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目的了解和掌握湖沼垸内型高度流行区农村外出务工人员血吸虫病病情,为制定和采取有针对性防制策略和措施提供科学依据。方法对潜江市张金镇农村外出务工人员进行问卷调查和IHA、COPT及Dot-ELISA检测,分析不同性别、年龄、外出地区和外出期限等人群血吸虫感染情况,同时开展血防健康教育、查治病和建立血防健康档案等。结果该镇农村外出务工人员占农村总人数的33.39%,20岁以上为主要群体,血检阳性率为20.94%,男性高于女性,分别为23.30%和18.99%。在本地市镇企业务工者和在广东、上海及江浙等沿海地区务工者的阳性率分别为24.31%和17.79%;30岁以上年龄组高于其他年龄段,小学以下和高中以上文化程度的感染率分别为23.78%和19.11%。结论由于漏查漏治,湖沼垸内型疫区农村外出务工人员的血吸虫病病情是严重的,疫区政府和血防主管部门要加强对该类人群的管理和查治力度,杜绝和控制其传染源向非疫区城市扩散和传播。
Objective To understand and master the condition of schistosomiasis in migrant workers in the embankment in the embankment in the embankment, and to provide scientific evidence for the formulation and adoption of targeted prevention and control strategies and measures. Methods A questionnaire survey and IHA, COPT and Dot-ELISA on rural migrant workers in Zhangjin Town, Qianjiang City were conducted to analyze the prevalence of schistosomiasis among different sexes, ages, out-going areas and time-out periods. At the same time, blood health education, Establish a blood health record and so on. Results The town’s rural migrant workers accounted for 33.39% of the total rural population, more than 20 years of age as the main group, the blood test positive rate was 20.94%, men than women, respectively 23.30% and 18.99%. The positive rates of migrant workers and those working in coastal areas such as Guangdong, Shanghai, Jiangsu and Zhejiang were 24.31% and 17.79% respectively. In the age group of over 30, the infection rates were higher than those of other age groups, below primary school and above high school education Rates were 23.78% and 19.11% respectively. Conclusion Due to the omission of leaks and omissions, the condition of schistosomiasis among rural migrant workers in the embankment of lake embankment is serious. The affected area government and the department of bloodstain defense should strengthen the management and investigation of this kind of population and put an end to and control their infection The source spread and spread to cities in pest free areas.