摘要
本文通报了2018年全国血吸虫病疫情,并对全国血吸虫病预防控制工作数据和453个国家血吸虫病监测点疫情监测数据进行了汇总和分析。截至2018年底,全国12个血吸虫病流行省(直辖市、自治区)中,上海、浙江、福建、广东、广西等5个省(直辖市、自治区)继续巩固血吸虫病消除成果,四川省达到传播阻断标准,云南、江苏、湖北、安徽、江西、湖南等6个省达到传播控制标准。全国共有450个血吸虫病流行县(市、区),总人口2.60亿人;共有28456个流行村,总人口7005.97万人。全国450个流行县(市、区)中,263个(58.44%)达到消除标准,124个(27.56%)达到传播阻断标准,63个(14.00%)达到传播控制标准。2018年全国尚存晚期血吸虫病病人29214例。2018年全国共开展询检查病1112.76万人,阳性206.29万人;开展血检查病719.14万人,阳性13.85万人;开展病原学检查53.22万人,阳性8人。2018年全国共有19821个流行村开展了钉螺分布调查,7321个村查出钉螺,占调查总数的36.94%,新查出3个有螺村;共查螺590241.01 hm^2,查出有螺面积168319.41 hm^2,其中新发现有螺面积61.28 hm^2,未发现感染性钉螺。2018年我国血吸虫病流行区现有存栏耕牛646823头,血检查病225258头,阳性2638头;开展粪检查病164803头,阳性2头。2018年全国共治疗血吸虫病患者90388例,扩大化疗1490594人·次;治疗病牛2头,扩大化疗耕牛352577头·次;开展药物灭螺总面积141660.87 hm^2,实际药物灭螺75308.26 hm^2,环境改造灭螺4738.37 hm^2。2018年全国453个国家血吸虫病监测点中,居民和耕牛平均血吸虫感染率分别为0.0015%和0,未发现感染性钉螺。疫情数据分析显示,全国血吸虫病疫情总体保持持续下降态势,但血吸虫病传播风险依然存在,部分地区距离实现《"十三五"全国血吸虫病防治规划》确定的2020年目标仍存在挑战。
This report presented the endemic status of schistosomiasis in the People’s Republic of China at a national level in2018,and analyzed the data collected from the national schistosomiasis prevention and control system and 453 national schistosomiasis surveillance sites.Among the 12 provinces(municipality and autonomous region)endemic for schistosomiasis in China,5 provinces(municipality and autonomous region),including Shanghai,Zhejiang,Fujian,Guangdong and Guangxi,continued to consolidate the achievements of schistosomiasis elimination,Sichuan Province achieved transmission interruption and 6 provinces of Yunnan,Jiangsu,Hubei,Anhui,Jiangxi and Hunan achieved transmission control by the end of 2018.There were 450 endemic counties(cities,districts)covering 260 million people,specifically including 28456 endemic villages covering 70.0597 million people at risk of infection.Among the 450 endemic counties(cities,districts),58.44%(263/450),27.56%(124/450)and14.00%(63/450)reached the criteria of elimination,transmission interruption and transmission control,respectively.By the end of 2018,a total of 29214 advanced schistosomiasis cases were documented in China.In 2018,a total of 11.1276 million individuals received inquiry examinations and 2.0629 million were positive;7.1914 million individuals received serological tests and138.5 thousand of them were positive,532.2 thousand individuals received stool examinations and 8 were positive in China.In2018,snail survey was performed in 19821 endemic villages and Oncomelania snails were found in 7321 villages,accounting for 36.94%of all surveyed villages,with 3 newly detected villages with snails in China.Snail survey covered an area of590241.01 hm2 and 168319.41 hm2 snail habitats were found,including emerging snail habitats of 61.28 hm2;however,no infected snails were identified.In 2018,a total of 646823 bovines were raised in the schistosomiasis endemic areas of China,and225258 received serological examinations,with 2638 positives detected,while 164803 bovines received sto
作者
张利娟
徐志敏
郭婧怡
戴思敏
党辉
吕山
许静
李石柱
周晓农
ZHANG Li⁃Juan;XU Zhi⁃Min;GUO Jing⁃Yi;DAI Si⁃Min;DANG Hui;LÜShan;XU Jing;LI Shi⁃Zhu;ZHOU Xiao⁃Nong(National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,WHO Collaborating Center for Tropical Diseases,Chinese Center for Tropical Diseases Research,National Center for International Research on Tropical Diseases,Ministry of Science and Technology,Key Laboratory of Parasite and Vector Biology of National Health Commission,Shanghai 200025,China)
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2019年第6期576-582,共7页
Chinese Journal of Schistosomiasis Control
基金
国家科技重大专项（2018ZX10101002-002、2018ZX10004222-004）
关键词
血吸虫病
疫情
中国
Schistosomiasis
Endemic situation
China
