2004-2013年云南省血吸虫病综合治理效果评价

发布时间：2018-03-22 16:38

本文选题：血吸虫病　切入点：综合治理　出处：《中国血吸虫病防治杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的评价云南省血吸虫病综合治理重点项目实施10年的效果,为制定下一步防治策略提供依据。方法收集2004-2013年云南省血吸虫病综合治理措施和疫情等资料,对血吸虫病疫情变化进行分析,评价防治效果。结果经过10年的综合防治,全省有螺面积由2004年的4 364.79 hm2降至2013年的1 528.50 hm2,减少了64.98%,有螺框出现率、活螺密度分别由2004年的4.71%和0.26只/0.1 m2降至2013年的1.35%和0.04只/0.1 m2,降幅分别为71.34%和84.62%。2008年后仅2011年和2013年查到感染性钉螺。2013年人群感染率(0.002 1%)与牛感染率(0.020 9%)分别较2004年下降了99.84%和99.44%,2008年后未再发现急性感染病例。疫情较重的212个一、二、三类村均下降为四类和五类村,达到了传播控制或传播阻断标准。流行区村民及中小学生血防知识知晓率分别达90%和98%以上。结论云南省血吸虫病综合治理效果显著,但巩固和扩大现有防治成果的任务还十分艰巨。
[Abstract]:Objective to evaluate the effect of the key schistosomiasis control project in Yunnan Province for 10 years, and to provide the basis for formulating the next control strategy. Methods the data of comprehensive control measures and epidemic situation of schistosomiasis in Yunnan Province from 2004 to 2013 were collected. Results after 10 years of comprehensive control, the area of snail decreased from 4 364.79 hm2 in 2004 to 1 528.50 mm 2 in 2013, which reduced the incidence of snail frame by 64.98%. The density of live snails decreased from 4.71% in 2004 and 0.26 / 0.1 m2 in 2004 to 1.35% and 0.04 / / 0.1 m2 in 2013, respectively, the decrease was 71.34% and 84.62% respectively, and the infectious snails were detected only in 2011 and 2013 after 2008. The annual decline of 99.84% and 99.44%, and no further cases of acute infection have been found since 2008. 212 of the more severe cases were reported. Two and three kinds of villages were reduced to four and five kinds of villages, which reached the standard of transmission control or transmission blocking. The awareness rates of schistosomiasis prevention knowledge among villagers and primary and middle school students in endemic areas were over 90% and 98% respectively. Conclusion the comprehensive control effect of schistosomiasis in Yunnan Province is remarkable. But the task of consolidating and expanding existing prevention and cure achievements is still very arduous.
【作者单位】：云南省地方病防治所;
【基金】：国家科技支撑计划(2009BA178B06)
【分类号】：R532.21

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