Chin J Schisto Control ›› 2019, Vol. 31 ›› Issue (3): 337-.

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Risk assessment of schistosomiasis transmission in Chuxiong City of Yunnan Province

WANG Jian-Xiang1*, SHEN Mei-Fen2, LI Hui-Cai1, DU Chun-Hong2, XIONG Meng-Tao2, WANG Li-Fang2, WANG Yu1, YANG Jia-Heng1   

  1. 1 Chuxiong Municipal Center for Disease Control and Prevention, Yunnan Province, Chuxiong 675000, China; 2 Yunnan Institute for Endemic Disease Control and Provincial, China
  • Online:2019-08-28 Published:2019-08-28

云南省楚雄市血吸虫病传播风险评估

王建祥1*,沈美芬2,李会彩1,杜春红2,熊孟韬2,王丽芳2,王宇1,杨家恒1   

  1. 1云南省楚雄市疾病预防控制中心(楚雄 675000);2云南省地方病防治所
  • 作者简介:王建祥,男,本科,主任医师。研究方向:血吸虫病防治

Abstract: Objective To evaluate the potential risk of schistosomiasis transmission so as to provide the evidence for formulating the control strategy. Methods Two villages were selected as the investigated sites in Chuxiong City and the risk of schistosomiasis transmission was evaluated by reviewing the data of schistosomiasis epidemic situation and prevention and control work, and carrying out the field survey for Oncomelania hupensis snail status, wild faeces, and schistosome infection of the population from 2015 to 2017. Results There was 1.49 hm2 area of snail habitats, with an average density of 0.54 snails/0.1 m2. The occurrence rate of frames with snails was 5.41%. No schistosome?infected snails were found. The positive rate of schistosomiasis serological tests of the residents was 3.36%, but the stool examination positive cases were not found. A total of 58 wild faeces samples were collected but no schistosome infested cases were found. The risk levels of schistosomiasis transmission in both villages were Grade III. Conclusions Although Chuxiong City has been in a low risk state of schistosomiasis transmission, the density of snails is still high, and there is a risk of infection source importation. In the future, the infection source control and snail control should be strengthened.

Key words: Schistosomiasis, Oncomelania snail, Transmission risk, Chuxiong City

摘要: 目的 评估楚雄市血吸虫病潜在传播风险,为制订防治策略提供依据。方法 选择楚雄市军屯村者纳屯和李家村腰站2个自然村作为风险评估村,通过查阅、审核和收集2015–2017年2个村血吸虫病疫情和防治资料,结合钉螺、野粪与人群病情等现场调查结果,分析楚雄市血吸虫病传播风险。结果 楚雄市者纳屯和腰站2个村共有钉螺分布面积1.49 hm2,钉螺平均密度0.54只/0.1 m2,有螺框出现率为5.41%,未发现血吸虫感染性钉螺;居民血清学阳性率为3.36%,未发现粪检阳性血吸虫感染者。共捡获并检测各类野粪58份,未查到血吸虫感染阳性野粪。2个村血吸虫病传播风险评级均为Ⅲ级。结论 虽然楚雄市已处于血吸虫病低传播风险状态,但钉螺分布密度仍较高,且存在传染源输入等风险。今后仍应加强传染源控制,加大灭螺工作力度,巩固血吸虫病防治成果。  

关键词: 血吸虫病, 钉螺, 传播风险, 楚雄市

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