A GREAT SUCCESS IN LYMPHATIC FILARIASIS CONTROL IN CHINA

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中国的淋巴丝虫病防治于1956年列入国家规划。1956-1994年,全国共血检普查丝虫病707421736人次,查出微丝蚴血症23428480人次;海群生化疗260041645人次,其中治疗微丝蚴血症33888997人次,全民服药31618144人次,食用药盐183701658人次。迄1994年,全国15个省、自治区、直辖市共864个流行县、市通过考核均已达到基本消灭丝虫病标准(以行政村为单位,经防治使微丝蚴率降至1%以下)。已达基本消灭丝虫病地区,正开展丝虫病系统监测。按各省、自治区、直辖市达基本消灭丝虫病标准第2年起的监测资料,1984-1993年,累计血检调查8085508人次,查出微丝蚴血症3214人次,各地病原学监测的微丝蚴率、蚊媒监测的幼丝虫自然感染率及血清学监测的IFA和ELISA抗体阳性率均呈逐年下降趋势。初步监测结果显示,在基本消灭丝虫病后的大多数原流行区淋巴丝虫病的传播已被阻断,但仍存在少数防治过程中的薄弱环节地区。按病原学和临床学监测资料,估计目前全国尚有微丝蚴血症者105732人和有丝虫病临床表现者1396665人。 Prevention and control of lymphatic filariasis in China in 1956 included in the national plan. In 1956-1994, a total of 707421736 people were examined by blood screening census. The number of microfilariae was 23428480, and 260041645 people were treated by seaquakes. Among them, 33888997 were treated with microfilaremia, 31618144 were taken by the whole nation, 183701658 People. As of 1994, a total of 864 endemic counties and cities in 15 provinces, autonomous regions and municipalities directly under the Central Government had passed the assessment and basically reached the standard of eliminating filariasis (in the administrative village as a unit, the microfilariae rate was reduced below 1% after prevention and treatment) . Has been basically eliminated filariasis areas, is carrying out filariasis system monitoring. According to the monitoring data of the first two years since the basic standards for the elimination of filariasis in various provinces, autonomous regions and municipalities directly under the Central Government, 1984-1993, there were 8,085,508 cumulative blood test surveys, 3214 person-times of microfilaremia were detected, and the microfilaments monitored by etiology The natural infection rate of larvae of mosquito vector and the positive rate of IFA and ELISA antibody monitored by serology showed a decreasing trend year by year. Preliminary monitoring results showed that the transmission of lymphatic filariasis in most endemic areas after the basic elimination of filariasis had been stopped, but there were still some areas of weakness in the prevention and control of the disease. According to the etiological and clinical monitoring data, it is estimated that there are currently 105,732 microfilariae in the nation and 1,339,665 people with clinical manifestations of filariasis.
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