2007~2014年济南市急性脑炎脑膜炎综合征的疾病和经济负担分析

Hygiene and Economic Burden of Acute Meningitis and Encephalitis Syndrome from 2007 to 2014 in Jinan City

目的对2007~2014年济南市急性脑炎脑膜炎疾病负担和经济负担进行调查研究,以期为济南市急性脑炎脑膜炎防控政策提供依据。方法使用济南市AMES专报系统2007~2014年的监测数据分析AMES的流行病学特征,并采用问卷调查方法,随访2013年报告的AMES患者,收集一般信息、病情转归、医疗和非医疗费用等估算AMES导致的经济负担。结果济南市2007~2014年AMES病例平均年报告发病率为8.49/10万,病死率4.96‰。全市AMES病例引起的失能损失为36 659.51个失能调整生命年（DALYs）,人均8.27个DALYs。14岁以下人群占77.86%。AMES导致的人均经济负担为8.86万元,其中人均直接经济负担1.95万元,间接经济负担6.91万元。结论济南市急性脑炎脑膜炎病例所致流行病学负担和经济负担较重,应采取措施减轻发病和经济负担。

Objective To investigate the epidemiological and economic burden of acute meningitis and encephalitis syndrome（AMES） in Jinan, so as to provide references for prevention and control of AMES. Methods The monitoring data of the AMES Special Reporting System of Jinan City from 2007 to 2014 was collected and the epidemiological characteristics of AMES were analyzed. A questionnaire survey was performed in AMES patients reported in 2013 to collect the basic information, prognosis, medical and non-medical expenses etc. of patients. The DALYs and economic burden of AMES were estimated by using SPSS 13.0 software. Results The average incidence rate of AMES in Jinan was 8.49/100 000 through 2007 to 2014 and the mortality was 4.96‰. The total DALYs were 36 659.51 and the average DALY was 8.27. 77.86% were aged less than 14 years old. The average direct economic burden of each case was 19.5 thousand RMB and the average indirect economic burden caused by DALYs was 69.1 thousand RMB. Conclusion There＇s heavy burden from AMES, and measures should be made to reduce the incidence and economic burden.