摘要
目的评价江苏省血吸虫病防治重点村(血防重点村)实施综合治理的效果。方法收集107个血防重点村的基础资料和综合治理措施实施情况,采用现场调查方法,每年对血防重点村历史有螺环境采用系统抽样法进行螺情调查,并进行人畜病情调查,分析17个实施血防重点村综合治理县(市、区)螺情指标和人畜病情指标变化趋势,比较对策实施前后疫情控制效果。结果在全省17个县(市、区)的107个血防重点村共实施"以机代牛"931头,圈养家畜8554头,建造三格式无害化厕所75129座,硬化护坡河道217.4km,建造阻螺涵闸144座,切滩清淤土方324万m3,种植灭螺1521.07hm2,兴林抑螺1746.01hm2,蓄水养殖灭螺906.47hm2,药物灭螺13671.52hm2,居民查病20.87万人,血防健康教育54.85万人次。实施综合治理后,17个县(市、区)全部达到疫情控制标准,其中1个县恢复达到传播阻断标准,6个县(市、区)达到传播控制标准。2003～2008年17个县(市、区)钉螺面积、感染性钉螺面积、钉螺感染率、居民感染率和家畜感染率呈逐年下降趋势,其中钉螺面积分别为7243.06、7625.23、7701.07、5887.96、4487.75hm2和3775.26hm2,感染性钉螺面积分别为2173.93、2130.53、1767.70、1444.34、802.73hm2和124.19hm2,钉螺感染率分别为0.31%、0.16%、0.13%、0.21%、0.09%和0.02%,居民感染率分别为0.57%、0.20%、0.13%、0.03%、0.01%和0.02%,家畜感染率分别为0.40%、0.37%、0.10%、0.04%、0.01%和0,分别比实施综合治理前下降了47.88%、94.29%、92.55%、96.94%和100%。结论整合部门资源,实施整村推进,是加快防治工作进程,实现"治理一片、成功一片、巩固一片"的有效举措。
Objective To evaluate the effect of comprehensive control for schistosomiasis in the key villages of Jiangsu Province. Methods The basic data and the comprehensive interventions in the 107 key villages were collected. The historical snail environment was surveyed by using the systematic sampling method,and the morbidity of schistosomiasis in human residents and domestic animals was surveyed in the key villages annually from 2003 to 2008. The changes of the snail status and the morbidity of schistosomiasis in human residents and domestic animals in the 17 counties （districts） that contained key villages were analyzed,and the effects of the infection control before and after the implementation of the comprehensive interventions were compared. Results A total of 931 cattle were replaced with machines in 107 key villages of 17 counties （districts）,8 554 domestic animals being raised in pens,75 129 harmless public toilets with 3-inner-part excrement pools being set up,217.4 km riverway being concreted,144 sluices for preventing snails dispersal being built,3.24 million m3 marshlands being cleaned,an area of snail control with tree-planting being 1 521.07 hm^2,an area of snail control with forest-flourishing being 1 746.01 hm^2,an area of snail control with reserving water and agriculture being 906.47 hm^2,an area of snail control with molluscicides being 13 671.52 hm^2,208.7 thousand residents being examined for schistosomiasis,and 548.5 thousand persons （times） receiving health education for schistosomiasis control. All of the 17 counties （districts） reached the criteria of infection control after the comprehensive control,among which one renewed the criteria of transmission interruption,6 reached the criteria of transmission control. The areas with snails and infected snails,the infection rates of snails,residents and domestic animals all presented a downtrend in the 17 counties （districts） from 2003 to 2008,among them,the areas with snails were 7 243.06,7 625.23,7 701.07,5 887.96,4 487.75 hm^2 a
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2009年第4期285-289,共5页
Chinese Journal of Schistosomiasis Control
关键词
日本血吸虫病
综合治理
效果评价
江苏省
Schistosomiasis japonica
Comprehensive control
Effect evaluation
Jiangsu Province
