CAJ | 학술논문

目的：分析2004-2014年安徽省血吸虫病疫情动态变化，为制订“十三五”血吸虫病防治规划提供参考依据。方法收集2004-2014年安徽省血吸虫病防治信息资料、疫情监测资料，分析全省血吸虫病疫情变化。结果安徽省钉螺面积自2004年以来呈波动上升趋势，至2011年达到最高近3.1亿m2；自2012年起钉螺面积开始下降，2012年钉螺面积较2011年下降了10.55%，2014年钉螺面积降低到近10年来最低水平。2004-2008年全省钉螺密度处于波动状态，2008年以后全省钉螺密度总体呈下降趋势，自2011年起钉螺平均密度均<1只/0.1 m2。2004-2011年全省钉螺感染率呈现波动徘徊状态，2012年钉螺感染率迅速下降，2013、2014年连续2年未发现感染性钉螺。2004-2014年人群血吸虫感染率呈现逐年下降趋势，2006年以后各年份急性血吸虫感染人数均在50例以下，且病例呈散在分布，2013、2014年全省无急性血吸虫感染发生。2004-2011年家畜血吸虫感染率均>1%，2012年快速下降至0.55%，2014年家畜感染率首次低于同期人群血吸虫感染率。2011年以后，全省血吸虫病传播控制达标进程加速，2012-2014年全省血吸虫病传播控制达标县（市、区）数分别为4、9、14个，乡（镇）数分别为33、76个和32个。结论安徽省血吸虫病防治工作取得显著成效，但巩固成果乃至阻断血吸虫病传播的任务仍很艰巨。
목적：분석2004-2014년안휘성혈흡충병역정동태변화，위제정“십삼오”혈흡충병방치규화제공삼고의거。방법수집2004-2014년안휘성혈흡충병방치신식자료、역정감측자료，분석전성혈흡충병역정변화。결과안휘성정라면적자2004년이래정파동상승추세，지2011년체도최고근3.1억m2；자2012년기정라면적개시하강，2012년정라면적교2011년하강료10.55%，2014년정라면적강저도근10년래최저수평。2004-2008년전성정라밀도처우파동상태，2008년이후전성정라밀도총체정하강추세，자2011년기정라평균밀도균<1지/0.1 m2。2004-2011년전성정라감염솔정현파동배회상태，2012년정라감염솔신속하강，2013、2014년련속2년미발현감염성정라。2004-2014년인군혈흡충감염솔정현축년하강추세，2006년이후각년빈급성혈흡충감염인수균재50례이하，차병례정산재분포，2013、2014년전성무급성혈흡충감염발생。2004-2011년가축혈흡충감염솔균>1%，2012년쾌속하강지0.55%，2014년가축감염솔수차저우동기인군혈흡충감염솔。2011년이후，전성혈흡충병전파공제체표진정가속，2012-2014년전성혈흡충병전파공제체표현（시、구）수분별위4、9、14개，향（진）수분별위33、76개화32개。결론안휘성혈흡충병방치공작취득현저성효，단공고성과내지조단혈흡충병전파적임무잉흔간거。
Objective To analyze the changes of schistosomiasis endemic situation in Anhui Province from 2004 to 2014, so as to provide the evidence for formulating“The thirteenth five year”schistosomiasis control plan. Methods The information for schistosomiasis control and the data of the endemic surveillance of schistosomiasis were collected and analyzed for the chang?es of schistosomiasis endemic situation in Anhui Province from 2004 to 2014. Results The Oncomelania hupensis snail areas presented on a rising trend,and reached to the largest area with about 3.1 billon m2 in 2011. However,the snail areas decreased from 2012,and reduced by 10.55%in 2012 compared with the areas in 2011,and reduced to the lowest level in 2014 in recent 10 years. The density of living snails presented a fluctuation situation from 2004 to 2008,and on a decreasing trend from 2008, and the density of living snails was below 1 snail/0.1 m2 after 2011. The infection rate of snails remained stagnant state from 2004 to 2011,and decreased rapidly in 2012,and no schistosome infected snails were found in 2013 and 2014. The schistosome in?fection rate of residents decreased gradually,and the number of acute schistosomiasis was under 50 cases with scattered distribu?tion after 2006,and no acute cases occurred in 2013 and 2014. The infection rate of livestock was above 1%from 2004 to 2011, and reduced to 0.55%in 2012,and it was the first time that the infection rate of livestock was lower than that of residents in the same year in 2014. The progress for achieving the goal of schistosomiasis transmission control accelerated after 2011,and the number of counties that reached the standard of schistosomiasis transmission controlled from 2012 to 2014 was 4,9 and 14 and the number of townships was 33,76 and 32,respectively. Conclusion Schistosomiasis control has achieved remarkable effec?tiveness in Anhui Province,but there still exists hard work to consolidate the achievement and reach schistosomiasis transmis?sion interrupted.