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目的分析高原山区每项血防措施的单位成本,为科学配置血防资源提供依据。方法选择云南山丘型血吸虫病疫区中的高原平坝型(坝区)和高原峡谷型(山区)各1个村,应用现场调查方法,统计每项防治措施的单位成本。结果查螺、灭螺、IHA查病、粪检查病、化疗、牛查病、牛化疗、健康教育的单位成本,坝区分别为99元/hm2、3 105元/hm2、2.17元(次/人)、5.39元(次/人)、5.06元(次/人)、4.48元(次/头)、11.33元(次/头)、0.60元(次/人);山区分别129元/hm2、3 438元/hm2、2.86元(次/人)、6.88元(次/人)、6.43元(次/人)、7.25元(次/头)、13.00元(次/头)、1.52元(次/人)。成本校验显示计算成本比实际成本高81.85万元,误差为22.47%。结论在配置血防资源时,应充分考虑不同疫区防治工作的难易程度,根据防治措施单位成本的不同分配血防资金。
Objective To analyze the unit costs of each bloodstain defense measures in plateau mountainous areas and provide the basis for the scientific deployment of bloodstain defense resources. Methods One plateau of plateau type (dam area) and one plateau type of plateau (mountainous area) in schistosomiasis endemic area of Yunnan Province were selected. The unit cost of each control measure was calculated by field survey. Results The unit costs of investigation, snail killing, IHA check-up, dung check-up, chemotherapy, cattle checkup, bovine chemotherapy and health education were respectively 99 yuan / hm2, 3510 yuan / Person), 5.39 yuan (times / person), 5.06 yuan (times / person), 4.48 yuan (times / head), 11.33 yuan (times / head), 0.60 yuan 3 438 yuan / hm 2, 2.86 yuan (times / person), 6.88 yuan (times / person), 6.43 yuan / time, 7.25 yuan / time, 13.00 yuan / /people). Cost verification shows that the calculated cost is higher than the actual cost of 818,500 yuan, the error is 22.47%. Conclusion In the deployment of blood-protection resources, we should give full consideration to the ease of prevention and control work in different affected areas and allocate blood-protection funds according to the unit cost of prevention and control measures.