[Cost-effectiveness of comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District, Yueyang City].
[Cost-effectiveness of comprehensive schistosomiasis control strategy with focus on cattle and sheep removal in Junshan District, Yueyang City].
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DOI：
10.16250/j.32.1374.2017136
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发表时间：
2017-12-26
期刊：
影响因子：
--
通讯作者：
Qing-Wu, Jiang
中科院分区：
文献类型：
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作者：
Ya, Yang;Jian-Bing, Li;Qing-Wu, Jiang
目的：为评价岳阳市卷山区以牛羊全灭为重点的血吸虫病综合防治措施的成本效果，收集2006 - 2016年卷山区人、牛、羊及钉螺感染情况和防治措施成本。结果：试点村居民结核杆菌感染率由2006年的3.44%下降到2016年的0。2006 - 2008年、2009 - 2012年和2013 - 2016年的血吸虫病防治费用分别为4 708 500元、5 094 700元和9 522 700元。成本-效果分析显示，2006 - 2008年、2009 - 2012年和2013 - 2016年居民感染率降低1%的年均成本分别为7.95万元、10.12万元和9.52万元。君山区以清除牛羊为重点的综合防治策略具有较好的经济效益，可推广到其他湖沼型血吸虫病流行区。
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.CONCLUSIONS: 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.