控制猪带绦/囊虫病措施的现场研究

目的 探讨绦／囊虫病社区防治措施。方法 在实验区和对照区完成流行病学调查的基础上，实施控制传染源、培训基层医生及在实验区辅以健康教育的干预措施。干预措施实施1年和6年后，进行防治近期和远期效果考核。结果 防治前实验区绦、囊虫病患病率为O．23％和O．70％，对照区绦、囊虫病患病率为O．21％和O．61％，2无显性差异；防治1年和6年后2区均未发现新发病例。防治6年后2区居民血清囊虫抗体阳性率(1．04％)比防治前(3．11％)显下降，防治1年后猪血清囊虫抗体阳性率(1．39％)明显低于防治前(5．12％)，2区居民血清抗体、猪血清抗体同期比较无显差异，但实验区居民环境卫生状况、卫生意识及防病知识明显好于对照区。结论 在流行病学调查的基础上，通过实施消除传染源、培训基层医生为主，健康教育为辅的干预措施可有效地控制绦／囊虫病。

Field study on control measures for taeniasis and cysticercosis

Objective To explore control measures of taeniasis and cysticercosis in community.Methods Based on the completed epidemiological survey at the experimental site and control site,interventions were carried out by means of controlling sources of infection,training basic level sanitary personnel at two sites,and health education was carried out as an intervention at the experimental site also.One year and six year after intervention,the result was assessed.Results Before control program,the morbidity rates of taeniasis and cysticercosis in the residents were 0.23%,0.70% at the experimental site and 0.21%,0.61% at control site,there was no difference between the two sites.One year and six year after intervention,no newly infected patient was found at the two sites.Six year after intervention,the seropositivity rate of the inhibitants at the two sites was 1.04%,and compared with that (3.11%) befor control,seropositivity rate decreased significantly.One year after intervention,ther seropositivity rate of the pigs at the two sites was 1.39%,and compared with that (5.12%) before control,it decreased significantly also.There is no difference between the experimental site and control site for seropositivity rates of human and pigs in the same period.But environmental sanitation was improved,and health consciouseness,knowledge of the masses to prevent the disease was improved obviously at the experimental site compared with the control site.Conclusion The control measures against taeniasis and cysticercosis with controlling sources of infection,training basic level sanitary personnel as the main intervention and health education as a supplementary intervention,based on the understanding of epidemiology,was proved to be effective.