广州市街镇2017年登革热防控工作政府投入分析

Analysis of government investment in dengue prevention and control work in Guangzhou in 2017

目的分析登革热防控过程中卫生的投入和优先次序,为广州市各级政府建立登革热预防控制和应急机制的经济投入提供参考。方法对广州市177个街道办事处和镇政府进行问卷调查,收集研究对象登革热日常防控和疫情处置期间人力、物力、经费的投入等,中心城区和郊区登革热防控投入比较采用描述性分析。结果 2017年广州市全部街镇实际经费投入21 261.56万元,实际经费与预算经费投入比为1.93∶1;登革热疫情期间,每成功处置1例登革热病例,需投入的经费为9.56万元,人力为242.75人次;主要杀虫剂类型有拟除虫菊酯类药物271 907.7 kg,占63.62%,有机磷类91 738.8 kg,占21.47%;郊区除聘请PCO公司经费支出高于中心城区外,其他如人员配备、器材药物储备、宣传以及日常和疫情期间其他经费投入均远低于中心城区。结论做好登革热疫情控制经费预算,交替或混合使用不同类型杀虫剂,加大对郊区的登革热防控工作投入是当前广州市登革热防控过程中亟待解决的关键问题。

Objective To analyze the input and priorities of health measures in the prevention and control of dengue fever, and provide reference for the economic investment of dengue prevention and control and emergency response mechanisms at all levels of government in Guangzhou. Methods A questionnaire survey was conducted on 177 district offices and town governments in Guangzhou to collect the investment of manpower, material resources and funds during the daily control and epidemic disposal of dengue fever. Results In 2017, the total investment of all streets and towns in Guangzhou was 212 million 615 thousand and 600 yuan, and the actual ratio of investment and budgetary investment was 1.93： 1. During the period of dengue fever, a successful treatment of one case of dengue fever was 95 thousand and 600 yuan and manpower was 242.75. The main insecticide types used were 271 907.7 kg of pyrethroids, accounting for 63.62%, and organic phosphorus 91 738.8 kg, accounting for 21.47%. Except for the expense on PCO companies, which was higher in rural area than that in central city, expenses on other items such as staffing, equipment drug storage, publicity, and other expenses during the daily and epidemic period were lower than the central city. Conclusion Doing a good job in budgeting for dengue epidemic control, alternating or mixing different types of pesticides, and increasing investment in dengue prevention and control in the suburbs are key issues that need to be addressed in the current Dengue fever prevention and control process in Guangzhou.