安徽巢湖市丝虫病控制、消除历程和监测报告

【摘要】 目的  回顾并总结巢湖市丝虫病的流行、控制，以及消除丝虫病的历程。 方法  统计分析1970~1989年在该市采取以消灭传染源、切断传播途径为主的防治策略，以及展开大规模防治的各个阶段。 结果  1989年，采用分层整群抽样调查方法调查，微丝蚴率下降至0.032%，以行政村为单位，微丝蚴率已控制在1.0%以下，达到卫生部规定的基本消灭丝虫病标准；1991年，经省级调查考核，认定全市已达到卫生部规定的基本消灭丝虫病标准。1996年，省级审评确认已达到卫生部颁布的消灭丝虫病标准。经过10年的监测和跟踪治疗，到2005年，全市丝虫病病原学监测未查见微丝蚴阳性者，解剖镜检人房内淡色库蚊1 348只，蚊体内均未查见人体幼丝虫。 结论  巢湖市达到了消除丝虫病的标准。

Review on the prevalence,control and elimination of filariasis in history of Chaohu areas

【Abstract】 Objective  To review the prevalence, control and elimination of filariasis in history of Chaohu City. Methods  The data were reviewed from 1970 through 1989, with regard to the massive measures conducted in Chaohu City to eliminate infectious sources and block the route for transmission of filarial worms. Results  A stratified cluster sampling test conducted in 1989 demonstrated that presence of microfilariae in the host bloodstream was overall reduced to 0.032%, and brought down under 1.0% on average in individual administrative villages, which met the basic criteria for elimination of filariasis set forth by former Ministry of Health, China. This achievement was confirmed by a survey and evaluation conducted in 1991 at provincial level. Following provincial review in 1996 confirmed that Chaohu City reached the position for overall elimination of filariasis in accordance with the criteria issued by former Ministry of Health. In a 10-year period of pathogenic monitoring and follow-up intervention, no microfilaraemia occurred throughout Chaohu areas by 2005. Although 1 348 Culex pipiens pallens were microscopically identified in some of the human dwellings, yet no human filarial worms were detected in the mosquitoes. Conclusion  Chaohu City has reached the criteria for filariasis eradication.