长江重大沉船事件援救中的血吸虫病防控应急处置及效果评价

发布时间：2018-01-15 06:17

本文关键词：长江重大沉船事件援救中的血吸虫病防控应急处置及效果评价　出处：《中国血吸虫病防治杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的评价长江监利段"东方之星"重大沉船事件发生后血吸虫病防治工作措施和成效,为今后突发事件救援中的血防应急处置工作提供经验。方法根据监利县沉船事发地点与搜救地点涉及乡镇的历史血吸虫病疫情资料及现场调查情况,对应急现场处置各项措施进行评价,并结合事件后处置情况,对评价区域的螺情、重点人群化疗、人畜病情监测、重点水体监测情况进行调查,综合评估灾后血吸虫病防治效果。结果沉船事故及救援现场均未发现感染性钉螺;监利县5个乡镇活螺平均密度为0.064只/0.1 m~2,未发现感染性钉螺。对2 090名外来人员进行血清学检测,阳性率为0.29%,未发现粪检阳性病人。发热门诊哨点监测未发现血吸虫感染病例,未发现粪检阳性耕牛。在沉船事故发生点及其上下游的4个村开展哨鼠监测,未发现血吸虫感染哨鼠。结论 "东方之星"沉船事件发生后所采取的血吸虫病防治措施行之有效,实现了突发事件后无血吸虫病传播的目标。
[Abstract]:Objective to evaluate the Jianli section of the Yangtze River East Star "major wreck after the incident of schistosomiasis prevention and control measures and effectiveness, provide the experience of emergency rescue in emergency prevention and control work in the future. According to the history of schistosomiasis in Jianli county the wreck site of the incident and search and rescue sites involved Township epidemic data and field investigation, to evaluate the emergency disposal site the measures, combined with the event after the disposal of the case, the snail evaluation areas, focus groups of chemotherapy, human and animal disease monitoring, investigation on water monitoring and comprehensive evaluation of schistosomiasis control effect after the disaster. The shipwreck and the rescue site were not infected snails were found; 5 towns in Jianli County for the average density of living snails 0.064 /0.1 m~2, but no infected snails were found. Serological testing on 2090 migrant workers, the positive rate was 0.29%, no stool positive disease found People. Fever clinic sentinel surveillance found no cases of schistosome infection, no stool positive cattle found. To carry out monitoring of sentinel mice in 4 villages and the shipwreck occurred on the downstream, did not find the sentinel mice infected with Schistosoma japonicum. Conclusion the "Oriental Star" ship taken after the incident of schistosomiasis prevention and control measures effective no, schistosomiasis transmission to achieve the goal of the incident.

【作者单位】：湖北省疾病预防控制中心;
【基金】：湖北省科技支撑项目(2015BCA315) 湖北省卫生计生血防专项(WJ2015XA001、WJ2015XA002)
【分类号】：R532.21;R181.8
【正文快照】： 血吸虫病的传播和流行受自然、社会和生物因素的影响[1],“6·1东方之星”号客轮长江监利段沉船事件造成了大量人员死亡,给当地基本医疗卫生服务和传染病防控带来了严峻挑战[2]。长江中下游江滩地区历史上是血吸虫病重要流行区,在血吸虫病流行病框,捕捉框内全部钉螺,并以

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