关键词: 血吸虫病, 综合治理, 效果评估, 江苏省

Abstract: Objective To evaluate the actual effect of the schistosomiasis control program in Jiangsu Province from 2010 to 2015. Methods A total of 67 schistosomiasis?endemic counties in 10 cities were selected， and a combination of retrospective investigation and on?site investigation was adopted to collect and record the epidemic data of the counties from 2010 to 2015， and a retrospective survey database of epidemic situation was established. The effects of integrated control strategies with both Oncomelania hupensis snail control and infection source control were evaluated. Results From 2010 to 2015， 2 465 911 persons who lived in endemic areas were detected for schistosomiasis， with 16 974 positive cases of blood examinations， and 8 positive cases of fecal examinations. Totally 5 145 people with advanced schistosomiasis were treated and 40 460 people with the history of schistosome cercarial?infested water contact received the expanded chemotherapy. A total of 127 636 cattle raised in the endemic areas were detected， and 51 619 cattle （head?times） with the history of cercarial?infested water contact also received the expanded chemotherapy. The area with snails control by molluscicides was 18 604.84 hm2. By the end of 2015， schistosome?infected snails had not been found and there was no zoological schistosome infection for 5 consecutive years， and in addition， there had been no acute schistosome?infected persons for 6 consecutive years in the whole province. The area with snails dropped to 1 977.18 hm2， with a decreasing rate of 55.24% compared with that in 2010. Conclusion After the implementation of the plan for the prevention and control of schistosomiasis in Jiangsu Province （2010-2015）， the prevention and control of schistosomiasis has achieved remarkable effects and realized the goal of the plan.

Key words: Schistosomiasis, Integrated control, Effect evaluation, Jiangsu Province