湖北省预防控制血吸虫病中长期规划中期效果评估  

Evaluation of mid-term effectiveness of medium-and-long-term programme for prevention and control of schistosomiasis japonica in Hubei province

作　　者：朱红[1] 刘建兵[1] 蔡顺祥[1] 黄希宝[1] 肖瑛[1] 涂祖武[1] 周晓蓉[1] 张聪[1] 

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《热带医学杂志》2015年第4期548-551,共4页Journal of Tropical Medicine

基　　金：国家科技支撑计划(2009BAI78B07);湖北省卫生厅血吸虫病防治科研项目(XF2010-5;XF2010-27;XF2012-26)

摘　　要：目的评价湖北省预防控制血吸虫病中长期规划中期效果。方法采取以人畜查治病、钉螺控制、晚期血吸虫病救治、传染源控制为主的综合治理等措施,实施预防控制血吸虫病中长期规划,评价防治效果。结果 2004-2008年全省共查病11 063 267人,治疗血吸虫病1 053 051人,扩大化疗5 055 932人。检查家畜（耕牛）1 240 986头,治疗病畜49 710头,扩大化疗800 741头。累计开展药物灭螺98 512.48 hm2,环境改造灭螺29 899.25 hm2。9个试点村及12个重流行县（市、区）以点带面开展了传染源控制措施。至2008年底,全省人、畜（耕牛）感染率分别降至1.71%、2.20%,较2004年分别下降56.15%、64.69%。钉螺面积徘徊在7.55亿～7.99亿m2之间。期间全省达到了疫情控制标准,另3个县达到了传播控制标准,4个县达到了传播阻断标准。结论湖北省通过实施以人畜查治病、控制钉螺、晚期血吸虫病救治、传染源控制为主的综合防治策略及措施,如期实现全国预防控制血吸虫病中长期规划中期目标。Objective To evaluate the mid-term effectiveness of the medium-and-long-term programme for prevention and control of schistosomiasis japonica in Hubei Province.Methods The comprehensive measures were carried out in the programme,including the schistosomiasis detection and chemotherapy for residents and livestock,snail control,treatment of advanced schistosomiasis cases,and infectious source control.The mid-term effectiveness of the programme was observed and evaluated.Results The number of 11 063 267 persons lived in endemic area were detected.1 053 051 schistosomiasis patients and 5 055 932 persons with the history of infected water contacting were treated.The number of 1 240 986 cattle raised in endemic area were detected.49 710 positive cattle were treated;800 741 cattle with history of infested water contact were treated.The area with snails control by molluscicides was 98 512.48 hm2,and the area with snails control by environmental modification was 29 899.25 hm2.The infectious source control measures were carried out in 9 pilot villages and 12 heavy epidemic counties（city,area） from 2004 to 2008.To the end of 2008,the province′ s people,livestock（cattle） infection rate dropped to 1.71%,2.20%,respectively;they decreased for 56.15%,64.69% compared to 2004,respectively.The areas with snails fluctuated from 75 469.10 to 79 921.46 hm2 during the period of 2004 to 2008.During these years,the whole province reached the criteria of infection-controlled areas of schistosomiasis.Besides,3 counties reached the criteria of transmission control,and 4 counties reached the criteria of transmission interruption.Conclusion We achieved the goal of medium-and-long-term programme for prevention and control of schistosomiasis japonica in Hubei Province,through the measures of comprehensive strategy of schistosomiasis control.

关 键 词：血吸虫病 效果评估 中长期规划 湖北 

分 类 号：R383.24[医药卫生—医学寄生虫学]