新型冠状病毒肺炎疫情对湖南省血吸虫病防控影响的调查及对策分析

目的 分析新时期血防工作所面临的难点和挑战,探讨本次新冠疫情后血防工作中应优先关注或加强的方向,并对今后血防工作重点提出建议,为推动湖南省血吸虫病消除进程提供决策依据和技术支撑。 方法 根据新型冠状病毒肺炎疫情形势下湖南省血吸虫病防治工作的实际情况和消除目标任务,分阶段对 16 个血防任务及新冠疫情均较重的县(区)以问卷调查、访谈和视频会议等方式开展调查,分析新冠肺炎疫情对血吸虫病防治相关工作的短期与长期影响。 结果 在新冠肺炎疫情应急式防控期间,调查地区所有血防机构均参与新冠疫情防控工作,对血防工作产生了明显的短期影响,并以人群血吸虫病查治病、健康教育和疫情监测 3 项工作受影响最为突出(计划完成率各项指标均<20%)。 在疫情防控常态化期间,延后的工作计划大部分得以弥补完成,大多数被调查者认为血吸虫病防治的任务目标和执行力不会改变,血防经费不会削减,到年底任务预计依然能顺利完成。 结论新型冠状病毒肺炎疫情对湖南省血吸虫病防控工作产生了明显的短期影响。 血吸虫病防控工作者应以新冠肺炎疫情防控为鉴,努力提高应对重大突发公共卫生事件的能力和水平,加强监测预警能力体系建设。

Investigation and countermeasure analysis of COVID-19 on schistosomiasis control in Hunan Province

Objective To analyze the difficulties and challenges in current schistosomiasis prevention and control under the influence of COVID-19 epidemic,and investigate the priority and focus following the COVID-19 epidemic,as well as propose some key points in following schistosomiasis control,so as to provide decision-making basis and technical support for promoting the elimination of schistosomiasis in Hunan Province. Methods By the actual situation of schistosomiasis control in Hunan Province under COVID-19 prevalence and the goals to eliminate schistosomiasis,we conducted a series of surveys in 16 counties (districts) in Hunan,where the areas are heavily responsible for schistosomiasis prevention and relatively serious in COVID-19 epidemic,through questionnaires,interviews and video conferences,and analyzed the short and long-term effects of COVID-19 prevalence on the work involved in schistosomiasis prevention and control. Results During the emergency period in prevention and control of the COVID-19 epidemic,efforts of all organizations in the areas surveyed were thrown in prevention and control of COVID-19 pandemic,which produced significant short-term impact on schistosomiasis prevention and control,and the impacts were prominent in screening and treatment of schistosomiasis on population basis, provision of health education and epidemic monitoring. The completion rate for each mission as scheduled was less than 20%. Nevertheless,the delayed tasks during regular prevention and control of COVID-19 pandemic were generally made up. Most interviewees considered that they shall insist on fully executing the mission and achieving the goal of schistosomiasis prevention and control as well as completely funding the prevention program,and expected that the tasks was to be successfully completed by the end this year. Conclusion COVID-19 epidemic,to a certain degree,has produced short-term impact on the prevention and control of schistosomiasis in Hunan Province. However,schistosomiasis prevention and control workers should learn from prevention and control of COVID-19 prevalence,and spare no efforts to improve the capacity and  level of coping with the major public health emergencies by strengthening construction of early,intelligent monitoring and warning systems in the future.