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[目的 ]复查湖北省自 1989年起陆续报告的 14例“黑热病”,及评估我省黑热病的流行现况。 [方法 ]复查“黑热病”患者的骨髓片、免疫学检查 (L DT、IFAT)、接种动物及真菌培养、媒介 (白蛉 )和保虫宿主 (犬 )的调查。[结果 ]除 1例输入的和 1例残存的皮肤型黑热病外 ,其余 12例为播散型荚膜组织胞浆菌病。1997～ 1999年在 9个地市的 2 3个县 (市 )的 2 5个乡镇进行了免疫学监测 ,对 13 890人采用利什曼素皮内试验 (L DT) ,阳性率 0 .0 0 7% ,40岁以下的人群无阳性。其中 175 6人作间接荧光抗体试验 (IFAT) ,结果均为阴性。在调查区内未发现中华白蛉。查犬 30 2只 ,未发现病犬。 [结论 ]湖北省已消灭黑热病 ,且防治成果巩固
[Objective] To review 14 cases of “kala-azar” reported by Hubei Province since 1989 and evaluate the prevalence of kala-azar in our province. [Method] The investigation of bone marrow slices, immunological examination (L DT, IFAT), inoculation of animals and fungi, media (whiteflies) and host (dog) in kala-azar were reviewed. [Results] The other 12 cases were disseminated capsular histoplasmosis except 1 imported and 1 case of residual skin-type kala-azar. Immunological surveillance was conducted in 25 townships in 23 counties (cities) of 9 cities from 1997 to 1999. Leishman’s skin intradermal test (L DT) was performed on 13,890 people, the positive rate was 0 .0 0 7% of the population under the age of 40 no positive. Among them, 175 6 were tested by indirect fluorescent antibody test (IFAT). The results were negative. In the survey area did not find Chinese whitefly. Dogs 30 2, no dogs were found. [Conclusion] Kala-azar has been eliminated in Hubei Province and the control results have been consolidated