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本文研究了鲁山县防治碘缺乏病三十多年投入的总成本和取得的社会及经济效益,地方性甲状腺肿患病率由58年的31.23%下降到2.26%,累计治愈甲状腺肿患者117019人,减少新发甲状腺肿患者4098935例,避免发生克汀病39464例;运用目前国际上通用的投资成本折现方法经计算得出:总投入资金316.94万元,总收益为80935.06万元,成本效益比为255.3。证明防治三十余年取得了巨大的社会效益和经济效益。通过与对照点的对比研究,探讨了除社会进步因素外,防治碘缺乏病对于提高病区人口素质、增强人群体质和智力水平;增加病区人口的创造力、生产力和生活、学习能力;提高病区人均收入的促进作用。证实防治碘缺乏病是一项低投入高效益的事业,即投入一份的防治经费就可以得到约255份的收益,建议在今后的卫生资源分配中增加防治碘缺乏病的投入。
This paper studies the total cost and the social and economic benefits of Lushan County in preventing and treating Iodine Deficiency Disorders over the past 30 years. The prevalence of endemic goiter decreased from 31.23% in 58 years to 2.26% Goiter, 11,7019 goiter, to reduce the number of patients with newly diagnosed goiter 4,098,935 to avoid cretinism 39,464 cases; using the current internationally accepted method of discounting the investment cost is calculated: a total investment of 3.1694 million yuan of total revenue 80935600 yuan, cost-effective ratio of 255.3. It has been proved that over thirty years of prevention and control have achieved tremendous social and economic benefits. Through the comparison with the control point, it is discussed that in addition to the factors of social progress, the prevention and treatment of iodine deficiency deficiency is to improve the population quality of the ward and enhance the constitutional and intellectual level of the population; to increase the creativity, productivity and life and learning ability of the ward population; Ward per capita income to promote the role. Confirming that prevention and treatment of iodine deficiency disorders is a low-cost and highly-profitable undertaking means that about 255 benefits can be gained from putting a piece of funds for prevention and treatment. We propose to increase the control of iodine deficiency disorders in future distribution of health resources.