2010-2015年江苏省血吸虫病防治规划实施效果评估
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摘要
目的评估《江苏省血吸虫病防治规划纲要(2010-2015年)》实施效果。方法选择江苏省10个设区市的67个血吸虫病流行县(市、区),采取回顾性调查方法,以县(市、区)为单位收集2010-2015年血吸虫病疫情和防治工作等资料建立数据库,并对防治效果进行评估。结果 2010-2015年,江苏省累计完成人群血吸虫病查病2 465 911人·次,累计查出血检阳性16 974人·次、粪检阳性8人,治疗晚期血吸虫病5 145人·次,扩大化疗40 460人·次;开展家畜查病127 636头·次,家畜扩大化疗51 619头·次;开展药物灭螺18 604.84 hm~2。至2015年底,全省已连续5年未发现血吸虫感染性钉螺和家畜血吸虫感染,连续6年未发生本地急性血吸虫感染;钉螺分布面积下降至1 977.18 hm~2,较2010年下降了55.24%。结论《江苏省血吸虫病防治规划纲要(2010-2015年)》实施后,全省血吸虫病防治工作取得了显著成效,实现了各项防治规划的目标。
Objective To evaluate the actual effect of the schistosomiasis control program in Jiangsu Province from 2010 to2015. Methods A total of 67 schistosomiasis-endemic counties in 10 cities were selected, and a combination of retrospective investigation and on-site investigation was adopted to collect and record the epidemic data of the counties from 2010 to 2015,and a retrospective survey database of epidemic situation was established. The effects of integrated control strategies with both Onomelania hupensis snail control and infection source control were evaluated. Results From 2010 to 2015, 2 465 911 persons who lived in endemic areas were detected for schistosomiasis, with 16 974 positive cases of blood examinations, and 8 positive cases of fecal examinations. Totally 5 145 people with advanced schistosomiasis were treated and 40 460 people with the history of schistosome cerarial-infested water contact received the expanded chemotherapy. A total of 127 636 cattle raised in the endemic areas were detected, and 51 619 cattle(head-times) with the history of cercarial-infested water contact also received the expanded chemotherapy. The area with snails control by molluscicides was 18 604.84 hm2. By the end of 2015, schistosomeinfected snails had not been found and there was no zoological schistosome infection for 5 consecutive years, and in addition,there had been no acute schistosome-infected persons for 6 consecutive years in the whole province. The area with snails dropped to 1 977.18 hm2, with a decreasing rate of 55.24% compared with that in 2010. Conclusion After the implementation of the plan for the prevention and control of schistosomiasis in Jiangsu Province(2010-2015), the prevention and control of schistosomiasis has achieved remarkable effects and realized the goal of the plan.
Objective To evaluate the actual effect of the schistosomiasis control program in Jiangsu Province from 2010 to2015. Methods A total of 67 schistosomiasis-endemic counties in 10 cities were selected, and a combination of retrospective investigation and on-site investigation was adopted to collect and record the epidemic data of the counties from 2010 to 2015,and a retrospective survey database of epidemic situation was established. The effects of integrated control strategies with both Onomelania hupensis snail control and infection source control were evaluated. Results From 2010 to 2015, 2 465 911 persons who lived in endemic areas were detected for schistosomiasis, with 16 974 positive cases of blood examinations, and 8 positive cases of fecal examinations. Totally 5 145 people with advanced schistosomiasis were treated and 40 460 people with the history of schistosome cerarial-infested water contact received the expanded chemotherapy. A total of 127 636 cattle raised in the endemic areas were detected, and 51 619 cattle(head-times) with the history of cercarial-infested water contact also received the expanded chemotherapy. The area with snails control by molluscicides was 18 604.84 hm2. By the end of 2015, schistosomeinfected snails had not been found and there was no zoological schistosome infection for 5 consecutive years, and in addition,there had been no acute schistosome-infected persons for 6 consecutive years in the whole province. The area with snails dropped to 1 977.18 hm2, with a decreasing rate of 55.24% compared with that in 2010. Conclusion After the implementation of the plan for the prevention and control of schistosomiasis in Jiangsu Province(2010-2015), the prevention and control of schistosomiasis has achieved remarkable effects and realized the goal of the plan.
引文
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[7]孙乐平,梁幼生,田增喜,等.2004-2008年江苏省钉螺分布动态分析[J].中国血吸虫病防治杂志,2010,22(1):26-30.
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[9]魏德会.南京地区渔船民血防健康教育效果评估[J].现代预防医学,2014,41(2):277-278.
[10]高扬,孙乐平,左引萍,等.流动渔船民血吸虫病防治措施的研究Ⅲ船员区域联动查治病机制的构建与应用[J].中国血吸虫病防治杂志,2011,23(5):535-540.
[11]Sun LP,Wang W,Hong QB,et al.Approaches being used in the national schistosomiasis elimination programme in China:a review[J].Infect Dis Poverty,2017,6(1):55.
[12]Sun LP,Wang W,Zuo YP,et al.An integrated environmental improvement of marshlands:impact on control and elimination of schistosomiasis in marshland regions along the Yangtze River,China[J].Infect Dis Poverty,2017,6(1):72.
[13]He J,Li W,Bergquist R,et al.The spatio-temporal distribution ofOncomelania hupensisalong Yangtze river in Jiangsu Province,China after implementation of a new,integrated schistosomiasis control strategy[J].Geospat Health,2016,11(3):480.
[14]Yang K,Sun LP,Liang YS,et al.Schistosoma japonicumrisk in Jiangsu province,People's Republic of China:identification of a spatio-temporal risk pattern along the Yangtze River[J].Geospat Health,2013,8(1):133-142.
[15]Yang K,Xu JF,Zhang JF,et al.Establishing and applying a schistosomiasis early warning index(SEWI)in the lower Yangtze River Region of Jiangsu Province,China[J].PLoS One,2014,9(4):e94012.
[16]梁幼生,汪伟,李洪军,等.南水北调输水模式中相关因素对钉螺北移扩散的影响[J].中国血吸虫病防治杂志,2009,21(4):280-284.
[17]江涛,王志坚,朱涛,等.丹阳市钉螺消长与扩散趋势分析[J].中国血吸虫病防治杂志,2013,25(2):129-132.
[18]闻礼永,严晓岚,张剑锋,等.当前我国传播阻断省份血吸虫病监测情况和巩固策略[J].中国血吸虫病防治杂志,2011,23(1):18-21.
[19]Feng Y,Liu L,Xia S,et al.Reaching the surveillance-response stage of schistosomiasis control in the People.s Republic of China:A modelling approach[J].Adv Parasitol,2016,92:165-196.
[2]杨秀芹,张键锋.2005~2014年江苏省血吸虫病疫情分析[J].热带病与寄生虫学,2017,15(1):41-43.
[3]Hong QB,Yang K,Huang YX,et al.Effectiveness of a comprehensive schistosomiasis japonica control program in Jiangsu province,China,from 2005 to 2008[J].Acta Trop,2011,120(Suppl1):S151-S157.
[4]孙乐平,梁幼生,黄轶昕,等.江苏省血吸虫病疫情控制效果与评估[J].中国血吸虫病防治杂志,2008,20(1):41-45.
[5]郝阳,郑浩,朱蓉,等.2009年全国血吸虫病疫情通报[J].中国血吸虫病防治杂志,2010,22(6):521-527.
[6]蒋明森,刘镕,赵琴平,等.关于血吸虫病的社会流行病学思考[J].中国血吸虫病防治杂志,2010,22(3):201-205.
[7]孙乐平,梁幼生,田增喜,等.2004-2008年江苏省钉螺分布动态分析[J].中国血吸虫病防治杂志,2010,22(1):26-30.
[8]Li ZJ,Ge J,Dai JR,et al.Biology and control of snail intermediate host ofSchistosoma japonicumin the People.s Republic of China[J].Adv Parasitol,2016,92:197-236.
[9]魏德会.南京地区渔船民血防健康教育效果评估[J].现代预防医学,2014,41(2):277-278.
[10]高扬,孙乐平,左引萍,等.流动渔船民血吸虫病防治措施的研究Ⅲ船员区域联动查治病机制的构建与应用[J].中国血吸虫病防治杂志,2011,23(5):535-540.
[11]Sun LP,Wang W,Hong QB,et al.Approaches being used in the national schistosomiasis elimination programme in China:a review[J].Infect Dis Poverty,2017,6(1):55.
[12]Sun LP,Wang W,Zuo YP,et al.An integrated environmental improvement of marshlands:impact on control and elimination of schistosomiasis in marshland regions along the Yangtze River,China[J].Infect Dis Poverty,2017,6(1):72.
[13]He J,Li W,Bergquist R,et al.The spatio-temporal distribution ofOncomelania hupensisalong Yangtze river in Jiangsu Province,China after implementation of a new,integrated schistosomiasis control strategy[J].Geospat Health,2016,11(3):480.
[14]Yang K,Sun LP,Liang YS,et al.Schistosoma japonicumrisk in Jiangsu province,People's Republic of China:identification of a spatio-temporal risk pattern along the Yangtze River[J].Geospat Health,2013,8(1):133-142.
[15]Yang K,Xu JF,Zhang JF,et al.Establishing and applying a schistosomiasis early warning index(SEWI)in the lower Yangtze River Region of Jiangsu Province,China[J].PLoS One,2014,9(4):e94012.
[16]梁幼生,汪伟,李洪军,等.南水北调输水模式中相关因素对钉螺北移扩散的影响[J].中国血吸虫病防治杂志,2009,21(4):280-284.
[17]江涛,王志坚,朱涛,等.丹阳市钉螺消长与扩散趋势分析[J].中国血吸虫病防治杂志,2013,25(2):129-132.
[18]闻礼永,严晓岚,张剑锋,等.当前我国传播阻断省份血吸虫病监测情况和巩固策略[J].中国血吸虫病防治杂志,2011,23(1):18-21.
[19]Feng Y,Liu L,Xia S,et al.Reaching the surveillance-response stage of schistosomiasis control in the People.s Republic of China:A modelling approach[J].Adv Parasitol,2016,92:165-196.