Objective: To understand the cost-effectiveness of schistosomiasis monitoring in Rugao City, a schistosomiasis transmission interrupted area, so as to provide the evidence for improving schistosomiasis control.
Methods: According to the national and Jiangsu provincial working scheme of schistosomiasis monitoring and consolidation, the data of schistosomiasis monitoring were collected and the cost-effectiveness was analyzed in Rugao City from 2001 to 2010.
Results: During 10 years, the financial input for Oncomelania snail survey was 11.694 8 million Yuan, accounting for 92.9% of the total monitoring cost. In 6 years, a few remaining snails with low density and small area were detected, and per 100 m2 snail area spent 76 788 Yuan averagely. Totally 23 694 people were investigated with serological tests and 15 persons were positive, but no person was positive in feces tests, and the accumulative total cost was 410 350 Yuan. The average cost for detection of 1 person was 17.32 Yuan. Totally 454 heads of cattle were investigated but there was no positive, and the accumulative total cost was 18 716 Yuan and the average cost of detection of 1 case was 41.22 Yuan. The health education during the 10 years spent 172 500 Yuan, only accounting for 1.4% of the total monitoring funds. The awareness rate of schistosomiasis control knowledge and the health behavior formation rate increased year by year, and they were increased by 2.48 times and 2.71 times respectively from 2001 to 2010.
Conclusions: In schistosomiasis transmission interrupted areas and areas with Oncomelania snails but without schistosomiasis, the monitoring index and monitoring method need to be studied and adjusted. Health education has a good cost-effectiveness.