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目的 评价2004-2015年阳新县预防控制血吸虫病的效果,为血吸虫病传播阻断和消除提供科学依据。方法 依据阳新县血吸虫病疫情层次和流行规律,采取综合治理的防治策略,持续实施卫生、水利、林业、农业等血防综合治理项目。分析比较2004-2015年该县血吸虫病疫情控制的效果。结果 阳新县实施血防综合治理整县推进后,全县推算病人数由2004年的22 240降至为2015年的1 471;人群感染率由2004年的8.57%降至2015年的0.16%;急性血吸虫感染(急感)病人由2004年的64例降至0,2009年以后未发生急感病例;耕牛感染率由2004年的8.87%降至0;钉螺面积和易感地带面积分别由2004年的3 446.21、1 111.59 hm2降至2015年的2 285.75、41.28 hm2;钉螺感染率由2004年的0.76%降至0。结论 自2004年实施血防综合治理整县推进的防治策略后,阳新县血吸虫病疫情显著下降,但要进一步巩固血防成果,仍需加大富河流域的治理力度,并强化家畜传染源的防控。
Objective To evaluate the effect of prevention and control of schistosomiasis in Yangxin County from 2004 to 2015 and provide a scientific basis for the prevention and control of schistosomiasis transmission. Methods According to the epidemic level and epidemic pattern of schistosomiasis in Yangxin County, we took the prevention and cure strategies of comprehensive treatment and continued to implement the comprehensive prevention and control projects of sanitation, water conservancy, forestry and agriculture. Analysis and comparison of the 2004-2015 epidemic control of schistosomiasis in the county. Results After implementing the comprehensive prevention and treatment of flood prevention in Yangxin County, the number of patients in the county was reduced from 22 240 in 2004 to 1471 in 2015; the infection rate dropped from 8.57% in 2004 to 0.16% in 2015; acute The number of patients infected with schistosomiasis (acute illness) dropped from 0 in 2004 to 0 in 2009, and no acute illness occurred after 2009. Cattle infection rate dropped from 8.87% in 2004 to 0; snail area and susceptible area changed from 2004 to 2004 respectively Year, 3 446.21,1 111.59 hm2 in 2015 dropped to 2 285.75 and 41.28 hm2 in 2015. The infection rate of snails decreased from 0.76% in 2004 to 0. Conclusion Since the prevention and control strategy of comprehensive prevention and treatment of flood prevention in 2004 has been implemented, the epidemic situation of schistosomiasis in Yangxin County has dropped significantly. However, to further consolidate the achievements in blood and water conservation, efforts should be made to intensify the harnessing of the Fu River Basin and strengthen the prevention and control of sources of livestock infection.