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作 者:杨光斌[1] 涂祖武[1] 蔡顺祥[1] 黄希宝[1] 刘建兵[1] 朱惠国[1] 朱红[1] 龚新国[1] 徐兴建[1]
出 处:《公共卫生与预防医学》2013年第1期31-34,共4页Journal of Public Health and Preventive Medicine
基 金:湖北省卫生厅血吸虫病防治专项(XF 2008-20)
摘 要:目的考核评估湖北省2011年血吸虫病防治目标和效果。方法分析湖北省2010、2011年血吸虫病疫情;重点查阅和审核全省21个血吸虫病疫情控制县(市、区)(以下简称县)2010、2011年血吸虫病防治资料;每个疫情控制县抽查1个疫情较重流行村现场调查人群血吸虫感染情况,抽查3个疫情较重流行村现场调查耕牛血吸虫感染情况,考核和评估血吸虫病疫情现状。结果防治资料表明,2011年全省5 447个流行村人群、家畜血吸虫感染率均降至2%以下;人群血吸虫感染率≥1%的村数为1 325个,较2010年减少905个(含应城24个村),下降40.58%;耕牛血吸虫感染率≥1%的村数550个,较2010年下降了53.27%;感染性钉螺132处,较2010年减少274处(含钟祥9处、鄂州2处),下降67.49%。人群病情现场调查共抽查21个村,血检4 724人,血检结果阳性469人,血检阳性者再粪检456人,粪检阳性12人,平均血吸虫感染率为0.26%。家畜(耕牛)病情调查共抽查63个村,结果发现其中21个村无牛,42个村有牛;对42个村耕牛粪检2 279头,粪检阳性6头,平均感染率为0.26%。人群走访调查共抽查42个村1 190人,与资料相符合1 182人,符合率为99.33%。钉螺核查共调查48处,调查2 311框,捕获钉螺479只,解剖发现感染性钉螺1只。结论湖北省2011年全部流行村人群、家畜血吸虫感染率均降至2%以下,人群、家畜血吸虫感染率≥1%的村数均下降40%以上,感染性钉螺处数下降60%以上,没有报告急性血吸虫病病例,血吸虫病疫情得到较好控制,全省及疫区各县均实现了2011年血吸虫病防治目标。Objective To evaluate the outcome of the prevention and control program of schistosomiasis in Hubei Province in 2011. Methods The prevention and control data of schistosomiasis of Hubei Province were consulted and audited, especially 21 epidemic-controlled counties during 2010 and 2011. Twenty-one epidemic villages were randomly investigated, sehistosome infection rates of human and livestock were investigated in the field. Meanwhile, data arrangement and pigeonhole were also examined to evaluate the actual state of schistosomiasis situation. Results Data of schistosomiasis epidemic in Hubei province showed that the human and livestock infection rates were both below 2% in 5 447 endemic villages. The number of the villages with the human infection rate ≥1%, had a decrease of 40. 58%. The number of the villages with the cattle infection rate ≥1%, had a decrease of 53.27%. The inhabitant sites withinfeeted snail had a decrease of 67. 49%. Field investigation demonstrated that the infection rates of human and livestock were all below 2% in 63 inves- tigated epidemic villages. Conclusions The infection rates of human and livestock in 5 447 villages were all below 2% in Hubei province. The number of villages with the infection rates of human or of cattle below ≥ 1%, decreased more than 40%. And the areas with infected snail decreased more than 60%. No acute case of schistosomiasis was reported in 2011. The epidemic situation of schistosomiasis was under control., The yearly target for schistosomiasis control were reached in 63 endemic counties in Hubei province.
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