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江苏省金湖县消除血吸虫病防治策略及效果
引用本文:孙道宽,李倩,李书梅,张翠萍,王全锋.江苏省金湖县消除血吸虫病防治策略及效果[J].中国血吸虫病防治杂志,2019,31(5):522.
作者姓名:孙道宽  李倩  李书梅  张翠萍  王全锋
作者单位:江苏省金湖县血吸虫病防治站(金湖211600)
摘    要:目的 了解江苏省金湖县在消除血吸虫病进程中的防治策略及效果。方法 收集1970–2017年江苏省金湖县血吸虫病防治资料,分析不同防治时期实施的防治策略,并评价实施效果。结果 1970–2017年,金湖县血吸虫病防治经历了传播控制、传播阻断、监测与消除3个阶段,实施的防治策略和措施主要包括钉螺控制、传染源控制和健康教育。期间累计开展查螺290 691.78 hm2,发现有螺环境3 420.98 hm2,累计开展灭螺 8 729.37 hm2,自2014年起未再发现钉螺。累计开展人群血吸虫病查病525 377人·次,发现血吸虫病患者2 815例,累计治疗病人2 844人·次、扩大化疗977人·次;自1990年后未再发现当地感染的病人。2017年目标人群血防知识知晓率和健康行为正确率较1992年分别提高了54.59%和14.23%。结论 金湖县在不同时期实施的血吸虫病综合防治策略均取得了显著效果,推进了血吸虫病消除进程;但今后仍应加强监测,巩固防治成果。

关 键 词:血吸虫病  钉螺  传播控制  传播阻断  消除  金湖县  

Strategy of schistosomiasis elimination and its effects in Jinhu County,Jiangsu Province
SUN Dao-Kuan,LI Qian,LI Shu-Mei,ZHANG Cui-Ping,WANG Quan-Feng.Strategy of schistosomiasis elimination and its effects in Jinhu County,Jiangsu Province[J].Chinese Journal of Schistosomiasis Control,2019,31(5):522.
Authors:SUN Dao-Kuan  LI Qian  LI Shu-Mei  ZHANG Cui-Ping  WANG Quan-Feng
Affiliation:Jinhu County Station of Schistosomiasis Control, Jiangsu Province, Jinhu 211600, China
Abstract:Objective To understand the strategy of schistosomiasis elimination and its effects in Jinhu County, Jiangsu Province. Methods The data of schistosomiasis control in Jinhu County at different stages from 1970 to 2017 were collected and analyzed. Results From 1970 to 2017, there were three stages of schistosomiasis control, including transmission control, transmission interruption, and monitoring and elimination stages in Jinhu County. The main measures included Oncomelania hupensis snail control, infectious source control, and health education. A total of area of 290 691.78 hm2 was detected in Jinhu County, and the area with snails was 3 420.98 hm2. There were 8 729.37 hm2 area with snails was controlled. Since 2014, no O. hupensis snails were found. A total of 525 377 person?times were examined for schistosomiasis, with 2 815 schistosomiasis patients identified, and 2 844 person?times were treated by chemotherapy. In addition, 977 cases received the expand chemotherapy. Since 1990, no local schistosome?infected persons were found. In 2017, the awareness rate of schistosomiasis control knowledge and the correct rate of health behavior were increased by 54.59% and 14.23% respectively compared with those in 1992. Conclusions The comprehensive schistosomiasis control measures implemented in Jinhu County at different periods have achieved remarkable outputs and accelerated the schistosomiasis elimination process. However, the precise control measures should be implemented in the future to consolidate the prevention and control achievements.
Keywords:Schistosomiasis  Oncomelania hupensis  Transmission control  Transmission interruption  Elimination  Jinhu County  
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