南宁市首起登革热暴发疫情处置及成本效益分析

Management and cost-effectiveness analysis of the first dengue fever outbreak in Nanning city,2014

目的描述2014年广西壮族自治区南宁市首起本地登革热暴发疫情的发生、识别及应对处置,对采取防控措施取得的效果进行成本效益分析。方法收集南宁市2014年6-12月登革热疫情的相关资料,包括病例流行病学个案调查、疫情应对处置措施、病例诊疗费用和防控投入等;测算疫情导致的经济负担,分析采取防控措施后取得的效益。结果 2014年6月13日至12月31日南宁市共报告登革热病例722例,疫情波及全市8个城区和5个县,疫情首先发生在南宁市花鸟市场;采取以紧急灭蚊和清除孳生地为主的措施后,南宁市共减少发病数14 839例,减少经济损失4 998万元,成本效益比为1∶7.32。结论在政府主导下采取的紧急灭蚊和清除孳生地等措施使2014年南宁市首次出现的登革热暴发疫情在短期内得到控制,并取得较高的卫生经济效益。

Objective To depict the occurrence and management of the first dengue fever （DF） outbreak in Nanning city in 2014, and analyze the cost-effectiveness of the measures of the prevention and control. Methods Data of dengue cases were collected between June and December in 2014, including the case reports, measures on dengue control and prevention, medical costs, financial resource, etc. The method of cost-effectiveness was used to evaluate the burden of DF outbreak. Results Totally 722 dengue cases were reported between June 13 and December 31 in 2014. The epidemic spread through the whole city, including 8 districts and 5 counties. Source of this outbreak was from Flower and Birds Market of Nanning city, Guangxi. There were 14 839 persons who avoided being infected and ￥49 980 000 being saved because of the emergency measures of mosquito control and breeding source elimination. The ratio of cost-effectiveness was 1：7.32. Conclusion The first local dengue fever outbreak of Nanning city in 2014 has been controlled by reducing the population of Aedes mosquito, and the cost-effectiveness analysis showed prevention and control measures of DF outbreak was effective.