中国血吸虫病防治杂志 ›› 2018, Vol. 30 ›› Issue (2): 124-130.

• 论著 • 上一篇    下一篇

全国血吸虫病监测点流动人口血吸虫感染情况分析

关周|吕山|李石柱|党辉|张利娟|许静*   

  1. 中国疾病预防控制中心寄生虫病预防控制所、国家卫生和计划生育委员会寄生虫病原及媒介生物学重点实验室、WHO热带病合作中心、科技部国家级国际热带病联合研究中心(上海 200025)
  • 出版日期:2018-05-11 发布日期:2018-05-14
  • 通讯作者: 许静
  • 作者简介:关周|男|硕士研究生。研究方向:血吸虫病流行病学
  • 基金资助:
    国家科技重大专项(2016ZX10004222?004);上海市公共卫生第四轮三年行动计划(15GWZK0101)

Analysis on the situation of schistosome infections in floating population in national schistosomiasis surveillance sites of China

GUAN Zhou| LÜ|Shan| LI Shi-zhu| DANG Hui| ZHANG Li-juan| XU Jing*   

  1. National Institute of Parasitic Diseases| Chinese Center for Disease Control and Prevention; Key Laboratory for Parasite and Vector Biology|National Health and Family Planning Commission; WHO Collaborating Center for Tropical Diseases; National Center for International Research on Tropical Diseases| Ministry of Science and Technology| Shanghai 200025| China
  • Online:2018-05-11 Published:2018-05-14
  • Contact: XU Jing

摘要: 目的 了解我国流动人口血吸虫感染现状及其流行病学特征,为制定血吸虫病监测策略和防控措施提供参考。方法 根据《全国血吸虫病监测方案》,2005-2014年每年对全国血吸虫病监测点的流动人口采用间接血凝试验进行血清学筛查,血吸虫抗体阳性者采用病原学方法检测,对流动人口血吸虫病的感染特征进行流行病学分析。结果 2005-2014年全国血吸虫病监测点共监测流动人口11 834人,其中有11 558人进行了血清学检查,血清学阳性者419人;病原学检查370人,阳性者25人。不同年份([χ2]= 15.103 7)、不同职业([χ2]= 115.182 7)和不同地区([χ2]= 13.177 5)流动人口血吸虫感染率差异均有统计学意义(P均< 0.05)。以渔船民的校正血吸虫感染率较高。结论 渔船民作为流动人口中血吸虫感染的高危人群,流动性强、监管困难,在今后的血吸虫病监测和防治工作中应给予高度重视。

关键词: 血吸虫病;流动人口;监测;渔船民;流行病学特征

Abstract: Objective To understand the situation of Schistosoma japonicum infections in foating population and its epidemiological characteristics in China, so as to provide insights into the development of the surveillance strategy and interventions for schistosomiasis. Methods According to the protocol of national surveillance project, indirect hemagglutination test (IHA) was employed for serological screening of S. japonicum infections among the floating population in the national schistosomiasis surveillance sites of China from 2005 to 2014, and the sero?positives were subjected to parasitological examinations. In addition, epidemiological analyses were performed to describe the characteristics of schistosomiasis in the floating population. Results A total of 11 834 floating population were monitored at the national schistosomiasis surveillance sites of China during the study period, and 11 558 persons received serological tests, with 419 sero?positives screened. Then, 370 sero?positive floating populations were detected using parasitological examinations, and 25 stool positives were detected. The prevalence of S. japonicum infections significantly varied in time ([χ2]= 15.103 7), occupations ([χ2]= 115.182 7) and regions ([χ2]= 13.177 5) in the study subjects during the study period(all P < 0.05). A high adjusted prevalence of S. japonicum infections was seen in the boatmen and fishermen in several provinces. Conclusions Boatmen and fishermen are at a high risk of S. japonicum infections among the floating population, and should be paid more attention to in future schistosomiasis surveillance and control activities due to their strong mobility and difficulty of monitoring.

Key words: Schistosomiasis; Floating population; Surveillance; Boatmen and fishermen;Epidemiological features

中图分类号: