CAJ | 학술논문

目的：评估湖北省公安县2009~2013年血吸虫病综合治理措施的实施与效果，为湖北省达到传播控制标准后防治工作提供参考。方法收集公安县2009~2013年血吸虫病综合防治措施开展情况及疫情相关资料，结合随机抽取3个流行村开展的人群病情、耕牛病情和螺情现场调查，综合评价防治效果。结果卫生、农业、林业、水利等血防综合治理措施实施5年以来，全县人群血吸虫感染率从2009年的2.75%降至2013年的0.69%,下降率74.91%，连续5年未发生急感病例；全县耕牛血吸虫感染率从2009年的2.41%，降至2013年的0，下降率100.00%；2012年、2013年连续2年未查到感染性钉螺。结论全县5年实施血吸虫病综合治理成效明显，但当前疫情仍不稳定，今后需继续加强巩固与监测。
목적：평고호북성공안현2009~2013년혈흡충병종합치리조시적실시여효과，위호북성체도전파공제표준후방치공작제공삼고。방법수집공안현2009~2013년혈흡충병종합방치조시개전정황급역정상관자료，결합수궤추취3개류행촌개전적인군병정、경우병정화라정현장조사，종합평개방치효과。결과위생、농업、임업、수리등혈방종합치리조시실시5년이래，전현인군혈흡충감염솔종2009년적2.75%강지2013년적0.69%,하강솔74.91%，련속5년미발생급감병례；전현경우혈흡충감염솔종2009년적2.41%，강지2013년적0，하강솔100.00%；2012년、2013년련속2년미사도감염성정라。결론전현5년실시혈흡충병종합치리성효명현，단당전역정잉불은정，금후수계속가강공고여감측。
Objective To assess the outcomes of integrated schistosomiasis controls measures implement?ed from 2009 through 2013 in Gongan county of Hubei Province for evidences in following consultation with the mission after reaching the control criteria. Methods Data on the endemic status and implementation of in?tegrated measures in Gongan county were initially collected and reviewed from 2009 to 2013. Then three ad?ministrative village with a history of endemic schistosomisis were randomly selected for comprehensive evalua?tion of the control efficacies through field survey on the status of local population infection and cattle infection as well as snails. Results By joint efforts from authorities of public health, agriculture, forestry and water conser?vancy in 5-year implementation of the control measures, schistosoma infection rate was brought from 2.75%in 2009 to 0.69%in 2013(decreased by 74.91%) for local population, and 2.41%to zero(decreased by 100%) for the livestock/cattle. No acute infection case with schistosomiais was reported in consecutive 5 years, and no in?fectious snails were found in 2012 and 2013. Conclusion The control effects are remarkable in Gongan county in the past 5 years, however, consolidated measures and surveillance are needed because current endemic condi?tion remain unstable.