【摘要】 目的分析评价改炉改灶、健康教育干预综合防治燃煤污染型地方性氟中毒的防治效益。方法对1984-2004年期间,实施综合防治燃煤污染型地方性氟中毒防治成本与取得的效益进行货币折现。结果累计投入防治经费49 360．00元,病情得到了有效控制,流行强度南重度流行区降至轻度流行区,从而减少新增病人因病支出 851 020．00元,成本与效益比为1:17．24。结论以每投入1份防治经费就能获取17．24份防治收益的综合防治措施,是切实可行、行之有效的综合防治措施,提高病区人群健康意识、卫生防病意识,改善病区人民的经济收入,由被动的专业防治转换为群众积极主动、一觉参与,是提高防治效果、加快防治进程的重要措施。更多还原

【Abstract】 Objective To analyze and appraise the cost-effect outcome in controlling coal-burning endemic fluorosis through improving stove and health education. Methods The cost and the effect of controlling coal-burning endemic fluorosis were compared in terms of RMB value from 1984 to 2004. Results Money spent in controlling coal-burning endemic fluorosis added up to 49 360.00 Yuan. Endemic fluorosis had been well controlled from a moderate prevalence to a slight one, which resulted in a reduced patient expenditure of 851 020.00 Yuan. The ratio of cost and effect was 1:17.24 in terms of money. Conclusions One portion of money spent in control yields 16.7 folds of benefit in outcome. It is effective to improve people’s health knowledge and people’s income. It is important that people actively participate on their own initiative.更多还原