中国血吸虫病防治杂志
中國血吸蟲病防治雜誌
중국혈흡충병방치잡지
CHINESE JOURNAL OF SCHISTOSOMIASIS CONTROL
2014年
2期
184-186
,共3页
王友斌%徐肇纲%贺正文%曹淳力
王友斌%徐肇綱%賀正文%曹淳力
왕우빈%서조강%하정문%조순력
血吸虫病%防治效果%传染源%纵向观察
血吸蟲病%防治效果%傳染源%縱嚮觀察
혈흡충병%방치효과%전염원%종향관찰
Schistosomiasis%Control effect%Infection source%Longitudinal observation
目的:纵向评估湖北省公安县血吸虫病防治效果,为制定湖沼型血吸虫病流行区防治策略提供科学依据。方法采用回顾性调查方法,收集2000-2013年湖北省公安县血吸虫病疫情资料,分析不同防治阶段人群、家畜和钉螺血吸虫感染率变化。结果2000-2013年公安县血吸虫病疫情总体呈下降趋势,人群感染率从2000年12.62%下降到2013年0.69%,其中第一阶段下降幅度为24.09%,第二阶段下降幅度为64.37%,第三阶段下降幅度为73.05%;第一阶段发生8例急性血吸虫感染病例,第二阶段发生15例急性血吸虫感染病例,第三阶段无急性血吸虫感染病例发生。耕牛血吸虫感染率从2000年6.50%下降到2013年0.30%,其中第一阶段上升了74.15%,第二阶段下降了75.04%,第三阶段下降了87.56%,至2013年底已淘汰了全部耕牛。第一阶段钉螺感染率、感染螺面积和活螺平均密度分别上升了18.06%、46.03%和7.63%,第二阶段分别下降了66.84%、97.78%和378.9%;第三阶段钉螺感染率和感染螺面积均下降了100%;而活螺平均密度出现2.67%的上升。2000-2011年均查到感染性钉螺,2012和2013年未查到感染性钉螺;但钉螺感染率、感染性钉螺面积均逐年下降,分别从2000年的0.072%和267.80 hm2下降到2011年的0.022%和6.37 hm2。结论公安县实施以传染源控制为主的综合治理策略后,人畜血吸虫感染率显著降低;但应进一步强化防治措施,防止疫情反弹。
目的:縱嚮評估湖北省公安縣血吸蟲病防治效果,為製定湖沼型血吸蟲病流行區防治策略提供科學依據。方法採用迴顧性調查方法,收集2000-2013年湖北省公安縣血吸蟲病疫情資料,分析不同防治階段人群、傢畜和釘螺血吸蟲感染率變化。結果2000-2013年公安縣血吸蟲病疫情總體呈下降趨勢,人群感染率從2000年12.62%下降到2013年0.69%,其中第一階段下降幅度為24.09%,第二階段下降幅度為64.37%,第三階段下降幅度為73.05%;第一階段髮生8例急性血吸蟲感染病例,第二階段髮生15例急性血吸蟲感染病例,第三階段無急性血吸蟲感染病例髮生。耕牛血吸蟲感染率從2000年6.50%下降到2013年0.30%,其中第一階段上升瞭74.15%,第二階段下降瞭75.04%,第三階段下降瞭87.56%,至2013年底已淘汰瞭全部耕牛。第一階段釘螺感染率、感染螺麵積和活螺平均密度分彆上升瞭18.06%、46.03%和7.63%,第二階段分彆下降瞭66.84%、97.78%和378.9%;第三階段釘螺感染率和感染螺麵積均下降瞭100%;而活螺平均密度齣現2.67%的上升。2000-2011年均查到感染性釘螺,2012和2013年未查到感染性釘螺;但釘螺感染率、感染性釘螺麵積均逐年下降,分彆從2000年的0.072%和267.80 hm2下降到2011年的0.022%和6.37 hm2。結論公安縣實施以傳染源控製為主的綜閤治理策略後,人畜血吸蟲感染率顯著降低;但應進一步彊化防治措施,防止疫情反彈。
목적:종향평고호북성공안현혈흡충병방치효과,위제정호소형혈흡충병류행구방치책략제공과학의거。방법채용회고성조사방법,수집2000-2013년호북성공안현혈흡충병역정자료,분석불동방치계단인군、가축화정라혈흡충감염솔변화。결과2000-2013년공안현혈흡충병역정총체정하강추세,인군감염솔종2000년12.62%하강도2013년0.69%,기중제일계단하강폭도위24.09%,제이계단하강폭도위64.37%,제삼계단하강폭도위73.05%;제일계단발생8례급성혈흡충감염병례,제이계단발생15례급성혈흡충감염병례,제삼계단무급성혈흡충감염병례발생。경우혈흡충감염솔종2000년6.50%하강도2013년0.30%,기중제일계단상승료74.15%,제이계단하강료75.04%,제삼계단하강료87.56%,지2013년저이도태료전부경우。제일계단정라감염솔、감염라면적화활라평균밀도분별상승료18.06%、46.03%화7.63%,제이계단분별하강료66.84%、97.78%화378.9%;제삼계단정라감염솔화감염라면적균하강료100%;이활라평균밀도출현2.67%적상승。2000-2011년균사도감염성정라,2012화2013년미사도감염성정라;단정라감염솔、감염성정라면적균축년하강,분별종2000년적0.072%화267.80 hm2하강도2011년적0.022%화6.37 hm2。결론공안현실시이전염원공제위주적종합치리책략후,인축혈흡충감염솔현저강저;단응진일보강화방치조시,방지역정반탄。
Objective To evaluate the effect of schistosomiasis control in Gongan County,Hubei Province by longitudinal ob-servations so as to provide the evidence for formulating the schistosomiasis control strategy in lake and marshland regions. Meth-ods The schistosomiasis epidemic data in Gongan County from 2000-2013 were collected by the retrospective research method, and analyzed about the changing tendency of human and cattle infection rates,and Oncomelania hupensis snail situation. Re-sults The tendency of schistosomiasis epidemic situation was descended from 2000 to 2013. The human infection rate declined from 12.62%in 2000 to 0.69%in 2013. The decline scope of human infection rate was 24.1%in the first stage,64.4%in the sec-ond stage,and 73.0%in the third stage. Eight acute schistosomiasis cases were reported in the first stage,15 cases in the second stage,and none in the third stage. The cattle infection rate declined from 6.50%in 2000 to 0.30%in 2013. The rise scope of cattle infection rate was 74.2%in the first stage,but the decline scope was 75.0%in the second stage and 87.6%in the third stage. All the cattle were disposal at the end of 2013. The infection rate of snails,area with infected snails,and average density of living snails in the first stage increased by 18.1%,46.0%and 7.6%,respectively. The 3 indexes above-mentioned in the second stage de-creased by 76.8%,97.8%and 37.9%,respectively. In the third stage,the infection rate of snails and area with infected snails de-creased by both 100%,but the average density of living snails increased by 2.7%. The infected snails were found from 2000 to 2011,but none in 2012 and 2013. The infection rate of snails and area with infected snails dropped yearly,the infection rate of snails declined from 0.0007% in 2000 to 0.0002% in 2011,and the area with infected snails declined from 267.8 hm2 in 2000 to 6.37 hm2 in 2011. Conclusions After the implementation of the integrated schistosomiasis prevention and control strategy with the emphasis on infectious source control,the human and cattle schistosome infection rates decline significantly. Hereafter,it is necessary to prevent the schistosomiasis epidemic outbreak or rebound.