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山丘型血吸虫病流行区依托城乡统筹体系建设巩固防治成果的研究

发布时间:2018-09-01 16:59
【摘要】:目的探讨山丘型血吸虫病流行区依托城乡统筹体系建设开展血吸虫病防治的效果,为新形势下巩固血防成果提供新模式。方法选择四川省蒲江县山丘型血吸虫病流行区的寿安镇和长秋乡为示范区,将城乡统筹体系建设和血吸虫病防治工作相结合,通过实施土地整理和集中居住等综合措施,观察分析示范区综合防治措施实施后的人群血吸虫病检查血清学阳性率、病原学阳性率、有螺面积等指标为变化。结果示范区寿安镇和长秋乡2个乡镇完成了集中居住区建设,分别改造、减少钉螺孳生环境1 330.61 hm2和1 456.84 hm2;实有钉螺分布面积分别由2000年的94.31 hm2和83.00 hm2减少到2015年的0;人群血吸虫血清学阳性率由11.8%和7.53%下降到1.01%和1.86%,感染率从0.18%和0.15%下降至0;耕牛存栏数分别由358头和368头减少为4头和6头,2000年耕牛血吸虫感染率分别为3.63%和6.51%,2004年以后未再发现血吸虫感染性耕牛。结论依托城乡统筹体系建设的血吸虫病综合防治策略可以有效降低人群感染率、减少有螺面积,为巩固防治成果、最终达到消除血吸虫的目标提供了新思路。
[Abstract]:Objective to explore the effect of schistosomiasis prevention and control in hilly schistosomiasis endemic areas relying on the construction of urban and rural overall planning system, and to provide a new model for consolidating the achievements of schistosomiasis control in the new situation. Methods Shouan Town and Changqiu Township of Pujiang County, Sichuan Province, were selected as demonstration areas to combine urban and rural planning system construction with schistosomiasis prevention and control, and to carry out comprehensive measures such as land consolidation and centralized housing. The seropositive rate of schistosomiasis, the positive rate of etiology and the area of snail were observed and analyzed. Results the construction of centralized residential areas was completed in Shouan Town and Changqiu Township in demonstration District, respectively. The distribution area of Oncomelania hupensis decreased from 94.31 hm2 and 83.00 hm2 in 2000 to 0 in 2015, and the seropositive rate of Schistosoma japonicum decreased from 11.8% and 7.53% to 1.01% and 1.86%, respectively, and the infection rate decreased from 0.18% and 0.15% to 1 330.61 hm2 and 1 456.84 hm2; respectively. The number of cultivated cattle decreased from 358 and 368 to 4 and 6 respectively, and the infection rate of schistosomiasis in 2000 was 3.63% and 6.51%, respectively. Conclusion the integrated control strategy of schistosomiasis based on urban and rural overall planning system can effectively reduce the infection rate of the population and reduce the area of snails, which provides a new way of thinking for consolidating the results of prevention and control and finally achieving the goal of eliminating schistosomiasis.
【作者单位】: 四川大学华西公共卫生学院;四川省疾病预防控制中心寄生虫病预防控制所;蒲江县疾病预防控制中心;
【基金】:四川省血吸虫病防治综合示范区项目
【分类号】:R532.21


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