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目的在新疆北部囊型包虫病流行区,开展以包虫病防治新技术为主的综合性防治措施。考核和评价预防控制效果,探讨现阶段适宜于这一地区的包虫病预防控制模式。方法选择地理条件、生产类型和民族组成诸方面有代表性的乡为单位开展试点工作。在政府主导下实施健康教育、以有偿服务的方式对居民进行包虫病普查、对病人进行药物治疗、对家犬皮下埋植吡喹酮缓释药棒控制传染源作为主要预防控制措施。以预防包虫病基本知识的问卷调查结果、7岁儿童血清抗体水平调查结果、1岁龄绵羊包虫病患病率调查结果和家犬粪抗原检测结果等为监测指标,考核和评价预防控制包虫病的效果。结果在试点第3年末进行考核的结果为:居民对预防包虫病的四项基本知识和感染包虫病的风险行为的知晓率提高了30%-70%;7岁儿童血清抗体阳性率从试点前的28%-37.7%下降至8.0%-16.0%;绵羊包虫病患病率从50.6%下降为13.6%;家犬粪抗原阳性率从19.5%-43.2%下降至1.0% -1.98%。3个试点县中有2个县通过有偿服务的收入支付防治工作的开支后略有节余。结论试点研究的结果表明本次执行的在政府主导下,以健康教育为先导,采取有偿服务的方式,推行综合性防治措施的模式具有支撑技术先进、高效;指标明确,易于掌握和操作;适应性强;深受群众和干部的欢迎。可在较短的时间内取得显著的预防控制效果并实现防治工作的可持续发展。
Objective In the endemic area of cystic echinococcosis in the northern part of Xinjiang, comprehensive prevention and control measures are put forward, which mainly focus on the new technologies of hydatid disease prevention and treatment. Assessment and evaluation of the effectiveness of prevention and control to explore the current stage suitable for hydatid disease prevention and control mode. Methods To select the typical township as the unit for carrying out the pilot work on the geographical conditions, production types and ethnic composition. Under the government-led health education, residents were given echinococcosis surveys on the basis of paid services. The patients were treated with drugs. The control source of praziquantel sustained-release sticks was implanted subcutaneously in dogs as the main preventive and control measures. The questionnaire survey on basic knowledge of prevention of hydatid disease, the results of the survey of serum antibody level of 7-year-old children, the survey results of prevalence of sheep echinococcosis at 1 year old and the detection results of domestic fecal antigen were used as monitoring indicators to evaluate and evaluate prevention and control Echinococcosis effect. Results The results of the assessment conducted at the end of the third year of the pilot project were as follows: Residents’ awareness of the four basic precautionary echinococcosis and risk behaviors of echinococcosis increased by 30% -70%; The positive rate of serum antibody of 7-year-old children increased from The prevalence of echinococcosis in sheep decreased from 50.6% to 13.6%, while the positive rate of fecal antigen in domestic dogs decreased from 19.5% -43.2% to 1.0% -1.98% . Two out of the three pilot counties experienced a slight savings after paying for the expenses of prevention and control work through the income from paid services. Conclusion The results of the pilot study show that under the government-led implementation of health education, the mode of implementing comprehensive prevention and treatment measures with health education as the guide and the implementation of comprehensive prevention and treatment measures under this government-led study has advanced technology and high efficiency; indicators are clear and easy to grasp and operate; Strong; popular with the masses and cadres. In a relatively short period of time, significant results in prevention and control could be achieved and sustainable development of prevention and control work could be achieved.