安徽省13市县主动发现麻风病效果评价

Evaluation on the effect of active patients detecting for leprosy in 13 cities in Anhui province

目的评价低流行区疫村调查、密切接触者调查和可疑线索调查主动发现病人效果。方法在13个市县通过宣传发动群众、培训乡村医生、密切接触者调查、专业医生确诊等措施,以达到主动发现病人的目的。结果 13个市县共筛查270万人,发现11例麻风患者。线索凋查确诊发现率较高(7.3‰),疫村调查确诊发现率极低(0.0004‰)。结论低流行区主动发现病人投入大,发现病人少,成本效益低,应将工作重点放到基层医务人员培训和大众健康宣传,以达到早期发现病人。

Objective To evaluate the efficiency of active patients detecting measures including epidemic sources investigation, close contacting interviewing and suspected clues surveying in leprosy-low-epidemic area. Methods The study was undertaken in 13 cities/counties. Several measures were taken to detect patients actively including publicizing leprosy knowledge and arousing people to find patients, training village doctors, interviewing close contacting, professional doctors diagnosing and some other measures. Results 11 cases of leprosy were screened out of 27 million peoples. The detection rate was 7.3 ‰ by the measure of suspected clues investigation, obviously higher than that by means of epidemic sources investigation (0.0004‰). Conclusion Appling active patients detecting measures to find leprosy patients in low-epidem ic area was high costing and low efficiency. In order to achieve the purpose of early detection of leprosy patients, grass-roots unit medical staff training and publicizing leprosy knowledge should be emphasized.