关键词: 血吸虫病, 疫情, 综合治理, 江山市

Abstract: Objective　To analyze the endemic situation of schistosomiasis in Jiangshan City from 2008 to 2018，so as to provide evidence for formulating the future control strategy. Methods　The data regarding Oncomelania snail survey and control, schistosomiasis examinations and environmental improvements were collected in Jiangshan City from 2008 to 2018. The changes in snail status and morbidity due to Schistosoma japonicum infections were analyzed to assess the effectiveness of comprehensive schistosomiasis control. Results　From 2008 to 2018, a total of 61 220 person?times were examined for S. japonicum infections in Jiangshan City, and the overall seroprevalence of S. japonicum infections was 0.56% (343/61 220); however, no egg?positives were detected. Among 4 231 cattle screened for S. japonicum infections using blood tests in Jiangshan City during the period from 2008 to 2018, 12 were sero?positive, with sero?prevalence of 0.28% (12/4 231), and no egg?positives were identified. There were 422 snail habitats identified in Jiangshan City during the study period, covering an area of 46.915 hm2, and among the 31 686 snails dissected, no S. japonicum infections were detected. An area of 3 625.492 hm2 snail habitats were subjected to repeated snail control and 11 settings were given environmental improvements, covering snail habitats of 17.880 hm2 and historical snail habitats of 204.380 hm2. Conclusions　Following the implementation of environmental improvements?based comprehensive schistosomiasis control, the endemic situation of schistosomiasis is stable in Jiangshan City; however, there is still a risk of snail importation and re?emerging schistosomiasis. Therefore, the monitoring of snails and morbidity due to S. japonicum infections should be intensified in the city.

Key words: Schistosomiasis, Endemic situation, Comprehensive control, Jiangshan City