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作 者:张倩[1] 陈颖丹[2] 许隆祺[2] 郑灿军[1] 李华忠[1]
机构地区:[1]中国疾病预防控制中心疾病控制与应急处理办公室,北京102206 [2]中国疾病预防控制中心寄生虫病预防控制所
出 处:《中国血吸虫病防治杂志》2011年第5期476-482,共7页Chinese Journal of Schistosomiasis Control
摘 要:目的探索土源性线虫病综合防治策略,为防治工作提供示范。方法选择8个示范区实施以健康教育为先导、传染源控制为主的综合防治措施,对基线调查和实施干预措施后的人群土源性线虫感染率、卫生知识知晓率、卫生行为合格率、改厕覆盖率和改水受益率进行比较和分析。结果 8个示范区共覆盖农村人口2808141人,接受健康教育对象422.79万人次。新增无害化厕所259638户,总覆盖率为56.43%,较2006年上升了54.35%;新增改水受益人口790673人,总受益率为71.55%,较2006上升了37.20%。共完成药物驱虫643.27万人次,人群平均卫生知识知晓率从45.18%上升至95.92%,平均卫生行为合格率从57.38%上升至98.78%;土源性线虫感染率从35.88%下降到7.75%。结论以健康教育为先导、传染源控制为主的综合防治策略符合我国当前农村实际,示范成效显著,达到了预期目标。Objective To explore the control strategies so as to provide the demonstration for controlling the infection of soil-transmitted helminthes(STH).Methods The program applied the strategies of health education intervention first,control of infection sources as the second,and carried out the treatment for the target people depending on their prevalence.Infection rates of STH,the awareness of relevant hygiene knowledge,practice in hygiene way,the usage of harmless toilets and safe water were compared with the baseline.Results A total of 2 808 141 rural people in 10 demonstration zones were covered by this program.From 2007 to 2009,the health education was conducted to 4 227 900 person-times;259 638 harmless toilets were built;790 673 people benefited from the safe water supply;and the treatment was given to 6 432 700 person-times.An assessment for the program in 2009 showed that 95.92% of the target people gained the relevant hygiene knowledge,98.78% practiced in hygiene way in their daily life,which increased by 112.31% and 72.15%,respectively when comparing with those in 2006;56.43% people used harmless toilets,which increased by 54.35%;71.55% benefited from safe water supply,which increased by 37.20%.The average infection rate of STH was 7.75%,which reduced by 78.39%.Conclusions The strategies applying health education combined with the control of infectious sources meet the needs of rural people in China.The establishment of demonstration zones is effective in controlling parasitic diseases.
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