一起诺如病毒暴发事件处置的成本-效益分析

Cost-benefit analysis on a norovirus outbreak in Fujian

目的分析一起小学诺如病毒暴发事件应急处置的成本-效益比,为突发公共卫生事件处置经费预算和成本-效益估算提供依据。方法通过现场流行病学调查,收集事件防控的各项支出,并通过电话问卷调查收集病例诊疗费用,分析事件处置的成本与效益。结果该起事件波及1 781人,发病69例,人均诊疗费用50元;因事件及时处置而减少发病763例,潜在节省诊疗费用38 150元;对比防控投入需7 870元,该事件处置的成本-效益比达1∶4.8。结论突发公共卫生事件处置的成本效益比,不低于疫苗可控性传染病。

Objective To analyze the cost-benefit ratio of a norovirus outbreak disposal in a primary school,providing the budget basis and economic estimation for public health emergency treatment.Methods By using field epidemiological investigation for the outbreak,the expense data of control and prevention were collected,and the costs of case diagnosis and medical treatment were collected by telephone questionnaires for analyzing the cost benefit ratio.Results The event involved 1 781 people and 69 norovirus cases.The mean medical expenses was 50 yuan.Due to the event disposal timely,763 people were averted for suffering from the disease,saving potential costs of medical treatment for38 150 yuan.The cost benefit ratio of the outbreak disposal was more than 1∶4.8,comparing with the investment of control and prevention of the disease for 7 870 yuan.Conclusion The cost-benefit ratio of public health emergency treatment is not lower than that of vaccine target infectious diseases control.