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目的评价2009-2014年潜江市省部联动血吸虫病控制项目做法与防治效果。方法采用流行病学方法,回顾性分析潜江市2009-2014年,实施省部联动控制血吸虫病项目开展改水管粪、以机代牛、家畜圈养、人畜化疗、易感地带灭螺、硬化沟渠等以控制传染源为主的防治策略实施情况,对比实施前后血吸虫病疫情变化及效果。结果省部联动项目策略实施6年来,全市农村三格式厕所、沼气池及安全用水覆盖率分别达42.00%、23.16%、93.76%;沟渠硬化196条,消灭钉螺面积17.8 hm2;接受血吸虫病防护知识宣教552 481人次/年,占总人口数的90.56%。采取主动防护措施预防血吸虫感染51 663人次/年。人群、耕牛血吸虫病感染率分别下降了84.23%和100.00%;急性感染数降为0;流行村类别也发生了显著变化,一类和二类重度流行村减少至0;三类村减少了80.71%;四类村增加了76.16%。传播控制标准如期实现。结论实施省部联动控制血吸虫病策略,在流行范围广泛、地理环境复杂、人畜感染严重的水网型地区防治成效显著。
Objective To evaluate the practice and prevention and cure of the linked schistosomiasis control project in Qianjiang from 2009 to 2014. Methods Epidemiological methods were used to retrospectively analyze the sub-project of schistosomiasis control in Qianjiang City from 2009 to 2014. The project was to carry out water diversion of manure, Etc. to control the source of infection-based prevention and control of the implementation of the strategy, comparing the implementation of schistosomiasis before and after the change and the effect. Results In the 6 years since the provincial-level linkage project was implemented, the coverage rate of three types of toilets, biogas digesters and safe water in rural areas was 42.00%, 23.16% and 93.76% respectively; 196 ditches were hardened and the snail area was 17.8 hm2; schistosomiasis prevention knowledge Missionary 552 481 person-times / year, accounting for 90.56% of the total population. Take active protective measures to prevent schistosomiasis 51 663 person / year. The prevalence of schistosomiasis in the population and in cattle decreased by 84.23% and 100.00% respectively; the number of acute infections dropped to 0; the prevalence of village categories also changed significantly, the number of severe endemic villages in category I and II was reduced to 0; 80.71%; four kinds of villages increased by 76.16%. Propagation control standards on schedule. Conclusions The implementation of the strategy of linkage control of schistosomiasis by the Ministry of Public Health has achieved remarkable results in the prevention and control of water-based areas where the epidemic area is wide, the geographical environment is complex and human and animal infections are serious.