江苏省扬州市新砂滩农业生态综合开发消除血吸虫病效果

目的 分析扬州市新砂滩利用农业生态综合开发消除血吸虫病效果,为血吸虫病传播阻断地区走向血吸虫病消除阶段提供借鉴。方法 采用回顾性调查法,收集2005—2016年新砂滩查灭螺、环境改造、查治病、健康行为调查资料并对结果进行统计分析。结果 新砂滩有螺面积年平均值从农业生态综合开发前（2005—2010年）194.86万㎡ （1 169.18/6）下降到开发后（2011—2016年）12.13万㎡（72.75/6）;血检阳性率从开发前9.28%下降到开发后1.05%,粪检阳性率从2.28%下降到0%;2017年4月调查新砂滩无害化卫生公厕经常使用率为88.1%;开发后每年共产生经济效益约为300万元。结论 新砂滩以农业生态综合开发的治理方式,进一步消除血吸虫病危害,巩固了血防成果,提高了人群健康意识,并产生了可观的经济效益。

Demonstration and effect of schistosomiasis elimination by comprehensive agroecological development in Xinsha Beach,Yangzhou, Jiangsu

Objective To analyze the demonstration and effect of schistosomiasis elimination by comprehensive agroecological development in Xinsha Beach, Yangzhou, so as to provide experience for schistosomiasis elimination in schistosomiasis transmission-interrupted areas. Methods The data of snail control, environmental improvement, disease control and health behavior in Xinsha Beach from 2005 to 2016 were collected by retrospective investigation method, and the results were statistically analyzed. Results The average area of oncomelania decreased from 1.948 6 million ㎡(1 169.18/6)(2005-2010) to 121 300 ㎡(72.75/6)(2011-2016) after the comprehensive agroecological development; The positive rate of blood test decreased from 9.28% to 1.05%, and that of fecal test decreased from 2.28% to 0%. In April 2017, the regular use rate of the ecological public toilets for schistosomiasis control in Xinsha beach was 88.1%. After development, the total annual economic benefit is about 3 million yuan. Conclusion Xinsha Beach has achieved remarkable results through the comprehensive agroecological development, further eliminated the harm caused by schistosomiasis, consolidated the achievements in schistosomiasis control, improved people's health awareness and produced considerable economic benefits.