Chin J Schisto Control ›› 2011, Vol. 23 ›› Issue (5): 535-540.

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Study on schistosomiasis control measures in mobile boat fishermen III Construction and application of regional joint mechanism for schistosomiasis examination and treatment in boatmen

Gao Yang1| Sun Le-ping2*| Zuo Yin-ping1| Xu Yu-hui 1| Zhang Zheng-qiu3| Ma Yu-cai 4, Gao Jin-bin5| Zhu Xi-guang6| Zheng Bo7| Yang Guo-jing2| Hong Qing-biao2| Yang Kun2| Liang You-sheng2   

  1. 1 Yangzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, Yangzhou 225001, China|2 Jiangsu Institute of Parasitic Diseases, China|3 Yizheng Center for Disease Control and Prevention, Jiangsu Province, China|4 Hanjiang District Center for Disease Control and Prevention, Yangzhou City, Jiangsu Province, China|5 Gaoyou Center for Disease Control and Prevention, Ji? angsu Province, China|6 Jiangdu Center for Disease Control and Prevention, Jiangsu Province, China|7 Baoying County for Dis? ease Control and Prevention, Jiangsu Province, China
  • Online:2011-10-24 Published:2011-10-17
  • Contact: Sun Le?ping

流动渔船民血吸虫病防治措施的研究 Ⅲ 船员区域联动查治病机制的构建与应用

高扬1|孙乐平2*|左引萍1|徐玉慧1|张正球3|马玉才4|高金彬5|朱锡广6|郑波7|杨国静2|洪青标2|杨坤2|梁幼生2   

  1. 1江苏省扬州市疾病预防控制中心 (扬州225001); 2江苏省血吸虫病防治研究所; 3江苏省仪征市疾病预防控制中心; 4 江苏省邗江区疾病预防控制中心; 5 江苏省高邮市疾病预防控制中心; 6 江苏省江都市疾病预防控制中心; 7江苏省宝应县疾病预防控制中心
  • 通讯作者: 孙乐平
  • 作者简介:高扬|男|副主任医师。研究方向:血吸虫病流行病学与防治
  • 基金资助:

    国家科技支撑计划 (2009BAI78B00?07); 国家科技重大专项 (2008ZX10004?11); 江苏省卫生厅项目 (X200701、 X200901)

Abstract:

Objective To construct the regional joint mechanism for schistosomiasis examination and treatment and the exam? ination protocol among mobile boatmen, so as to provide effective measures for control of mobile infectious sources of schistosomia? sis in the Yangtze River basin. Methods According to the characteristics of the cargo frequent mobility of ships with fixed an? chor points, the health, maritime and transport sections were jointly cooperated to set up sites for schistosomiasis examination and treatment in ship locks, wharfs and harbors. The infection of schistosomiasis was detected by means of rapid immunological screen? ing and stool examination, and the regional joint mechanism was constructed. The sero?positives were traced for further parasitologi? cal examinations and treatment by using the regional joint network for schistosomiasis examination and treatment. The schistosomeinfections in boatmen were analyzed and compared between different examination and treatment sites and among different navigation coverage. Results A total of 16 sites for examination and treatment of schistosomiasis, including 5 fixed sites and 11 mobile sites, were set up in 12 townships of 6 districts (counties) of Yangzhou City. During a period between June and August, the examination of schistosomiasis was conducted in 40 sites, and of the 1 225 boatmen from 967 boats detected, 19 cases were sero?positive, with a posi? tive rate of 1.55%. Among the 14 sero?positives examined, no stool positive patients were found. Among the 1 225 boatmen detected, 820 were from fixed sites and 405 from mobile sites, and 4 and 15 cases were found, respectively, with positive rates of 0.49% and 3.70%, respectively, and the sero?positive rate was higher in mobile sites and that in fixed sites. A total of 898 boatmen from the Yangtze River basin and 305 from the local inland rivers were examined, and 3 and 16 sero?positive cases were detected, respectively, with posi? tive rates of 0.33% and 5.25%, respectively, and the sero?positive rate was significantly higher in the boatmen from the local inland riv? ers than that from the Yangtze River basin. Conclusion Regional joint mechanism is an effective strategy for examination and treat? ment of schistosomiasis among mobile boatmen, which provides a new approach to control mobile infectious sources of schistosomiasis in the Yangtze River basin.

Key words: Schistosomiasis, Mobile boatman, Ship lock, Wharf, Regional joint mechanism, Control measure

摘要:

目的 构建水上流动船员区域联动查治病机制与查病程序, 为控制长江水域水上流动血吸虫病传染源提供有效措施。方法 方法 根据水上货运船只流动性强, 但必须在船闸、 码头、 港口等地停靠的特点, 由卫生、 海事和交通部门联合协作, 在船闸、 码头、 港口设立血吸虫病查治工作点。采用快速免疫学筛查和粪检病原学确诊的工作流程, 建立区域联动工作机制, 对查出的血清学阳性者利用区域联动查治病网络, 追踪进行病原学检查和治疗。分析并比较不同类型查治病点、不同航行范围船员血吸虫感染情况。结果 结果 在扬州市6个区 (市) 12个镇设立了16个查治病点, 其中固定查治点5个, 流动查治点11个。6–8月开展查病40个点次, 共调查967艘船只、 1 225名船员, 查出血检阳性19例, 阳性率为1.55%; 追踪进行粪检14例, 未发现粪检阳性病人。其中固定和流动查治点分别检查船员820人和405人, 查出血检阳性4例和15例, 阳性率分别为0.49%和3.70%, 流动点血检阳性率显著高于固定点; 检查来自长江水域和本省内陆河道船员898人和305人,查出血检阳性3例和16例, 阳性率分别为0.33%和5.25%, 本省内河船员血检阳性率显著高于长江水域船员。结论 结论 区域联动是开展水上流动船员血吸虫病查治的有效工作机制, 其为长江水域控制水上流动传染源提供了新措施。

关键词: 血吸虫病, 流动船员, 船闸, 码头, 区域联动机制, 防治措施

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