中国血吸虫病防治杂志

• 论著 •    

2014年云南省血吸虫病国家级监测点疫情分析

沈美芬1*|黄宁波1|冯锡光1|张云1|王丽芳1|熊孟韬1|李天云2|杨伟公3| 杨卫东4|陈绍云5   

  1. 1 云南省地方病防治所(大理 671000);2 云南省大理市血吸虫病防治站;3 云南省巍山县血吸虫病防治站;4 云南省洱源县血吸虫病防治站;5 云南省永胜县血吸虫病防治站
  • 作者简介:沈美芬|女|主管医师。研究方向:血吸虫病监测防治与研究

Analysis of schistosomiasis endemic status of national surveillance sites in Yunnan Province, 2014

SHEN Mei?fen1*| HUANG Ning?bo1| FENG Xi?guang1| ZHANG Yun1| WANG Li?fang1| XIONG Meng?tao1| LI Tian?yun2| YANG Wei?gong3| YANG Wei?dong4| CHEN Shao?yun5   

  1. 1 Yunnan Institute of Endemic Disease Control and Prevention| Dali 671000| Yunnan| China; 2 Station for Schistosomiasis Control and Prevention of Dali City| Yunnan| China; 3 Station for Schistosomiasis Control and Prevention of Eryuan County| Yunnan| China; 4 Station for Schistosomiasis Control and Prevention of Weishan County| Yunnan| China; 5 Station for Schistosomiasis Control and Prevention of Yongsheng County| Yunnan| China

摘要: 目的 掌握云南省血吸虫病疫情动态和影响因素,为制定防治措施提供依据。方法 选择4个血吸虫病疫情较重的县(市)的4个村作为国家级监测点。按全国监测方案的要求,对监测点内居民进行血吸虫感染血清学筛查(IHA)和病原学调查,并开展监测点基本情况调查、家畜病情监测和螺情调查。计算和分析人群血检阳性率、粪检阳性率、家畜感染率、钉螺感染率和活螺密度等监测指标。结果 IHA共筛查4 310人,受检率79.68%,阳性率8.40%,洱源县前甸村阳性率高达12.53%。女性阳性率略高于男性,30岁及以上年龄段较高,农民、民工和初中文化水平者较高。血检阳性者中未查出粪检阳性者。现存晚期血吸虫病人24人。4个村均未检出血吸虫阳性家畜和感染性钉螺,环境活螺平均密度0.023 3~0.056 6只/0.1 m2。结论 监测点村疫情已得到有效控制,云南省血吸虫病处于低流行状态。

关键词: 血吸虫病;监测;疫情;云南省

Abstract: Objective To master the dynamic endemic status and influencing factors of schistosomiasis in Yunnan Province, so as to provide the evidence for making the control and prevention measures. Methods Four villages of four schistosomiasis heavy epidemic counties were selected as survey sites. Then, the serological screening and etiological tests were carried out in the residents, and the basic situations of the survey sites were investigated. The epidemic status of the livestock and relevant information of Oncomelania hupensis snails were surveyed. All the results were analyzed statistically. Results Totally 4 310 residents were surveyed by the indirect hemagglutination assay with the examination rate of 79.68% and serum positive rate of 8.40%. The positive rate reached upwards 12.53% in Qiandian Village of Eryuan County. The serum positive rate of the female was higher than that of the male, and the positive rates of the 30 years and older age groups were higher than those of the other age groups. The serum positive rates of the peasants, migrant labourers and residents with the junior high school education level were the highest. No positive faces were found. A total of 24 advanced cases were reported. No positive livestock and snails were found, and the average density of living snails was 0.0233?0.0566/0.1m2. Conclusion Right now, the schistosomiasis is at a low prevalence status in Yunnan Province, and the epidemic situation has been effectively controlled.

Key words: Schistosomiasis; Surveillance; Epidemic situation; Yunnan Province

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