关键词: 血吸虫病；综合治理；高原平坝；云南省

Abstract:

Objective To evaluate the effect of comprehensive control and management of schistosomiasis at plateaus re? gions in Yunnan Province. Methods Xiaolian and Kangfu villages at plateaus regions where schistosomiasis was endemic were se? lected as study areas from 2006 to 2011，the schistosomiasis comprehensive control measures were conducted，and these measures included the health education，chemotherapy，stool and water management，grazing forbidden，Oncomelania snail control，etc. combined with the infrastructure of farmland water conservancy，agricultural comprehensive development，adjustment of industry structure，returning farmland to forest，ditch hardening，and aquaculture. Results At Xiaolian Village，no schistosomiasis pa? tient and livestock were found from 2008；and at Kangfu Village，no schistosomiasis patient was detected from 2006 and no schis? tosomiasis domestic animal was found from 2008. In 2011，the snail area，percent of frames with living snails，the number of snails，average concentration of living snails，and the highest concentration of living snails descended by 69.99%，81.86%， 88.86%，89.71%，57.95% at Xiaolian Village，and descended by 27.65%，1.11%，94.71%，92.16%，88.00% at Kangfu Vil? lage，respectively，compared with those in 2006. The ratios of infected snail area to snail area were 68.91% in 2006 and 69.13% in 2007 at Xiaolian Village，and 61.73% in 2006 and 43.24% in 2007 at Kangfu Village. There were no infected snails from 2008 in the two villages. Conclusion The comprehensive control and management measures can effectively control the schistosomiasis prevalence at plateaus regions.

Key words: Schistosomiasis；Comprehensive management；Plateaus region；Yunnan Province