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目的分析靖西市历史血吸虫病疫情变化规律,为下一步工作提供科学依据。方法收集靖西市1956-2015年血吸虫病防治工作数据,对不同阶段血吸虫病防治与流行进行综合分析。结果靖西市1956年起开展血吸虫病防治工作,1985年达到血吸虫病传播阻断标准,连续36年未发现本地感染的粪检阳性病人和病畜,2016年5月份通过了国家卫计委“血吸虫病消除考核复核”标准。累计历史查病348 801人次,发现血吸虫病人10 434例,查畜20 674头次,发现病畜590头,治疗血吸虫病人18 739人次,处理病畜512头次。累计查螺面积65 213.25 hm2,发现有螺面积353.80 hm2。结论靖西市已经达到了血吸虫病消除标准,但仍存在钉螺复现,而且有输入性传染源的存在,应加强外来流动人口监测的工作。
Objective To analyze the variation of history of schistosomiasis in Jingxi City and provide a scientific basis for the next step. Methods The data of prevention and treatment of schistosomiasis from 1956 to 2015 in Jingxi City were collected, and the prevention and treatment of schistosomiasis in different stages were comprehensively analyzed. Results Jingxi City in 1956 to carry out prevention and treatment of schistosomiasis, schistosomiasis transmission in 1985 to block the standard for 36 consecutive years did not find the local infection of fecal positive patients and sick animals, in May 2016 by the National Health Planning Commission “Schistosoma eliminate examination review” standard. A total of 348 801 medical records were collected and 10 434 cases of schistosomiasis were found. Among them, 20 674 were investigated for livestock, 590 were identified as sick animals, 18 739 were treated for schistosomiasis, and 512 were treated for sick animals. A total of 65 213.25 hm2 of snail area was found, and a snail area of 353.80 hm2 was found. Conclusion Jingxi City has reached the standard of eliminating schistosomiasis, but there is still snail recurrence, and there is an input source of infection. Therefore, the monitoring of migrants should be strengthened.