2000～2003年全国血吸虫病疫情监测结果分析  

NATIONAL SURVEILLANCE OF SCHISTOSOMIASIS IN CHINA, FROM 2000 TO 2003

作　　者：赵根明[1] 王立英[2] 赵琦[1] 陈贤义[2] 肖东楼[2] 何纳[1] 韦建国[1] 庄建林[1] 姜庆五[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]卫生部疾病控制司

出　　处：《中国血吸虫病防治杂志》2004年第6期405-410,共6页Chinese Journal of Schistosomiasis Control

摘　　要：目的　分析全国血吸虫病疫情监测点 4年来的疫情变化规律。方法　根据《全国血吸虫病疫情监测点方案》,对全国疫情监测点 2 0 0 0～ 2 0 0 3年的疫情进行纵向监测。结果　在 2 1个监测点中 ,6个监测点居民血吸虫感染率呈下降趋势 ;2个监测点活螺密度和感染螺密度逐步下降 ,但多数监测点的螺情仍未得到有效的控制 ;大部分监测点耕牛感染率年间有起伏且感染率居高不下 ;监测点4年中每年均有急性血吸虫病例发生 ,但晚期血吸虫病人数没有明显变化 ;在消灭地区的上海枫泾监测点未发现新病例及阳性钉螺。结论　现有防治措施在血吸虫病情控制上已取得一定成效 ,但应长期坚持 ,而钉螺和耕牛的监测和控制尚需进一步加强。Objective To identify the trends of endemic situation among twenty-one national surveillance sites from 2000 to 2003.Methods According to the protocol of the national surveillance system, longitudinal surveillance of endemic situation of schistosomiasis was carried out at twenty-one surveillance sites since 2000. Results The infection rate of Schistosoma japonicum decreased in six surveillance sites. The density of living snails and the density of infected snails decreased in two sites. However, it was not well controlled in most sites. The infection rate of cattle fluctuated yearly in most of sites and maintained at a high level. During the surveillance period, acute cases were found annually and the number of advanced patients did not change significantly. No new case and infected snails were found in Fengjing site of Shanghai since 2000, where schistosomiasis was eliminated two decades ago.[WT5”HZ] Conclusion Current control strategies have impact on schistosomiasis control. However, these strategies should last for longer time and the surveillance on snails and cattle should be enhanced.

关 键 词：血吸虫病 疫情 监测 

分 类 号：R532.21[医药卫生—内科学]