从卫生管理的角度分析燃煤污染型砷中毒流行的自然因素是高砷煤的存在，人为因素是由于病区居民经济生活、文化卫生水平较低，开采和用敞炉灶燃烧高砷煤而罹患砷中毒。笔者认为，改变社会因素较之改变自然因素容易，因而提出了以加快病区经济社会发展为主的，同时严禁开采高砷煤，改良炉灶等多种防制对策 From the point of view of health management, the natural factor of the coal-burning arsenism poisoning is the existence of high-arsenic coal. The human factor is due to the low economic and cultural level of the residents living in the ward, the exploitation and exploitation of high-arsenic coal in open stoves Arsenic poisoning. The author believes that changing social factors is easier than changing natural factors, and thus put forward to speed up the ward economic and social development as the main, while the prohibition of mining high-arsenic, improved stove and other control measures