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目的为世界银行贷款中国血吸虫病控制项目卫生经济学评估提供依据,为制订全省防治血吸虫病防治对策提供参考。方法收集铜陵县1991～2000年各项疫情与卫生经济学指标、血防投入与经费支出资料,分析疫情变化和防治效果与经济效益指标。结果 9年中,全县血防年均直接投入为174.65万元,全县人群感染率下降75.95%,血防效益为9364.67万元,费用效益比为1比5.96。结论 9年中,平均每年每万元血防投入达到防止64人感染血吸虫和治愈28例病人的防治效果,疫区年人均血防投入为7.7元,而年人均净获益约38.2元,取得了防治效果和经济效益。
Objective To provide basis for the assessment of health economics of the project of schistosomiasis control in China by the World Bank Loan and provide reference for the prevention and control of schistosomiasis in the whole province. Methods The data of epidemic situation and health economics, epidemic prevention and health expenditure, and blood-disruption prevention and control expenditures in Tongling County from 1991 to 2000 were collected and the epidemic situation, prevention and control and economic benefit indicators were analyzed. Results 9 years, the county directly into the annual blood-174.45 million yuan, the county population infection fell 75.95%, blood-benefit of 93.6467 million yuan, the cost-benefit ratio of 1 to 5.96. Conclusion Nine years, the average annual prevention and treatment of blood-borne anti-invasion per 10,000 yuan reached prevention and treatment of 64 people infected with schistosomiasis and 28 cases of cure, the average per capita blood-prevention investment in the epidemic area was 7.7 yuan, while the annual per capita net benefit of about 38.2 yuan, and achieved control Effect and economic benefits.