江苏省扬州市新砂滩农业生态综合开发消除血吸虫病效果  

Demonstration and effect of schistosomiasis elimination by comprehensive agroecological development in Xinsha Beach, Yangzhou, Jiangsu

作　　者：左引萍 何日 唐恺 王建 仇其令 朱道建 孙乐平[4] 杜广林 马玉才[5] 周敬东 ZUO Yinping;HE Ri;TANG Kai;WANG Jian;QIU Qiling;ZHU Daojian;SUN Leping;DU Guanglin;MA Yucai;ZHOU Jingdong(Yangzhou Center for Disease Control and Prevention,Yangzhou,Jiangsu 225002,China;Office of the Leading Group on Blood Control,Yangzhou Municipal People's Government,Yangzhou,Jiangsu 225002,China;Guangling District Center for Disease Control and Prevention,Yangzhou,Jiangsu 225002,China;Key Laboratory of Parasite Prevention and Control Technology,National Health and Family Planning Commission,Key Laboratory of Parasite and Vector Control Technology,Jiangsu Provincial Institute of Schistosomiasis Control,Wuxi,Jiangsu 214064,China;Hanjiang District Center for Disease Control and Prevention,Yangzhou,Jiangsu 225100,China)

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225002 [2]扬州市人民政府血地防领导小组办公室,江苏扬州225002 [3]扬州市广陵区疾病预防控制中心,江苏扬州225002 [4]国家卫生和计划生育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、江苏省血吸虫病防治研究所,江苏无锡214064 [5]扬州市邗江区疾病预防控制中心,江苏扬州225100

出　　处：《中国热带医学》2020年第7期608-612,共5页China Tropical Medicine

基　　金：扬州市重大科技示范项目(No.YZ2017064)。

摘　　要：目的分析扬州市新砂滩利用农业生态综合开发消除血吸虫病效果,为血吸虫病传播阻断地区走向血吸虫病消除阶段提供借鉴。方法采用回顾性调查法,收集2005-2016年新砂滩查灭螺、环境改造、查治病、健康行为调查资料并对结果进行统计分析。结果新砂滩有螺面积年平均值从农业生态综合开发前(2005-2010年)194.86万㎡(1 169.18/6)下降到开发后(2011-2016年)12.13万㎡(72.75/6);血检阳性率从开发前9.28%下降到开发后1.05%,粪检阳性率从2.28%下降到0%;2017年4月调查新砂滩无害化卫生公厕经常使用率为88.1%;开发后每年共产生经济效益约为300万元。结论新砂滩以农业生态综合开发的治理方式,进一步消除血吸虫病危害,巩固了血防成果,提高了人群健康意识,并产生了可观的经济效益。ObjectiveTo analyze the demonstration and effect of schistosomiasis elimination by comprehensiveagroecological development in Xinsha Beach, Yangzhou, so as to provide experience for schistosomiasis elimination inschistosomiasis transmission-interrupted areas.MethodsThe data of snail control, environmental improvement, diseasecontrol and health behavior in Xinsha Beach from 2005 to 2016 were collected by retrospective investigation method, and theresults were statistically analyzed.ResultsThe average area of oncomelania decreased from 1.948 6 million ㎡(1 169.18/6)(2005-2010) to 121 300 ㎡(72.75/6)(2011-2016) after the comprehensive agroecological development;The positive rate ofblood test decreased from 9.28% to 1.05%, and that of fecal test decreased from 2.28% to 0%. In April 2017, the regular userate of the ecological public toilets for schistosomiasis control in Xinsha beach was 88.1%. After development, the total annualeconomic benefit is about 3 million yuan.ConclusionXinsha Beach has achieved remarkable results through thecomprehensive agroecological development, further eliminated the harm caused by schistosomiasis, consolidated theachievements in schistosomiasis control, improved people’s health awareness and produced considerable economic benefits.

关 键 词：血吸虫病 农业生态综合开发 钉螺 新砂滩 

分 类 号：R532.21[医药卫生—内科学]