CAJ | 학술논문

目的掌握浙江省血吸虫病疫情变化情况,为制定防治策略提供科学依据.方法系统抽样结合环境抽查法进行螺情监测,查到的钉螺用压碎法检查血吸虫感染情况,用土埋结合药物方法灭螺.对血清学筛查结果阳性者(畜)进行粪检确认.结果 2012年浙江省实际有螺乡镇95个,有螺村343个,实有钉螺面积102.3×104 m2,其中新发钉螺面积0.34×104 m2;解剖钉螺91 281只,未发现感染性钉螺.血清学查病131 288人,阳性率为0.89％(1165/131 288),查出输入性血吸虫患者7例(其中1例为急性血吸虫病例),未发现本地粪检阳性患者(畜).2012年浙江省共有历史晚血病例1171例,实际救助晚血患者1014人.结论浙江省血吸虫病疫情稳定,但残存钉螺面积呈上升趋势,输入性病例时有发生,今后血防重点是查灭钉螺和防控外来传染源.
목적 장악절강성혈흡충병역정변화정황,위제정방치책략제공과학의거.방법 계통추양결합배경추사법진행라정감측,사도적정라용압쇄법검사혈흡충감염정황,용토매결합약물방법멸라.대혈청학사사결과양성자(축)진행분검학인.결과 2012년절강성실제유라향진95개,유라촌343개,실유정라면적102.3×104 m2,기중신발정라면적0.34×104 m2;해부정라91 281지,미발현감염성정라.혈청학사병131 288인,양성솔위0.89％(1165/131 288),사출수입성혈흡충환자7례(기중1례위급성혈흡충병례),미발현본지분검양성환자(축).2012년절강성공유역사만혈병례1171례,실제구조만혈환자1014인.결론 절강성혈흡충병역정은정,단잔존정라면적정상승추세,수입성병례시유발생,금후혈방중점시사멸정라화방공외래전염원.
Objective To investigate the epidemic status of schistosomiasis in Zhejiang province,so as to provide scientific data for the strategies formulating on schistosomiasis control.Methods The epidemic status of snails were investigated by the method of systematic sampling combined with environmental sampling.Snails were dissected to determine the infection status and eliminated by earth-covered method combined drug treatment.The positive cases (livestock) who tested by serological examination were confirmed by fecal examination.Results The residual area was 102.3×104 m2 in 95 counties,343 villages and 0.34×104 m2 newly detected area were reported in Zhejiang in 2012.No infective snail was found among 91 281 snails dissected.The serological examination were carried out in 131 288 individuals and the positive rate was 0.89％ (1165/131 288).No native case was found except 7 imported cases,including 1 acute case.There were 1171 cases of advanced schistosomiasis confirmed in 2012,and 1014 cases of them were treated.Conclusions The epidemic status of schistosomiasis in Zhejiang is stable despite of a fairly high rate of residual snail area and the imported cases sometimes,and the control of residual snail and imported cases is the key point for schistosomiasis control in the future.