2010-2015年江苏省血吸虫病防治规划实施效果评估  

Evaluation of implementation effect of schistosomiasis control program in Jiangsu Province from 2010 to 2015

作　　者：施亮 张键锋[1] 黄轶昕[1] 杭德荣[1] 闵捷[2] 葛均[2] 谢朝勇[3] 张联恒 王琳[4] 左引萍 周靖[6] 张轩[7] 谢轶青[8] 孙伯超 丁桂生[10] 陈剑峰[11] 孙道宽 李伟[1] 杨坤[1] SHI Liang;ZHANG Jian-Feng;HUANG Yi-Xin;HANG De-Rong;MIN Jie;GE Jun;XIE Chao-Yong;ZHANG Lian-Heng;WANG Lin;ZUO Yin-Pin;ZHOU Jing;ZHANG Xuan;XIE Yi-Qing;SUN Bo-Chao;DING Gui-Sheng;CHEN Jian-Feng;SUN Dao-Kuan;LI Wei;YANG Kun(Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Institute of Parasitic Diseases, Public Health Research Center at Jiangnan University, Wuxi 214064, China;Nantong Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Taizhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Jinhu County Schistosomiasis Control Station, Huai'an, Jiangsu Province, China;Jiangsu Provincial Office of Leading Group for Schistosomiasis and Other Endemic Diseases Control, China;Nanjing Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Zhenjiang Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Yangzhou Municipal Center for Disease Control and Prevention, Jiangsu Province,China;Suzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Wuxi Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Changzhou Municipal Center for Disease Control and Prevention, Jiangsu Province, China;Yancheng Municipal Center for Disease Control and Prevention, Jiangsu Province, China)

机构地区：[1]江苏省血吸虫病防治研究所国家卫生健康委员会寄生虫病预防与控制技术重点实验室江苏省寄生虫与媒介控制技术重点实验室江南大学公共卫生研究中心,无锡214064 [2]江苏省人民政府血吸虫病地方病防治工作领导小组办公室 [3]江苏省南京市疾病预防控制中心 [4]江苏省镇江市疾病预防控制中心 [5]江苏省扬州市疾病预防控制中心 [6]江苏省苏州市疾病预防控制中心 [7]江苏省无锡市疾病预防控制中心 [8]江苏省常州市疾病预防控制中心 [9]江苏省盐城市疾病预防控制中心 [10]江苏省南通市疾病预防控制中心 [11]江苏省泰州市疾病预防控制中心 [12]江苏省金湖县血吸虫病防治站

出　　处：《中国血吸虫病防治杂志》2018年第6期615-618,624,共5页Chinese Journal of Schistosomiasis Control

基　　金：江苏省卫生计生委医学科研课题(X201505;ZDRCA2016056);江苏省预防医学科研课题(Y2015071);江苏省青年医学人才项目;江苏省血地寄防应用性科研课题(X201805);江苏省无锡市卫生和计划生育委员会卫生科研项目(Q201637);江南大学公共卫生研究中心课题(JUPH201837;BM2015024)

摘　　要：目的评估《江苏省血吸虫病防治规划纲要(2010-2015年)》实施效果。方法选择江苏省10个设区市的67个血吸虫病流行县(市、区),采取回顾性调查方法,以县(市、区)为单位收集2010-2015年血吸虫病疫情和防治工作等资料建立数据库,并对防治效果进行评估。结果 2010-2015年,江苏省累计完成人群血吸虫病查病2 465 911人·次,累计查出血检阳性16 974人·次、粪检阳性8人,治疗晚期血吸虫病5 145人·次,扩大化疗40 460人·次;开展家畜查病127 636头·次,家畜扩大化疗51 619头·次;开展药物灭螺18 604.84 hm^2。至2015年底,全省已连续5年未发现血吸虫感染性钉螺和家畜血吸虫感染,连续6年未发生本地急性血吸虫感染;钉螺分布面积下降至1 977.18 hm^2,较2010年下降了55.24%。结论《江苏省血吸虫病防治规划纲要(2010-2015年)》实施后,全省血吸虫病防治工作取得了显著成效,实现了各项防治规划的目标。Objective To evaluate the actual effect of the schistosomiasis control program in Jiangsu Province from 2010 to 2015. Methods A total of 67 schistosomiasis-endemic counties in 10 cities were selected, and a combination of retrospective investigation and on-site in vestigation was adopted to collect and record the epidemic data of the counties from 2010 to 2015, and a retrospective survey database of epidemic situation was established. The effects of integrated control strategies with both Oncomelania hupensis snail control and infection source control were evaluated. Results From 2010 to 2015, 2465911 persons who lived in endemic areas were detected for schistosomiasis, with 16 974 positive cases of blood examinations, and 8 positive cases of fecal examinations. Totally 5 145 people with advanced schistosomiasis were treated and 40460 people with the history of schistosome cercarial-infested waler contact received the expanded chemotherapy. A total of 127 636 cattle raised in the endemic areas were detected, and 51619 cattle (head-times) with the history of cercarial-infested water contact also received the expanded chemotherapy. The area with snails control by molluscicides was 18604.84 hm^2. By the end of 2015, schistosomeinfected snails had not been found and there was no zoological schistosome infection for 5 consecutive years, and in addition, there had been no acute schistosome-infected persons for 6 consecutive years in the whole province. The area with snails dropped to 1977.18 hm^2, with a decreasing rate of 55.24% compared with that in 2010. Conclusion After the implementation of the plan for the prevention and control of schistosomiasis in Jiangsu Province (2010-2015), the prevention and control of schistosomiasis has achieved remarkable effects and realized the goal of the plan.

关 键 词：血吸虫病 综合治理 效果评估 江苏省 

分 类 号：R532.21[医药卫生—内科学]