Abstract:

 Objective  To understand the epidemic situation of acute infection of Schistosama
japonicum in Hubei Province in order to provide the basis of control strategy.  Methods   The data of
acute schistosome infection from 2004 t0 2005 in Hubei Province were collected. The indexes of
sex, age, occupation, infection date, morbidity, ways of infection were analysed with Excel. Re-
suIts   In 20049 160 acute schistosomiasis cases were reported, and 83 cases (51. 87%) were prima-
ry and middle school students, and 68 cases (42. so%) were farmers.  The main ways of contact in-
fested water were swimming (80 cases, 50. 00%) and agricultural production (39 cases, 24. 38%).
The peak of the infection was in June and July. The peak of the incidence was in August. Four out-
break epidemics including 55 cases occurred in the same time. In 2005, 157 acute schistosomiasis
cases were reported, and 61 cases (38. 85%) were primary and middle school students, and 72 cases
(45.86%) were farmers. The main ways of contact infested water were swimming (61 cases,
38. 85%) and agricultural production (48 cases, 30. 70%).  The peak of the infection was in June.
The peak of the incidence was in July. Five outbreak epidemics including 44 cases occurred in the
same time. Conclusions  Most acute cases were primary and middle school students and farmers,
so we need to take schistosomiasis control health education to high risk populations for the aim to
avoid contacting infested water, strengthen strategies to control and manage infection sources of
schistosome, eventually control and reduce the acute infection.

摘要：

目的掌握湖北省急性血吸虫病发生与变化情况，为科学防治急性血吸虫感染提供对策。方法收集2004、2005年全省急性血吸虫病个案调查卡与暴发疫情调查处置报告，按性别、年龄、职业、感染与发病时间、感染方式等指标分别输入Excel电子表格，进行统计分析。结果2004年全省共发生急性血吸虫感染160例，发病以中小学生和农民为主，分别占病例总数的51. 87%和42. so%，接触疫水方式以嬉水游泳感染和农业生产感染为主，感染高峰在6、7月，发病高峰在8月。全年共发生急性血吸虫病暴发疫情4起，急性血吸虫病55例。2005年全省共报告急性血吸虫感染157例，发病以农民和中小学生为主，分别占病例总数的45. 86%和38. 85%，接触疫水方式以嬉水游泳感染和农业生产感染为主，感染高峰在6月，发病高峰在7月。全年共发生急性血吸虫病突发疫情5起，急性血吸虫瘸44例。结论学生和农民是急性血吸虫感染的主要人群，应针对他们进行血吸虫病防治知识宣传和教育，减少疫水接触，同时加强传染源控制与管理，控制和减少急性感染。

关键词: 急性血吸虫病；突发疫情I防治对策, 湖北省