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目的了解2012年湖北省16个血吸虫病国家级监测点疫情变化趋势,为制定血吸虫病防治对策提供科学依据。方法收集2012年16个监测点人畜查病、螺情、防治工作及其监测点所在县晚期血吸虫病临床路径工作实施的调查数据,统计分析各项疫情指标及变化情况。结果湖北省16个监测点人群感染率为0.42%,耕牛感染率为0.58%,有螺地带耕牛平均敞放率为78.35%,活螺平均密度为0.196只/0.11 m2,16个监测点均未发现感染性钉螺;15个监测点所在县已开展晚期血吸虫病临床路径工作,入径率11.33%。结论以传染源为主的综合防治策略取得了成效,应加强钉螺控制新技术和控制耕牛这一传染源长效机制的研究;晚期血吸虫病临床路径入径率偏低,下一步要加强临床路径培训和领导重视力度。
Objective To understand the trend of epidemic situation of 16 national schistosomiasis surveillance points in Hubei province in 2012 and provide scientific evidence for the development of schistosomiasis control strategies. Methods The survey data on the implementation of clinical pathology of schistosomiasis in human beings and animals in 16 monitoring sites in 2012 were collected, and the indicators and changes of epidemic situation were statistically analyzed. Results The population infection rate was 0.42% at 16 monitoring sites in Hubei Province and 0.58% at cattle breeding sites. The average open rate of cattle in the snail area was 78.35% and the average density of live snails was 0.196 / 0.11 m2 and 16 monitoring points Infectious snails were found in none of the 15 monitoring sites, and the clinical pathology of advanced schistosomiasis was implemented in the counties with 15 monitoring sites, with an incidence rate of 11.33%. Conclusion The comprehensive prevention and treatment strategy based on infection source has achieved some success. It is necessary to strengthen the research on the new technology of controlling snails and controlling the long-term mechanism of cattle infection. The clinical pathology of advanced schistosomiasis is low, and the next step is to strengthen the clinical Path training and leadership attention.