山东省土源性线虫病防控策略和实践

目的 探索符合山东省省情可持续发展的土源性线虫病防控策略，通过实施以减轻该病的流行和危害程度。方法山东省卫生厅主导全省土源性线虫病防控管理工作，山东省寄生虫病防治研究所负责全省防治规划的实施和技术指导，各市、县疾病预防控制中心在本辖区开展土源性线虫病防控工作。以《全国重点寄生虫病防治规划》为指南，结合山东省实际情况制定防控策略，采取常规防治与重点地区防治相结合的方法，因地制宜开展土源性线虫病防控工作。结果2003年，山东省土源性线虫平均感染率为18.26％。2007-2009年，全省共计9个市74个县3 115 194人服药驱虫。县级开展健康教育覆盖人口39 866 923人次，市级开展健康教育覆盖人口34 730 663人次，省级开展健康教育覆盖人口32 000人次。2009 年无害化卫生厕所普及率为58.05％。2009 年7 个重点县（市）共计检查6 581 人，土源性线虫总感染率为7.61％。3年开展省级专业人员培训30次，培训人员2 130人次，各市举办培训班52次，培训人员3 110人次；各县举办培训班403次，培训人员12 789人次。2009年全省土源性线虫感染率下降至7.10％，较2003年下降了61.12%，达到了《防治规划》下降40％的目标要求。结论 山东省3年土源性线虫病防控实践证明，政府重视、资金保障、专项健康教育与爱国卫生运动相结合、常规防控与专项防控相结合、各市卫生行政部门会同防控机构各司其职开展工作等多措并举，是有效的土源性线虫病防控策略。

Control strategy and practice of soil-transmitted parasitic diseases in Shandong Province

Objective To explore the sustainable development control strategies on soil?transmitted parasitic diseases appro?
priate to current epidemic characteristics so as to effectively reduce the epidemic level and harm to people in Shandong Province.
Methods This project was led by the Shandong Medical Department，governed and instructed by the Shandong Institute of Para?
sitic Diseases，concretely implemented by the centers for disease control and prevention in counties or cities. All the work was car?
ried out according to the Control Programming of National Key Parasitic Diseases，and with the combination of routine and key con?
trol strategies according to the actual situation. Results The average infection rate of soil?transmitted parasitic diseases in Shan?
dong Province was 18.26％ in 2003. During the 2007 to 2009 period，3 115 194 people from 74 counties in 9 cities received an?
thelmintic medicine. The numbers receiving health education were 39 866 923 in county，34 730 663 in city，3 2000 in province，
respectively. The coverage rate of non?hazardous sanitary latrines was 58.05%. In 2009，6 581 people were surveyed from 7 coun?
ties or cities and the infection rate of soil?transmitted parasitic diseases was 7.61％. During three years，30 provincial training
classes were held and 2 130 people attended，52 municipal classes were held and 3110 people attended，and 403 county classes
were held and 12 789 people attended. In the whole province，the infection rate of soil?transmitted parasitic diseases reduced to
7.10% in 2009，with the reduction rate of 61.12%，reaching the national objective. Conclusions The comprehensive control
model for soil?transmitted parasitic diseases is very successful in Shandong Province.