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2005~2014年江西省血吸虫病国家监测点疫情分析
引用本文:陈喆,辜小南,吕尚标,李宜锋,姜唯声,杭春琴,葛军,林丹丹. 2005~2014年江西省血吸虫病国家监测点疫情分析[J]. 热带病与寄生虫学, 2015, 13(4): 193-196. DOI: 10.3969/j.issn.1672-2302.2015.04.003
作者姓名:陈喆  辜小南  吕尚标  李宜锋  姜唯声  杭春琴  葛军  林丹丹
作者单位:330046 南昌市,江西省寄生虫病防治研究所
摘    要:目的  通过国家疫情监测点监测数据,了解江西省近10年血吸虫病疫情变化趋势,为全省血吸虫病防治工作提供科学依据。 方法  2005~2014年全省设立了12个国家监测点,并按照《全国血吸虫病疫情监测方案》开展了人群及家畜病情、螺情和相关因素调查。收集上述监测数据,对血吸虫病疫情动态规律进行分析。 结果  监测期间,湖沼型疫区居民血吸虫病感染率均较山丘型疫区明显高,其中感染高峰主要为20岁以上人群,职业以渔民感染率最高;人、畜感染率及螺情显著下降,居民血检阳性率、粪检阳性率和血吸虫感染率分别由2005年的32.50%、15.47%和5.03%下降至2014年的7.75%、0.57%和0.04%;耕牛感染率由2005年7.36%下降到2014年的0; 钉螺面积、活螺平均密度和感染性钉螺平均密度分别由731.27hm2、1.441 1只/0.1m2和0.003 6只/0.1m2下降到316.88hm2、0.471 3只/0.1m2、0。 结论  截至2014年,江西省血吸虫病国家监测点人群、家畜和钉螺疫情均降至历史较低水平,渔民、农民等重点传染源监测是今后防控的重点。

关 键 词:血吸虫病  疫情  国家监测点  江西省  

Endemic situation of schistosomiasis in the national surveillance sites in Jiangxi Province from 2005 to 2014
Chen Zhe,Gu Xiaonan,Lv Shangbiao,Li Yifeng,Hang Chunqin,Ge Jun,Lin Dandan. Endemic situation of schistosomiasis in the national surveillance sites in Jiangxi Province from 2005 to 2014[J]. Journal of Tropical Diseases and Parasitology, 2015, 13(4): 193-196. DOI: 10.3969/j.issn.1672-2302.2015.04.003
Authors:Chen Zhe  Gu Xiaonan  Lv Shangbiao  Li Yifeng  Hang Chunqin  Ge Jun  Lin Dandan
Affiliation:Jiangxi Provincial Institute of Parasitic Diseases Control, Nanchang 330046, China
Abstract:Objective  To understand the epidemic status and trend of schistosomiasis prevalence based on the data generated in the national surveillance sites in Jiangxi province in the last 10 years, in order to provide scientific evidences for prevention and control of the schistosomiasis across the province. Methods  Twelve surveillance sites on national level were designed throughout the province from 2005 to 2014 in compliance with the national surveillance protocol. Corresponding surveillance was annually carried out regarding the epidemic status in population, livestock and snails, and the data were collected and analyzed for understanding the schistosomiasis endemic situation and its dynamics. Results  Residents living in the lake bank and marshland areas had significantly higher infection rate than those living the hilly and mountainous regions, and fishermen aged over 20 years were most affected. Infection rate for residents and livestock as well as density of snails tended to decrease in general. Positive rates in residents by IHA and stool surveys as well as schistosomiasis were declined to 7.75%, 0.57% and 0.04% in 2014 from 32.50%, 15.47% and 5.03% in 2005, respectively. The infection rate in cattle was reduced to 0 in 2014 from 7.36% in 2005. The areas with snails, mean density of living snails and infected snails were significantly decreased from 731.27 hm2, 1.441 1/0.1m2 and 0.003 6/0.1m2 to 316.88 hm2, 0.471 3/0.1m2 and 0. Conclusion  By 2014, prevalence of schistosomiasis in population and livestock as well as areas with snails or infected snails remained lowest in history in the national surveillance sites in Jiangxi province. However, following surveillance should be weighed on fishermen, farmers and potential infectious sources .
Keywords:Schistosomiasis  Epidemic situation   National surveillance sites  Jiangxi Province  
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