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目的评价洪泽县肠道线虫病综合防治效果。方法 1995年起,采取药物驱虫、健康教育和改水改厕等综合防治措施,对肠道线虫病进行综合干预。通过人群肠道线虫感染率、居民卫生知识知晓率和卫生行为正确率等指标评价综合防治成效。结果 1995-2014年,全县累计服药60.19万人,镇村覆盖率达100%。2015年底,全县自来水覆盖率达到100%,卫生户厕普及率达92.77%。肠道线虫病人群感染率从1995年的26.04%下降至2014年的0.56%,两者差异有统计学意义(χ~2=693.54,P<0.01)。居民卫生知识知晓率和卫生行为正确率从1995年的43.13%和40.94%分别上升到2014年的98.00%和96.80%,两者差异具有统计学意义(χ~2_(卫生知识)=181.97,χ~2_(卫生行为)=182.14,P均<0.01)。结论洪泽县实施的综合性防治策略可有效的控制肠道线虫病的流行。
Objective To evaluate the comprehensive prevention and control of gut nematodes in Hongze County. Methods Since 1995, comprehensive prevention and control measures such as drug deworming, health education and water and toilet renovation have been taken to comprehensively intervene intestinal nematode diseases. Through the population of intestinal nematode infection rate, the rate of awareness of health awareness of residents and health indicators such as correct rate of comprehensive evaluation of the effectiveness of evaluation. Results From 1995 to 2014, the county took a total of 60.19 million people and the town and village coverage rate reached 100%. By the end of 2015, the coverage rate of tap water in the whole county reached 100%, and the popularity rate of sanitary household toilets reached 92.77%. The infection rate of gut nematode patients dropped from 26.04% in 1995 to 0.56% in 2014, with a significant difference (χ ~ 2 = 693.54, P <0.01). The rate of awareness of hygiene knowledge and correctness of health behaviors rose from 43.13% and 40.94% in 1995 to 98.00% and 96.80% in 2014, respectively, with statistical significance (χ ~ 2_ (hygiene knowledge) = 181.97, χ ~ 2_ (hygiene behavior) = 182.14, P <0.01). Conclusion The comprehensive prevention and control strategy implemented in Hongze County can effectively control the epidemic of intestinal nematode disease.