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目的通过对广东省流动人口监测方法、费用与效果的分析,优化输入性血吸虫病人的防控措施。方法对广东省开展的流动人口血吸虫病主动监测和被动监测结果和监测费用进行统计分析,并作费用-效果分析。结果1986～2007年广东省流动人口常规主动监测、选择性主动监测和被动监测分别监测23249人、13076人和645人;发现输入性慢性病人分别为3例、50例和238例;病原确诊病人分别为1例、6例和8例。检获1例临床诊断病例及1例病原确诊病例的平均费用以常规主动监测最高,选择性主动监测其次,被动监测最低。结论广东省现阶段要重点开展选择性主动监测,同时加强被动监测;选择灵敏感度较高的检查方法以提高监测费用效果。
Objective To analyze the monitoring methods, costs and effects of floating population in Guangdong Province and to optimize the prevention and control measures of imported schistosomiasis patients. Methods The data of active monitoring, passive monitoring and monitoring of schistosomiasis in floating population in Guangdong Province were statistically analyzed and the cost-effectiveness analysis was performed. Results From 1986 to 2007, the routine active monitoring, selective active monitoring and passive monitoring of mobile population in Guangdong Province were respectively monitored by 23249, 13076 and 645 persons. Three cases of chronic enterovirus were found, 50 cases and 238 cases respectively. Respectively 1 case, 6 cases and 8 cases. The average cost of seizure in 1 case of clinical diagnosis and 1 case of pathogen was highest in conventional active surveillance followed by selective active surveillance followed by lowest in passive surveillance. Conclusions Guangdong Province should focus on selective active monitoring at the present stage and strengthen passive monitoring at the same time. It should select monitoring methods with higher sensitivity to improve monitoring cost effectiveness.