 Yuan and the average cost of detec? tion of 1 case was 41.22 Yuan. The health education during the 10 years spent 172 500 Yuan，only accounting for 1.4% of the total monitoring funds. The awareness rate of schistosomiasis control knowledge and the health behavior formation rate increased year by year，and they were increased by 2.48 times and 2.71 times respectively from 2001 to 2010. Conclusions In schistosomiasis transmission interrupted areas and areas with Oncomelania snails but without schistosomiasis，the monitoring index and monitor? ing method need to be studied and adjusted. Health education has a good cost?effectiveness.

Key words: Schistosomiasis；Oncomelania snail；Area with Oncomelania snails but without schistosomiasis；Transmission interruption； Cost?effectiveness；Rugao City

摘要：

目的 探讨如皋市达到血吸虫病传播阻断标准后巩固监测的费用?效果。 方法 根据全国和江苏省血吸虫病监测和巩固工作方案， 对2001-2010年如皋市监测数据进行费用?效果分析。 结果 10年各级财政投入监测查螺经费 1 169.48万元， 占监测总经费的92.9%， 6年查到少量低密度、 小面积残存钉螺， 平均查出100 m2 钉螺面积需花费76 787.92 元。累计开展血清学监测23 694人次， 发现阳性15人， 未发现粪检阳性者， 累计支出410 350元， 平均检测1人需花费17.32 元； 累计查牛454头次， 未发现阳性， 累计支出18 716元， 平均检测1头花费41.22元。健康教育10年支出17.25万元， 占监测总经费的1.4%， 人群血防知识知晓率和卫生行为形成率逐年提高， 2010年分别较2001年提高了248.80%和271.11%。结论 血吸虫病传播阻断地区和 “有螺无病” 地区健康教育费用?效果较好， 监测指标和监测方法需要研究和调整。

关键词: 血吸虫病； 钉螺； 有螺无病； 传播阻断； 费用?效果； 如皋市