Abstract: Objective Objective To evaluate the effect of control integrative measures which persist in snail eradication and chemo? therapy on schistosomiasis transmission?interruption in hilly areas. Methods Methods The data of integrated control and endemic situa? tion of schistosomiasis from 2004 to 2014 were collected，and the control effect of integrated measures was evaluated. Results Results From 2004 to 2014，both the Oncomelania hupensis snail area and density of living snails of Jurong City were reduced from 43.13 hm2 and 1.48 snails/0.1 m2 to 0；the residents’seropositive rate declined continuously；the residents’and students’ awareness rates on schistosomiasis control were increased from 88.43% and 82.04% to 92.56% and 95.74% respectively；the snail area was significantly negatively correlated with the coverage rate of snail control（r = -0.864，P＜0.05） . Conclusions Conclusions In the hilly areas，the schistosomiasis control integrated measures which persist in snail eradication and chemotherapy could con? trol the endemic situation rapidly and steadily，accelerating to achieve the goal of schistosomiasis transmission?interruption.

Key words: Hilly area； Schistosomiasis； Oncomelania hupensis； Integratedmeasures； Transmission?interruption； JurongCity

摘要： 目的 目的 评价山丘型地区阻断血吸虫病传播综合措施效果。 方法 方法 收集2004-2014年句容市血吸虫病综合防治 和疫情资料， 评价防治效果。 结果 结果 2004-2014年， 句容市钉螺面积、 活螺密度分别自43.13 hm2 、 1.48只/0.1 m2 下降至0； 居民血吸虫病血清学阳性率持续下降； 居民和学生的血防健康教育知晓率分别自88.43%、 82.04%提高到92.56%、 95.74%； 钉螺面积与灭螺覆盖率呈显著负相关 （r = -0.864， P＜0.05）。 结论 结论 山丘型地区坚持灭螺和化疗为主的血吸 虫病综合措施可使血吸虫病疫情快速、 稳定下降， 从而推进了血吸虫病传播阻断目标的实现。

关键词: 山丘地区； 血吸虫病； 钉螺； 综合措施； 传播阻断； 句容市