国家级寄生虫病综合防治示范区的防治效果及措施评价  

The measures and effects for parasitic diseases prevention and control in Rongxian County nationally integrated-demonstration areas,Guangxi

作　　者：黎学铭[1] 杨益超[1] 欧阳颐[1] 万孝玲[1] 张伟尉[1] 申继清[2] 黄铿凌[1] 许洪波[1] 王静[2] 李文[3] 梁炯明[3] 谢石光 何其斌 郭发元 蔡凤清 孙强[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028 [2]广西医科大学,南宁530021 [3]广西玉林市疾病预防控制中心,537000 [4]广西容县疾病预防控制中心,537500

出　　处：《应用预防医学》2012年第6期346-350,共5页Applied Preventive Medicine

摘　　要：目的对广西容县寄生虫病综合防治示范区的效果和措施进行评价,为探索防治新模式提供科学依据。方法采用改良加藤法,对3岁以上的居民进行土源性线虫检查;采用阿苯达唑咀嚼片和甲苯咪唑咀嚼片驱虫;开展以实物为证据的视觉教育为主的健康教育活动;采用问卷调查方式进行卫生知识和卫生行为调查;收集改水改厕人群覆盖情况等资料,同时采用问卷调查方式抽查。结果 2006～2011年群众服药驱虫共2 065 579人次;其中2006～2009年服药率为78.00%～88.06%。发放宣传资料和信息等共190万多份。群众知晓率从2006年的71.60%提高到2011年的93.33%,卫生行为合格率从74.40%提高到93.33%。改水受益人口共69万多人,改水累计受益率为96.93%;修建无害化厕所共10万多户,卫生厕所普及率为87.91%;改造洼地共5 000多处,清理疏通沟渠共40公里,清理畜圈共15万多处。寄生虫总感染率从2006年的30.10%降至2011年的3.56%,呈大幅度下降。结论以实物为证据的视觉教育为主的健康教育,充分发掘农、林、水和爱卫部门改善环境卫生为基础的卫生资源,适当的群体药物驱虫,三种措施联合实施能够快速有效控制寄生虫病流行。Objective To explore the Comprehensive measures of soil-borne nematodes prevention and control in Rongxian County, Guangxi and provide scientific evidences for preventive strategy of soil-transmitted nematode. Methods The soli- transmitted helminth were checked with improved- Kato in local residents over the age of 3. Egg positive was determined by 1 fecal 3 tests system. Albendazole and mebendazole chewable tablets were used to deworming. Visual-based health education with in-kind of evidence was carried out. Health knowledge and behavior was also surveyed through questionnaire. The water and lavatory- improving data were collected, while spot- check was performed through questionnaire. Results Deworming treatment was processed by a total of 2 065 579 person-times in 2006 - 2009, and the rate of treatment was 78% to 88.06% in 2006 ~ 2011. A total of more than 1.9 million propaganda materials and massages, etc. were extended. The rate of awareness by people increased from 71.6% in 2006 to 93.33% in 2011, while the pass rate increased from 74.40% to 93.33%. Over 69 million people were benefit from water- improving program, and the rate of beneficial population accumulated to 96.93%. More than 10 million harmless- toilets were constructed, and the applying rate of sanitary toilets reached 87.91%. More than 5 000 low-lying lands were transformed, 40 km ditches were dredged, and more than 15 million livestock pens were cleaned up. Parasite infection rate decreased substantially from 30.00% in 2006 to 3.56% in 2011. Conclusion The parasitic diseases are quickly and effectively controlled through the combinational apply of the following three measures： Visual-based health education with in-kind of evidence, taking full advantage of the social resources based by the departments on environment improving of agriculture, forestry,irrigation works, and patriotic sanitation campaign, and deworming in appropriate populations.

关 键 词：寄生虫病 示范区 防治效果 措施 

分 类 号：R53[医药卫生—内科学]