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目的分析山丘型流行区实施以传染源控制为主的血吸虫病综合防治策略过程中存在的主要障碍,了解当前血吸虫病防控工作应优先解决的问题,为进一步探索解决方法提供参考依据。方法选择四川省有代表性的山丘型流行区成都市蒲江县和眉山市东坡区作为研究试点。采用文献回顾方法建立“山丘地区实施以传染源控制为主的血吸虫病综合防治策略中的障碍因素”框架,结合选题小组方法,对卫生、农业、林业等8个部门中处于省、市、县、乡、村5个层次的血防管理和技术人员进行问卷调查。结果调查涉及不同部门、不同层次的血防专业人员153名,问卷回收率(专家积极系数)为100%。结果显示,在实施以传染源控制为主的血吸虫病综合策略过程中,四川省面临工程灭螺、健康教育、人查治病、改水改厕等4个需重点关注的问题。成都市蒲江县和眉山市东坡区在执行以传染源控制为主的血吸虫病综合防治策略具体措施上侧重点有所不同,蒲江县最重要的措施是改水改厕,东坡区更需要开展工程灭螺。结论在山丘型流行区实施以传染源控制为主的血吸虫病综合防治策略过程中,各流行区疫情状况和现有防治措施进展情况不尽相同,需因地制宜地开展综合防控工作。
Objective To analyze the main obstacles existing in the strategy of integrated control of schistosomiasis in mountainous endemic areas and to understand the priority problems to be solved in the prevention and control of schistosomiasis so as to provide a reference for further exploration and solution. Methods Choosing Pujiang County in Chengdu and Dongpo District in Meishan as the representative hill-type endemic areas in Sichuan Province as experimental research projects. Using the literature review method to establish the “barriers in implementing integrated control strategies for schistosomiasis in the hillsides with infection source control”, and combining with the method of selection of topics, , City, county, township, village 5 levels of blood prevention management and technical personnel to conduct a questionnaire survey. Results The survey involved 153 anti-personnel specialists in different departments and levels. The questionnaire recovery rate (positive coefficient of experts) was 100%. The results showed that Sichuan Province was facing four problems that need attention, such as project snail control, health education, human check-up disease treatment and water closet improvement, in the implementation of a comprehensive strategy of schistosomiasis control based on infection control. Pujiang County, Chengdu City, and Dongpo District, Meishan City, implement the comprehensive control strategy of schistosomiasis dominated by infection source. The top priority is different. The most important measure in Pujiang County is to change water and toilets, and Dongpo District needs more To carry out project snail. Conclusion In the endemic area of hill-type epidemic area, the progress of epidemic situation and existing prevention and treatment measures in epidemic situation in different endemic areas are different during the implementation of the integrated control strategy of schistosomiasis, which is mainly controlled by infection source, and it is necessary to carry out comprehensive prevention and control work according to local conditions.