武汉市蔡甸区国家血吸虫病监测点9年疫情监测结果分析报告.docVIP

武汉市蔡甸区国家血吸虫病监测点9年疫情监测结果分析报告 徐久泉 周仿成 尹其波 李国桥 叶志雄 李毅 [摘要]目的 掌握血吸虫病疫情动态，为制定防治对策提供科学依据。方法 按照《全国血吸虫病疫情监测方案》开展了人群及家畜病情、螺情监测工作，并将9年的各项监测指标进行统计分析。结果 2013年与2005年相比，人群血清学IHA检查阳性率下降幅度为78.96%；居民感染率下降幅度为89.08%，农民和渔民的血吸虫感染率分别下降了89.81%和100%；耕牛阳性率到2011年下降了79.75%，2012年后全面实现了以机代牛；钉螺面积下降了59.27%，活螺密度下降了22.59%，钉螺感染率由0.35%下降为零。结论 血吸虫病监测点通过开展常规及综合防治措施，人群感染率和耕牛粪检阳性率明显下降，螺情变化明显，疫情得到了有效控制。 【关键词】 血吸虫病 疫情监测 结果分析 【中图分类号】R532.21 【文献标识码】A 【文章编号】 Analysis on the endemic situation for six years at the national surveillance site in Caidian District of Wuhan City XU Jiu-quan, ZHOU Fan-chen, YI qi-bo, LI gou-qiao，YE zhi-xiong, LI YI. Institute of Schistosomiasis control in Caidian District of Wuhan City [Abstract] Objective To understand the epidemic dynamics of schistosomiasis, so as to provide a scientific basis for the development of countermeasures. Methods Accordance with the national schistosomiasis monitoring program to carry out the crowd and livestock disease, snail monitoring. The monitoring indicators for nine years was conducted statistical analysis. Results Compared 2013 with 2005, IHA population serological positive rate was dropped 78.96%; residents infection rate was dropped 89.08%, farmers and fishermen infection rate decreased by 89.81% and 100%; cattle-positive rate dropped to 79.75% in 2011, after 2012, the full realization of replacing cattle with machine; snails area fell 59.27%, live snail density decreased by 22.59%, the snail infection rate dropped from 0.35% to zero. Conclusion By conducting regular monitoring and integrated schistosomiasis control measures, positive rate of people and cattle was significantly decreased, snail habitats changed obviously, the epidemic of schistosomiasis has been effectively controlled. [Key words] schistosomiasis；Epidemic surveillance；Results analysis 为了解血吸虫病的流行状况和变化趋势，掌握流行规律和影响因素，分析和评价防治效果,为制定防治对策和考核防治效果提供科学依据。按照卫生部办公厅关于印发《全国血吸虫病监测方案》（试行)的通知，卫办疾控发[2005]74号，我们从2005—2013年，连续9年对香炉山村进行了疫情监测，现将监测结果报告如下。 内容与方法 1 人群查治病：对监测点居民进