基于人畜疫情分层的血吸虫病流行区综合治理投入与效果评价Ⅱ2006-2013年湖沼垸内型地区疫情变化与费用投入关联分析

发布时间：2018-11-10 09:30

【摘要】：目的研究湖沼垸内型血吸虫病流行区血吸虫病疫情变化与经费投入和防治费用的关联性,为优化血吸虫病防治策略提供参考。方法选择江陵县为研究区,采用直线相关与回归法分析当地2006-2013年血吸虫病疫情;采用两阶段最小二乘法与路径递归模型分析经费投入与防治费用对当地疫情变化的可能影响。结果 2006-2013年,江陵县人群校正感染率、耕牛存栏数与钉螺面积分别下降了77.42%、76.34%和19.43%;钉螺感染率与人群血检、粪检阳性率及耕牛感染率均呈显著相关,且与耕牛感染率呈直线回归关系(P均0.05)。各级投入与人群血检和粪检阳性率、耕牛和钉螺感染率,以及各类费用与人群粪检阳性率、耕牛和钉螺感染率的回归模型均有统计学意义(P均0.05),但各类费用与人群血检阳性率回归模型无统计学意义(P0.05);影响人群血检阳性率、人群粪检阳性率、耕牛感染率和钉螺感染率的分别为县级投入、综合治理费用、人工费用与查治病费用、国家级投入与查治病费用(P均0.05)。结论 2006-2013年,江陵县血吸虫病疫情变化与各级投入、防治费用均有关联;各疫情指标相互显著相关的现象提示应开展综合性监测体系研究。
[Abstract]:Objective to study the relationship between the changes of schistosomiasis epidemic situation and the cost of schistosomiasis prevention and control in lake and marshland embankment, and to provide a reference for optimizing the strategy of schistosomiasis control. Methods the epidemic situation of schistosomiasis in Jiangling County from 2006 to 2013 was analyzed by linear correlation and regression analysis. The two-stage least square method and path recursive model were used to analyze the possible influence of the expenditure and the cost of prevention and treatment on the changes of local epidemic situation. Results from 2006 to 2013, the corrected infection rate of population in Jiangling County decreased 77.42% and 19.43%, respectively. The snail infection rate was significantly correlated with the population blood test, fecal test positive rate and cultivated cattle infection rate, and had a linear regression relationship with the cultivated cattle infection rate (all P 0.05). The positive rate of blood examination and fecal examination, the infection rate of tiller and snail, the positive rate of fecal examination and the positive rate of fecal examination, and the regression model of infection rate of cultivated cattle and snail were statistically significant (all P 0.05). However, there was no significant difference between all kinds of expenses and the positive rate of blood examination in the regression model (P0.05). The positive rate of blood examination, fecal examination, cultivated cattle infection rate and snail infection rate were respectively county level input, comprehensive management cost, labor cost and treatment cost, national level input and treatment cost (all P 0.05), which affected the positive rate of blood test, fecal examination of population, infection rate of cultivated cattle and infection rate of Oncomelania hupensis, respectively. Conclusion from 2006 to 2013, the changes of schistosomiasis epidemic situation in Jiangling County are related to the input of all levels and the cost of prevention and control, and the phenomenon that each epidemic situation index is significantly related to each other suggests that a comprehensive surveillance system should be carried out.
【作者单位】：湖北省江陵县血吸虫病防治所;中国疾病预防控制中心寄生虫病预防控制所世界卫生组织疟疾、血吸虫病和丝虫病合作中心卫生部寄生虫病原与媒介生物学重点实验室;湖北省疾病预防控制中心寄生虫病所;
【基金】：国家传染病重大专项(2012ZX10004220、2008ZX10004-011) 中英全球卫生支持项目(GHSP-CS-OP1-01) 上海市卫生与计划生育委员会科研项目(20134353) 湖北省荆州市医药卫生科技计划项目(20121PE1-1)
【分类号】：R532.21

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