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目的描述2014年广西壮族自治区南宁市首起本地登革热暴发疫情的发生、识别及应对处置,对采取防控措施取得的效果进行成本效益分析。方法收集南宁市2014年6-12月登革热疫情的相关资料,包括病例流行病学个案调查、疫情应对处置措施、病例诊疗费用和防控投入等;测算疫情导致的经济负担,分析采取防控措施后取得的效益。结果 2014年6月13日至12月31日南宁市共报告登革热病例722例,疫情波及全市8个城区和5个县,疫情首先发生在南宁市花鸟市场;采取以紧急灭蚊和清除孳生地为主的措施后,南宁市共减少发病数14 839例,减少经济损失4 998万元,成本效益比为1∶7.32。结论在政府主导下采取的紧急灭蚊和清除孳生地等措施使2014年南宁市首次出现的登革热暴发疫情在短期内得到控制,并取得较高的卫生经济效益。
Objective To describe the occurrence, identification and treatment of the first outbreak of local dengue outbreak in Nanning City, Guangxi Zhuang Autonomous Region in 2014, and to conduct a cost-benefit analysis on the effects of prevention and control measures. Methods The data of Dengue Fever from June to December in 2014 in Nanning City were collected, including case epidemiology investigation, epidemic response measures, case diagnosis and treatment expenses, prevention and control investment, etc. The economic burden caused by epidemic situation was estimated, and the prevention and control measures After the benefits achieved. Results From June 13 to December 31, 2014, a total of 722 cases of Dengue Fever were reported in Nanning City. The outbreak spread to 8 cities and 5 counties in the city. The outbreak first took place in Nanning Flower and Bird Market. In order to eliminate mosquito and eliminate breeding ground Based measures, Nanning City, a total number of 14 839 cases to reduce the incidence, reducing economic losses of 49.98 million yuan, the cost-benefit ratio of 1: 7.32. Conclusion The government-led measures such as emergency mosquito control and breeding sites have brought the first outbreak of dengue outbreak in Nanning City in 2014 to be controlled within a short period of time and achieved high health and economic benefits.