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目的评价绵阳市预防控制血吸虫病中长期规划的终期效果。方法通过县级自评和市级复核的方式,对各流行县市区的防治目标实现情况、防治措施落实情况和组织管理和保障情况进行评估。结果居民和家畜粪检阳性率已连续5 a为零,连续10 a无当地感染急性血吸虫病例;实有钉螺面积降至111.68×104 m2万平方米,下降率为28.52%;连续10 a未查见阳性钉螺。农村无害化厕所普及率从11.58%上升至70.94%;农村安全饮水普及率达100%;全市血防区域学生、家庭主妇和成年男性的血防知识知晓率和正确行为形成率分别为97.54%、96.21%、96.92%和95.67%、95.53%、95.06%;家畜圈养率达到99.13%。防治目标全部实现,卫生、农业、林业、水利、国土等部门的防治措施有效执行,组织管理到位,经费保障充足。结论绵阳市实施以传染源控制为主的综合防治措施成效显著,预防控制血吸虫病中长期规划效果理想。
Objective To evaluate the final effect of long-term planning for prevention and control of schistosomiasis in Mianyang City. Methods By means of county-level self-assessment and municipal-level review, the implementation of prevention and control targets, implementation of prevention and control measures, and organization, management and security of all endemic counties and cities were evaluated. Results The positive rates of residents and livestock manure for 5 consecutive years were zero and there was no local infection of acute schistosomiasis for 10 consecutive years. The area of snails actually decreased to 111.68 × 104 m2 and the rate of decline was 28.52% See positive snails. The penetration rate of harmless toilets in rural areas increased from 11.58% to 70.94%, and the penetration rate of safe drinking water in rural areas reached 100%. The awareness rate and the correct rate of formation of blood-borne knowledge of students, housewives and adult men were 97.54% and 96.21 %, 96.92% and 95.67%, 95.53% and 95.06%, respectively; and the captive rate of livestock reached 99.13%. The prevention and treatment targets were fully realized. The prevention and cure measures in health, agriculture, forestry, water conservancy, land and other departments were effectively implemented, and the organization and management were in place with adequate funding protection. Conclusion The implementation of comprehensive prevention and control measures based on infection source control in Mianyang City has achieved remarkable success. The medium and long-term planning for prevention and control of schistosomiasis is effective.