南水北调东线高邮段2006年血吸虫病疫情监测  

Surveillance on status of schistosomiasis in Gaoyou part of the east line of South-north Water Diversion Project in 2006

作　　者：高金彬 陈业军[1] 匡瑞祥 朱玉芳[1] 贺泳 万众[1] 

机构地区：[1]江苏省高邮市疾病预防控制中心,江苏高邮225600

出　　处：《中国病原生物学杂志》2008年第3期212-214,共3页Journal of Pathogen Biology

基　　金：江苏省卫生厅资助项目(NoX200512)

摘　　要：目的探索南水北调东线工程输水干线高邮段血吸虫病疫情监测方法和防治措施,为调水后进一步做好防治工作提供科学依据。方法在试调水前1年(2006年),选择输水干线江苏省高邮段作为观察点,对高邮段境内的三阳河、大运河及其两岸3km范围,以及全部湖滩,开展螺情、病情等监测,并采取相应的防治措施。结果通过1年的疫情监测,高邮段总体上呈"有螺无病"态势。查出钉螺面积小于历史有螺面积的2%,未发现感染性钉螺以及当地感染的血吸虫病人和病畜。通过医院门诊应用胶体染料试纸条(DDIA)监测病情,及时发现2例输入性传染源。对残存钉螺采用新型灭螺药物4%氯硝柳胺乙醇胺盐粉剂进行喷杀,取得较好效果。通过开展血防健康教育和健康促进,有利于群防群治。结论监测点所采用的综合性防治措施可有效地控制血吸虫病疫情。调水后要密切观察疫情变化,注重血防健康教育和健康促进,强化对重点人群和流动人员的病情监测,加强螺情监测,利用社会资源,积极控制和消灭残存钉螺。Objective To explore the survey methods and control measures for schistosomiasis, and provide the scientific preventing and control basis for schistosomiasis after the east line of water distribution project working in Gaoyou part of the east line of South-north Water Diversion Project. Methods The 3 km range of water distribution line including Sanyang Rive and Grand Canal within the Gaoyou boundary were selected as study areas in 2006, and survey on snail distribution and schistosomiasis were carried out, and the corresponding preventing and controlling measure was also adopted. Results Through 1 year epidemic situation monitor, the oval situation of Gaoyou was shown that no case was found although there were snails. The area of snail habitat was less than 2% the area of history snail habitats, no infected snail and population and livestock was found, and two import cases were found using dipstick dye immunoassay （DDIA）. The survival snails were killed using 4% powder of niclosamide ethanolamine salt, and the killing effect was good. Health education was carried out to provide the advantageous condition for mass prevention and treatment. Conclusion The measures adopted in study areas can effectively control the epidemic situation of schistosomiasis. After the project work, health education and survey on the high risk and floating population should be strengthen, and the society source should be used to control and kill the survival snails.

关 键 词：南水北调东线 血吸虫病 疫情 监测 高邮市 

分 类 号：R383.24[医药卫生—医学寄生虫学]