目的考核评估江苏省14个县(市、区)达到血吸虫病传播控制的防治效果。方法按照《血吸虫病防治地区达标考核评估方案》的要求,采取听汇报、查看资料和现场抽样调查相结合的方法进行考核评估。审核近2年以行政村为单位反映病情、螺情变化和防治工作等数据资料;按照分层抽样的原则,每县(市、区)分别在重、中、轻流行镇(乡、街道)中各抽取1个流行程度较重的行政村作为被考核村,调查常住人口和散养家畜病情以及近3年查出钉螺且人畜活动频繁环境的钉螺感染情况。结果 2007-2010年江苏省对14个县(市、区)进行了传播控制达标考核,现场抽查了39个镇(乡、街道)42个村。共计调查264个环境,1679.73hm2,39894框,捕获钉螺2179只;解剖全部活螺405只,未发现感染性钉螺。共计调查居民22147人,其中血清学检查22147人,阳性300人,阳性率为1.35%(0.30%～4.26%);粪检297人,未查到粪检阳性病人。共计调查家畜2931头(只),其中牛230头,猪2333头,羊368只,均未查到阳性。14县(市、区)均已建立了以行政村为单位,能反映当地血吸虫病病情、螺情等变化的血防档案资料。资料显示,14个县(市、区)均在考核前2年灭光了感染性钉螺,平均未查出感染性钉螺年份为2.71年(2～4年),所有被考核县(市、区)在考核前3年以上未发生急性血吸虫病。结论对照我国《血吸虫病控制和消灭标准》(GB15976-2006),江苏省14个县(市、区)均达到了血吸虫病传播控制标准。 Objective To evaluate and evaluate the prevention and control of schistosomiasis transmission in 14 counties (cities and districts) in Jiangsu Province. Methods According to the requirements of “assessment and assessment of standard examination and evaluation of schistosomiasis prevention and control area”, the assessment and assessment were conducted by means of a combination of listening and viewing materials and on-site sampling and investigation. According to the principle of stratified sampling, counties (cities, districts) were divided into three groups: heavy, medium and light pop towns (townships and sub-districts) In the extraction of a prevalence of administrative villages as the assessment of the village to investigate the resident population and free-range livestock disease and the past three years found Snail snail and frequent human and animal activities Snail infection. Results From 2007 to 2010, Jiangsu Province conducted communication and control checks in 14 counties (cities and districts). 42 villages in 39 townships (townships and sub-districts) were spot-checked. A total of 264 environments were surveyed, with 1679.73hm2 and 399894 boxes, and 2179 snails were caught. All 405 snails were dissected and no infectious snails were found. A total of 22,147 residents surveyed, of which 22,147 serological tests, 300 were positive, the positive rate was 1.35% (0.30% ~ 4.26%); manure seized 297 people, not found in fecal positive patients. A total of 2931 livestock (only) were surveyed, of which 230 were cattle, 2333 pigs and 368 sheep, none of which found positive results. 14 counties (cities, districts) have set up administrative villages as a unit, which can reflect the local schistosomiasis condition and other changes in the snail file. Data show that in 14 counties (cities, districts) were in the examination 2 years before the outbreak of infected snails, the average did not detect infectious snails year was 2.71 years (2 to 4 years), all the assessed counties (cities, districts ) Acute schistosomiasis did not occur more than 3 years before the assessment. Conclusion Compared with the standard of control and elimination of schistosomiasis (GB15976-2006) in our country, the control standards of schistosomiasis transmission in 14 counties (cities and districts) in Jiangsu Province have been reached.