中国血吸虫病防治杂志 ›› 2014, Vol. 26 ›› Issue (6): 658-.

• 短篇论著 • 上一篇    下一篇

汉川市以传染源控制为主的血吸虫病综合防治措施效果评价

向瑞灯1*|张志海2Δ|喻斌1|单晓伟3|邓芳1|徐新文1|方荣2|刘志爽2|张红娥1|王惠玲1   

  1. 1湖北省汉川市血吸虫病预防控制所 (汉川431699); 2 湖北省汉川市血吸虫病防治工作领导小组办公室; 3 湖北省疾病预防控制中心血吸虫病防治所
  • 出版日期:2014-12-22 发布日期:2014-12-23
  • 通讯作者: 向瑞灯
  • 作者简介:向瑞灯| 男| 本科| 主管医师。研究方向: 血吸虫病流行病学与防治 △ 共同第一作者

Effect of comprehensive schistosomiasis control strategy based on infection source control in Hanchuan City

XIANG Rui-deng1* | ZHANG Zhi-hai 2△| YU Bin1 | SHAN Xiao-wei 3 | DENG Fang1 | XU Xin-wen1 | FANG Rong2 | LIU Zhi-shuang2 | ZHANG Hong-e 1 | WANG Hui-ling1   

  1. 1 Hanchuan Institute of Schistosomiasis Prevention and Control|Hubei Province|Hanchuan 431699|China;2 Office of Leading Group for Schistosomiasis Control of Hanchuan City|Hubei Province|China;3 Institute of Schistosomiasis Control|Hubei Center for Disease Control and Prevention|China
  • Online:2014-12-22 Published:2014-12-23
  • Contact: XIANG Rui?deng

摘要: 目的 目的 评价汉川市以传染源控制为主的血吸虫病综合防治措施效果。方法 方法 收集2004-2013年汉川市血吸虫 病综合防治资料, 分析综合防治措施实施期间螺情和人畜病情指标的变化趋势, 比较对策实施前后疫情控制效果。 结 结 果 果 实施综合防治后, 居民、 耕牛血吸虫感染率呈下降趋势, 分别由2004年的6.38%、 8.11%下降至2013年的0.61%、 0, 2007年已无急性血吸虫病病例发生, 2011年已无新感染病例发生; 2012年已查不到感染性钉螺。2013年有螺框出现率、 活螺平均密度较2004年分别下降了56.78%、 68.35%, 但钉螺面积、 易感环境面积分别增长了0.62%、 7.10%。2013年全市 26个乡 (镇) 367个流行村全部达到传播控制标准。结论 结论 以传染源控制为主的血吸虫病综合防治措施能有效控制湖沼 型地区血吸虫病传播; 在巩固该综合防治措施成果的同时, 需控制内垸沟渠钉螺面积, 以防止居民重复感染血吸虫。

关键词: 血吸虫病; 传染源控制; 综合防治; 效果评价; 汉川市

Abstract: Objective Objective To evaluate the effect of comprehensive schistosomiasis control measures based on infection source control in Hanchuan City(marshland and lake endemic regions) . Methods Methods The data of comprehensive schistosomiasis control in Hanchuan City from 2004 to 2013 were collected,and the change trends of the Oncomelania hupensis snail status and the in? fection situation of human and livestock were analyzed to evaluate the control effect. Results Results After the implementation of the comprehensive measures,the infection rates of residents and cattle decreased from 6.38% and 8.11% in 2004 to 0.16% and 0 in 2013 respectively. There were no acute schistosomiasis patients since 2007,no new infection cases since 2011,and no infected snails since 2012. Compared with 2004,the occurrence rate of frames with living snails and the average density of living snails decreased by 56.78% and 68.35%,respectively,but the snail area and susceptible area increased by 0.62% and 7.10%,respec? tively. In 2013,all the 367 endemic villages in 26 townships reached the criteria of transmission controlled. Conclusions Conclusions The comprehensive schistosomiasis control measures based on infection source control can control the schistosomiasis transmission effectively in marshland and lake endemic regions. When consolidating the achievement,the snail area in inner embankment should be compressed to prevent the schistosome re?infection in human and livestock.

Key words: Schistosomiasis;Infection source control; Comprehensive control; Effect evaluation;Hanchuan City

中图分类号: