长沙市2007—2016年血吸虫病监测结果分析
|
摘要
目的分析2007—2016年长沙市血吸虫病疫情状况和变化趋势,评估当前防治策略的实施效果,查找薄弱环节,为制定全市血吸虫病防治策略提供参考。方法收集2007—2016年螺情监测、人群监测、家畜监测、防治措施等相关信息进行分析,对防治策略的实施效果进行评价。结果 2007—2016年长沙市有螺环境、钉螺面积、存栏耕牛数呈现下降趋势,2016年有螺环境、钉螺面积和存栏耕牛数分别较2007年相比下降93.07%、58.12%、43.70%,人群查病血检阳性率、粪检阳性率均处于较低水平,未发现感染性家畜,累计药物灭螺6 113.07 hm~2、环改灭螺2 519.44 hm~2、累计消灭钉螺面积641.03 hm~2。结论为实现2025年消除血吸虫病的目标,长沙市应继续坚持以传染源控制为主的防控策略,加大环改灭螺力度,强化巩固监测体系,继续做好重点人群查治病及健康教育工作。
Objective To analyze the status and trends of schistosomiasis epidemic in Changsha City from 2007 to 2016,assess the effectiveness of current prevention and control strategies, and find weak links, so as to provide reference for thedevelopment of schistosomiasis control strategies in the city. Methods The information of snail monitoring, crowd monitoring,livestock monitoring, and prevention and control measures from 2007 to 2016 were collected and analyzed to evaluate the effectof prevention and control strategies. Results From 2007 to 2016, Changsha City detected a decrease trend in the snailenvironment, snail area, and the number of cattle. In 2016, the snail environment, snail area, and cattle population werereduced by 93.07%, 58.12%, and 43.70%, respectively, compared to 2007. Rate of positive blood test and positive rate of fecaldisease in the crowd were all at a relatively low level. No infected livestock were found. The accumulated drug exterminationrate was 6 113.07 hm~2, the ring transformation eliminated snail was 2 519.44 hm~2, and the total snail snail area was 641.03 hm~2.Conclusion In order to achieve the goal of eliminating schistosomiasis in 2025, Changsha City should continue to adhere tothe prevention and control strategies based on the control of the source of infection, increase the intensity of environmentalimprovement and molluscicidal control, strengthen the consolidation of monitoring systems, and continue to do inspections andtreatment of diseases and education in key groups.
Objective To analyze the status and trends of schistosomiasis epidemic in Changsha City from 2007 to 2016,assess the effectiveness of current prevention and control strategies, and find weak links, so as to provide reference for thedevelopment of schistosomiasis control strategies in the city. Methods The information of snail monitoring, crowd monitoring,livestock monitoring, and prevention and control measures from 2007 to 2016 were collected and analyzed to evaluate the effectof prevention and control strategies. Results From 2007 to 2016, Changsha City detected a decrease trend in the snailenvironment, snail area, and the number of cattle. In 2016, the snail environment, snail area, and cattle population werereduced by 93.07%, 58.12%, and 43.70%, respectively, compared to 2007. Rate of positive blood test and positive rate of fecaldisease in the crowd were all at a relatively low level. No infected livestock were found. The accumulated drug exterminationrate was 6 113.07 hm~2, the ring transformation eliminated snail was 2 519.44 hm~2, and the total snail snail area was 641.03 hm~2.Conclusion In order to achieve the goal of eliminating schistosomiasis in 2025, Changsha City should continue to adhere tothe prevention and control strategies based on the control of the source of infection, increase the intensity of environmentalimprovement and molluscicidal control, strengthen the consolidation of monitoring systems, and continue to do inspections andtreatment of diseases and education in key groups.
引文
[1]何家昶,王家生,卢金友,等.1998-2009年安徽省长江流域螺情变化趋势分析[J].中国血吸虫病防治杂志,2011,23(2):199-201.
[2]周艺彪,刘启立,谢木生,等.世行贷款血防项目湖南省1997年疾病监测报告[J].实用寄生虫病杂志,1998,6(2):78-79.
[3]李波,王雷平,等.江苏省世行贷款血防项目疾病控制效果分析[J].实用寄生虫病杂志,2000,8(4):170-171.
[4]方金城,易平.湖南省世界银行贷款血防项目执行情况报告[J].中国血吸虫病防治杂志,1999,11(5):291-294.
[5]李培珍,何妮娜,方杰宇,等.东洞庭湖渔船民血吸虫病扩大化疗效果纵向分析[J].热带病与寄生虫病学,2017,15(1):58-59.
[6]吴晓华,许静,郑江,等.中国血吸虫病传播控制与阻断地区面临的挑战及对策[J].中国血吸虫病防治杂志,2004,16(1):1-3.
[7]周晓农,林丹丹,汪天平,等.我国“十二五”期间血吸虫病防治策略与工作重点[J].中国血吸虫病防治杂志,2011,23(1):1-4.
[8]王红霓,应锡钧,王勇.新形势下嵊州市加强血防查灭螺工作的对策与体会[J].中国血吸虫病防治杂志,2016,28(2):205-206.
[9]黄宁波,黄鹏,邵宗体,等.云南省水利血防沟道治理工程灭螺效果评价[J].中国血吸虫病防治杂志,2016,28(2):178-181.
[10]胡华祥,王晶,熊元强,等.土地整理结合人畜化疗控制血吸虫病流行效果观察[J].热带病与寄生虫学,2010,8(3):157-158.
[11]赵正元,吴昭武,彭先平,等.快速控制山丘型血吸虫病新流行区防治对策的效果和效益评估[J].热带病与寄生虫学,2008,4(6):194-196.
[12]方益民.黄山市山丘型血吸虫病传播阻断地区残存钉螺复现规律的探讨[J].热带病与寄生虫学,2004,2(4):227-229.
[13]易平,彭再之,李小松,等.洞庭湖区血吸虫病流行特点与防治策略[J].中国血吸虫病防治杂志,2012,24(2):123-126.
[14]罗志红,李胜明,易平,等.社会经济及组织管理在湖南省桃源县血吸虫病可持续传播控制中的作用[J].中国血吸虫病防治杂志,2013,25(1):20-23,27.2018-10-10
[2]周艺彪,刘启立,谢木生,等.世行贷款血防项目湖南省1997年疾病监测报告[J].实用寄生虫病杂志,1998,6(2):78-79.
[3]李波,王雷平,等.江苏省世行贷款血防项目疾病控制效果分析[J].实用寄生虫病杂志,2000,8(4):170-171.
[4]方金城,易平.湖南省世界银行贷款血防项目执行情况报告[J].中国血吸虫病防治杂志,1999,11(5):291-294.
[5]李培珍,何妮娜,方杰宇,等.东洞庭湖渔船民血吸虫病扩大化疗效果纵向分析[J].热带病与寄生虫病学,2017,15(1):58-59.
[6]吴晓华,许静,郑江,等.中国血吸虫病传播控制与阻断地区面临的挑战及对策[J].中国血吸虫病防治杂志,2004,16(1):1-3.
[7]周晓农,林丹丹,汪天平,等.我国“十二五”期间血吸虫病防治策略与工作重点[J].中国血吸虫病防治杂志,2011,23(1):1-4.
[8]王红霓,应锡钧,王勇.新形势下嵊州市加强血防查灭螺工作的对策与体会[J].中国血吸虫病防治杂志,2016,28(2):205-206.
[9]黄宁波,黄鹏,邵宗体,等.云南省水利血防沟道治理工程灭螺效果评价[J].中国血吸虫病防治杂志,2016,28(2):178-181.
[10]胡华祥,王晶,熊元强,等.土地整理结合人畜化疗控制血吸虫病流行效果观察[J].热带病与寄生虫学,2010,8(3):157-158.
[11]赵正元,吴昭武,彭先平,等.快速控制山丘型血吸虫病新流行区防治对策的效果和效益评估[J].热带病与寄生虫学,2008,4(6):194-196.
[12]方益民.黄山市山丘型血吸虫病传播阻断地区残存钉螺复现规律的探讨[J].热带病与寄生虫学,2004,2(4):227-229.
[13]易平,彭再之,李小松,等.洞庭湖区血吸虫病流行特点与防治策略[J].中国血吸虫病防治杂志,2012,24(2):123-126.
[14]罗志红,李胜明,易平,等.社会经济及组织管理在湖南省桃源县血吸虫病可持续传播控制中的作用[J].中国血吸虫病防治杂志,2013,25(1):20-23,27.2018-10-10