CAJ | 학술논문

目的评估上海市卢湾区外来流动人员血吸虫病、疟疾和丝虫病(三病)检疫工作,使之更富有成效.方法通过历史数据收集、调查问卷、访谈相结合的方法开展本次评估.结果 1995-2008年全区三病检疫街道覆盖率为100%,流动人群检疫覆盖率为9.93%,共检出阳性557人,总阳性率为1.50%.其中血清学滴度1:10阳性者9例,均开展病原学追踪调查,对其中7例进行了病原学治疗.14年来共投入经费533 497元.问卷调查和访谈结果显示,人们普遍认为三病检疫工作10多年来取得了一定成效.多数人认为三病检疫工作基本可行,但实施工作有难度,投入大但收效不高,比较一致的看法是政府不够重视、经费不足、各部门职责不明、宣传力度不够、知晓率低.检疫人群应以近期疫区来沪人员为重点对象.流动人员对三病传播及预防措施知之甚少,愿意接受免费检疫.结论三病检疫工作对保护外来人员的身体健康、预防和控制三病起到了保障作用,三病检疫工作难以适应新时代的要求,需要制定一个切实可行的规范要求,明确各部门的职责,使三病检疫工作更富有成效.
목적 평고상해시로만구외래류동인원혈흡충병、학질화사충병(삼병)검역공작,사지경부유성효.방법 통과역사수거수집、조사문권、방담상결합적방법개전본차평고.결과 1995-2008년전구삼병검역가도복개솔위100%,류동인군검역복개솔위9.93%,공검출양성557인,총양성솔위1.50%.기중혈청학적도1:10양성자9례,균개전병원학추종조사,대기중7례진행료병원학치료.14년래공투입경비533 497원.문권조사화방담결과현시,인문보편인위삼병검역공작10다년래취득료일정성효.다수인인위삼병검역공작기본가행,단실시공작유난도,투입대단수효불고,비교일치적간법시정부불구중시、경비불족、각부문직책불명、선전력도불구、지효솔저.검역인군응이근기역구래호인원위중점대상.류동인원대삼병전파급예방조시지지심소,원의접수면비검역.결론 삼병검역공작대보호외래인원적신체건강、예방화공제삼병기도료보장작용,삼병검역공작난이괄응신시대적요구,수요제정일개절실가행적규범요구,명학각부문적직책,사삼병검역공작경부유성효.
Objective To evaluate the Three-Disease(Schistosomiasis-Malaria-Filariasis)-Quarantine in migrating population,to make it more effective.Methods The data evaluated were collected from history data,questionnaires and interviews.Results All the communities in Luwan District and 9.93% migrating population were covered with the quarantine during 1995-2008.The number of people with positive antibody was 557 and the positive rate was 1.50%.Nine out of 557 people exhibiting antibody titer as 1:10 were involved in pathogen-tracing,and 7 of the 9 people received treatment.The total cost of Three-Disease-Quarantine during 14 years was RMB 533 497.The result of questionnaires and interviews showed,as people generally considered,the Three-Disease-Quarantine achieved great effects.Most people thought that the Quarantine is basically feasible but quite difficult;financial cost was high but the overall effect was relatively limited.There was a common opinion that the cause of limited effect was due to lack of government s attention,financial support and publicity.Those who come from endemic area should be selected as the key targets of the quarantine.The migrating population knew little about the transmission and prevention of the three diseases but were willing to have the quarantine for free.Conclusion In order to make the Three-Disease-Quarantine more effective,amendments of some regulations are recommended.