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
5期
504-509,513
,共7页
孙乐平%杨坤%洪青标%张键锋%高扬%谢朝勇%王琳%左引萍%姚韵怡%汪伟%梁幼生
孫樂平%楊坤%洪青標%張鍵鋒%高颺%謝朝勇%王琳%左引萍%姚韻怡%汪偉%樑幼生
손악평%양곤%홍청표%장건봉%고양%사조용%왕림%좌인평%요운이%왕위%량유생
血吸虫病%疫情%风险评估%监测预警系统%江苏省
血吸蟲病%疫情%風險評估%鑑測預警繫統%江囌省
혈흡충병%역정%풍험평고%감측예경계통%강소성
Schistosomiasis%Endemic situation%Risk assessment%Surveillance&forecast system%Jiangsu Province
目的：构建江苏省血吸虫病疫情监测与风险评估系统，为及时掌握血吸虫病传播风险并采取针对性防控措施提供技术支撑。方法按照血吸虫病流行程度、流行类型、流域水系特点在全省设立血吸虫病疫情监测点，开展人、畜病情和螺情现场调查，并对血检查病进行质量控制，分析、比较不同监测点人畜血吸虫感染率、螺情分布及血检漏检情况。结果在江苏省10个市26个县共设立27个血吸虫病疫情监测点，其中14个位于传播阻断村，13个位于传播控制村；15个监测点属江湖洲滩型流行区，9个水网型流行区，3个属山丘型流行区。27个监测点共采用胶体染料试纸条法（DDIA）筛查16617人，检出血清学阳性326人，血检阳性率为1.96%，其中男性阳性率为2.17%，女性阳性率为1.80%；采用尼龙绢集卵孵化法查病326人，在江滩型地区查出阳性2例，监测点人群血吸虫感染率为0.01%。调查762名流动人员，查出血检阳性10人，血检阳性率为1.31%，未查出粪检阳性病例。检查479头散放家畜，未发现阳性。共调查746个环境，查出钉螺面积240.70 hm2，钉螺平均密度为0.06只/0.1 m2，未发现感染性钉螺。27个监测点共检测780份质控血清，总符合率为95.13%，其中误检率为1.28%，漏检率为19.23%。结论江苏省血吸虫病疫情监测点布局合理，全省血吸虫病疫情呈低度流行态势。
目的：構建江囌省血吸蟲病疫情鑑測與風險評估繫統，為及時掌握血吸蟲病傳播風險併採取針對性防控措施提供技術支撐。方法按照血吸蟲病流行程度、流行類型、流域水繫特點在全省設立血吸蟲病疫情鑑測點，開展人、畜病情和螺情現場調查，併對血檢查病進行質量控製，分析、比較不同鑑測點人畜血吸蟲感染率、螺情分佈及血檢漏檢情況。結果在江囌省10箇市26箇縣共設立27箇血吸蟲病疫情鑑測點，其中14箇位于傳播阻斷村，13箇位于傳播控製村；15箇鑑測點屬江湖洲灘型流行區，9箇水網型流行區，3箇屬山丘型流行區。27箇鑑測點共採用膠體染料試紙條法（DDIA）篩查16617人，檢齣血清學暘性326人，血檢暘性率為1.96%，其中男性暘性率為2.17%，女性暘性率為1.80%；採用尼龍絹集卵孵化法查病326人，在江灘型地區查齣暘性2例，鑑測點人群血吸蟲感染率為0.01%。調查762名流動人員，查齣血檢暘性10人，血檢暘性率為1.31%，未查齣糞檢暘性病例。檢查479頭散放傢畜，未髮現暘性。共調查746箇環境，查齣釘螺麵積240.70 hm2，釘螺平均密度為0.06隻/0.1 m2，未髮現感染性釘螺。27箇鑑測點共檢測780份質控血清，總符閤率為95.13%，其中誤檢率為1.28%，漏檢率為19.23%。結論江囌省血吸蟲病疫情鑑測點佈跼閤理，全省血吸蟲病疫情呈低度流行態勢。
목적：구건강소성혈흡충병역정감측여풍험평고계통，위급시장악혈흡충병전파풍험병채취침대성방공조시제공기술지탱。방법안조혈흡충병류행정도、류행류형、류역수계특점재전성설립혈흡충병역정감측점，개전인、축병정화라정현장조사，병대혈검사병진행질량공제，분석、비교불동감측점인축혈흡충감염솔、라정분포급혈검루검정황。결과재강소성10개시26개현공설립27개혈흡충병역정감측점，기중14개위우전파조단촌，13개위우전파공제촌；15개감측점속강호주탄형류행구，9개수망형류행구，3개속산구형류행구。27개감측점공채용효체염료시지조법（DDIA）사사16617인，검출혈청학양성326인，혈검양성솔위1.96%，기중남성양성솔위2.17%，녀성양성솔위1.80%；채용니룡견집란부화법사병326인，재강탄형지구사출양성2례，감측점인군혈흡충감염솔위0.01%。조사762명류동인원，사출혈검양성10인，혈검양성솔위1.31%，미사출분검양성병례。검사479두산방가축，미발현양성。공조사746개배경，사출정라면적240.70 hm2，정라평균밀도위0.06지/0.1 m2，미발현감염성정라。27개감측점공검측780빈질공혈청，총부합솔위95.13%，기중오검솔위1.28%，루검솔위19.23%。결론강소성혈흡충병역정감측점포국합리，전성혈흡충병역정정저도류행태세。
Objective To establish the surveillance and risk assessment system of schistosomiasis in Jiangsu Province,so as to provide technical support for timely understanding of the risk of schistosomiasis transmission and implementation of target-ed control measures. Methods The surveillance sites of schistosomiasis were assigned according to the epidemic status and en-demic type of schistosomiasis as well as the characteristics of the water system,and the prevalence of Schistosoma japonicum in humans and domestic animals,and snail status were investigated. In addition,the quality control of serum detection of S. japon-icum infections was performed. The prevalence of human and animal S. japonicum infections,snail status and missing diagnosis of serum detection were analyzed and compared among regions. Results A total of 27 surveillance sites of schistosomiasis were set up in 26 counties of 10 cities,Jiangsu Province,including 14 sites in transmission-interrupted villages and 13 sites in trans-mission-controlled villages,and 15 sites in marshland and lake regions,9 sites in plain regions with water network and 3 sites in mountainous region. In the 27 surveillance sites,a total of 16 617 residents were screened for S. japonicum infection by using dipstick dye immunoassay(DDIA),and 326 were sero-positive,with a sero-prevalence of 1.96%(2.17%for men and 1.8%for women). Of the 326 individuals undergoing parasitological examination,2 positive cases were detected in the marshland and lake region,with a S. japonicum human prevalence of 0.01%. Of the 762 floating population detected,10 were positive for blood test,with a sero-prevalence of 1.31%,and no egg-positive individuals were detected. No infection was found in the 476 do-mestic animals. Of the 746 settings surveyed,a total of 240.7 hm2 snail area was detected,with a mean snail density of 0.06 snails/0.1 m2,and no infected snails were found. There were 780 quality-control sera detected in 26 surveillance sites of schisto-somiasis,and the gross coincidence rate was 95.13%,with misdiagnosis rate of 1.28%and missing diagnosis rate of 19.23%. Conclusion The surveillance sites of schistosomiasis show reasonable distribution in Jiangsu Province,and the endemic situa-tion of schistosomiasis appears a low level in the whole province.
