目的了解湖北省重流行区人群血吸虫感染情况,为2008年全省血吸虫病疫情控制达标提供依据。方法对全省疫情尚未控制的16个县(市、区)人群、家畜病情和疫情档案资料等方面工作情况开展预评估。结果现场抽查16个县(市、区)47个村中,嘉鱼县中堡村、复阳村人群粪检阳性率>5%,其余45个村粪检阳性率均<5%;江陵县吴桥村、叶新村,荆州区谢古村、横街村,松滋市德胜垸村,阳新县梅潭村,荆州开发区窑湾分场等7个村耕牛粪检阳性率>5%,其余40个村粪检阳性率均<5%。2004年以来,16个县(市、区)中,有3个县在2005年各发生一起急性血吸虫病突发疫情。人群病情档案资料规范的有12个县(市、区),较规范的有3个县(市、区),不规范的有1个市。家畜病情资料规范的有3个县(市、区),较规范的有7个县(市、区),不规范的有6个县(市、区)。2007年人群查病,每个村人群感染率均<5%的有7个县(市、区),其他9个县(市、区)尚有>5%以上的村,其中洪湖市228个、潜江市92个、松滋市50个,位于前3名。2007年家畜查病,每个村家畜感染率均<5%的有4个县(市、区),其他12个县(市、区)尚有>5%以上的村,其中洪湖市178个、监利县146个、江陵县106个,位于前3名。结论至2007年,湖北省有10个县(市、区)现场考核人、畜病情指标符合国家疫情控制标准要求,4个县(市、区)初步能够达到,6个县(市、区)尚未达到国家疫情控制标准要求。 Objective To understand the prevalence of schistosomiasis among people in heavy endemic areas in Hubei Province, and to provide basis for the control of the epidemic situation of schistosomiasis in 2008. Methods The pre-assessment was carried out on the work of 16 counties (cities, districts), livestock diseases and epidemic situation archives in areas not covered by the epidemic in the province. Results A total of 47 villages in 16 counties (cities and districts) were sampled. The positive rate of fecal examination was> 5% in Zhongbao Village and Fuyang Village of Jiayu County, and the positive rate of fecal examination was <5% in the remaining 45 villages. The positive rate of cow dung found in 7 villages in Wuqiao Village, Yexin Village, Xiecun Village in Jingzhou District, Hengjie Village, Desheng Embankment Village in Songzi City, Meitan Village in Yangxin County, and Yaowan Branch in Jingzhou Development Zone was> 5% The remaining 40 villages fecal positive rate was <5%. Since 2004, out of 16 counties (cities and districts), 3 outbreaks of acute schistosomiasis occurred in 2005 in each of the three counties. There are 12 counties (cities, districts) in the code of the population’s disease files, 3 counties (cities, districts) more regulated and 1 city non-standard. There are 3 counties (cities and districts) regulated by the data of livestock diseases, 7 counties (cities and districts) are normative and 6 counties (cities and districts) are not standardized. In 2007, there were 7 villages (cities and districts) infected with less than 5% of the population in each village, and more than 5% of villages were found in 9 other counties (cities and districts), of which 228 92 in Qianjiang City and 50 in Songzi City, located in the top 3. There were 4 counties (cities and districts) with livestock infection rates of less than 5% per village in 2007 and> 5% of villages in 12 other counties (cities and districts), of which 178 in Honghu City , 146 Jianli County, 106 Jiangling County, located in the top three. Conclusion By 2007, there are 10 county (city, district) on-the-spot examiners in Hubei Province, and the indicators of livestock disease meet the requirements of the national epidemic control standard. The four counties (cities and districts) Not yet reached the national epidemic control standards.