【摘要】：目的探討山丘型血吸蟲(chóng)病流行區(qū)依托城鄉(xiāng)統(tǒng)籌體系建設(shè)開(kāi)展血吸蟲(chóng)病防治的效果,為新形勢(shì)下鞏固血防成果提供新模式。方法選擇四川省蒲江縣山丘型血吸蟲(chóng)病流行區(qū)的壽安鎮(zhèn)和長(zhǎng)秋鄉(xiāng)為示范區(qū),將城鄉(xiāng)統(tǒng)籌體系建設(shè)和血吸蟲(chóng)病防治工作相結(jié)合,通過(guò)實(shí)施土地整理和集中居住等綜合措施,觀察分析示范區(qū)綜合防治措施實(shí)施后的人群血吸蟲(chóng)病檢查血清學(xué)陽(yáng)性率、病原學(xué)陽(yáng)性率、有螺面積等指標(biāo)為變化。結(jié)果示范區(qū)壽安鎮(zhèn)和長(zhǎng)秋鄉(xiāng)2個(gè)鄉(xiāng)鎮(zhèn)完成了集中居住區(qū)建設(shè),分別改造、減少釘螺孳生環(huán)境1 330.61 hm2和1 456.84 hm2;實(shí)有釘螺分布面積分別由2000年的94.31 hm2和83.00 hm2減少到2015年的0;人群血吸蟲(chóng)血清學(xué)陽(yáng)性率由11.8%和7.53%下降到1.01%和1.86%,感染率從0.18%和0.15%下降至0;耕牛存欄數(shù)分別由358頭和368頭減少為4頭和6頭,2000年耕牛血吸蟲(chóng)感染率分別為3.63%和6.51%,2004年以后未再發(fā)現(xiàn)血吸蟲(chóng)感染性耕牛。結(jié)論依托城鄉(xiāng)統(tǒng)籌體系建設(shè)的血吸蟲(chóng)病綜合防治策略可以有效降低人群感染率、減少有螺面積,為鞏固防治成果、最終達(dá)到消除血吸蟲(chóng)的目標(biāo)提供了新思路。
[Abstract]:Objective to explore the effect of schistosomiasis prevention and control in hilly schistosomiasis endemic areas relying on the construction of urban and rural overall planning system, and to provide a new model for consolidating the achievements of schistosomiasis control in the new situation. Methods Shouan Town and Changqiu Township of Pujiang County, Sichuan Province, were selected as demonstration areas to combine urban and rural planning system construction with schistosomiasis prevention and control, and to carry out comprehensive measures such as land consolidation and centralized housing. The seropositive rate of schistosomiasis, the positive rate of etiology and the area of snail were observed and analyzed. Results the construction of centralized residential areas was completed in Shouan Town and Changqiu Township in demonstration District, respectively. The distribution area of Oncomelania hupensis decreased from 94.31 hm2 and 83.00 hm2 in 2000 to 0 in 2015, and the seropositive rate of Schistosoma japonicum decreased from 11.8% and 7.53% to 1.01% and 1.86%, respectively, and the infection rate decreased from 0.18% and 0.15% to 1 330.61 hm2 and 1 456.84 hm2; respectively. The number of cultivated cattle decreased from 358 and 368 to 4 and 6 respectively, and the infection rate of schistosomiasis in 2000 was 3.63% and 6.51%, respectively. Conclusion the integrated control strategy of schistosomiasis based on urban and rural overall planning system can effectively reduce the infection rate of the population and reduce the area of snails, which provides a new way of thinking for consolidating the results of prevention and control and finally achieving the goal of eliminating schistosomiasis.
【作者單位】： 四川大學(xué)華西公共衛(wèi)生學(xué)院;四川省疾病預(yù)防控制中心寄生蟲(chóng)病預(yù)防控制所;蒲江縣疾病預(yù)防控制中心;
【基金】：四川省血吸蟲(chóng)病防治綜合示范區(qū)項(xiàng)目
【分類號(hào)】：R532.21
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本文編號(hào)：2217810