江苏省盐城市2004—2018年血吸虫病防治效果分析

目的 分析评价盐城市2004—2018年血吸虫病防治工作,为制定防治策略提供依据。方法 收集2004—2018年盐城市血吸虫病防治工作报表并整理分析。结果 2004—2018年,盐城市调查钉螺面积累计110 491.12 hm²,药物巩固灭螺面积累计2 409.08 hm²,现有钉螺面积从2004年的40.03 hm²下降至2018年的1.03 hm²,无阳性钉螺;累计开展血吸虫病人群检查16.45万人,开展血检累计13.55万人,居民血吸虫病调查显示阳性人员1 134例,血检总阳性率为0.84%,无血吸虫病病例;开展粪检34 014例,无阳性人员;发现血吸虫病晚期病例5 248例,无急性期感染病例。开展牛血吸虫病感染检查1.38万头,总检查率为58.72%,无粪检阳性耕牛。2004—2018年全市累计建造无害化厕所 231 345户,圈养家畜2 278头,登记奶牛21 222头,治理河流8 761.59 km,整治土地82.82万亩,修建田间道路工程 3 618.87 km,修建灌、排（渠）、管道8 087.68 km。全市2004—2018年累计发放健康材料超70万份,受血防教育人数累计超过750万人次。2016—2018年血防知识知晓率和正确行为形成率均超过95%。结论 2004年至今,盐城市血吸虫病防治各项工作成效显著,为实现从传播阻断到消除血吸虫病的终极目标打下坚实基础。

Analysis on the effect of schistosomiasis control in Yancheng,Jiangsu, 2004- 2018

Objective To analyze and evaluate the schistosomiasis control in Yancheng City during the 2004-2018 , and we provide evidence for schistosomiasis control strategies. Methods The data of schistosomiasis control in Yancheng City in 2004-2018 were collected and analyzed. Results From 2004 to 2018, the total area of snail investigated in Yancheng city was 110 491.12 hm², and the total area of snail control by drug consolidation was 2 409.08 hm², the area of existing snails in Yancheng City decreased from 40.03 hm² in 2004 to 1.03 hm² in 2018, without positive snails; a total of 164 500 schistosomiasis patients were examined, and 135 500 were blood examined, the survey of residents' schistosomiasis showed 1 134 positive persons, with a total positive rate of 0.84%, without cases of schistosomiasis; 34 014 stool tests were carried out, without positive persons; 5 248 advanced cases of schistosomiasis were found, without cases of acute infection. A total of 13 800 cattle were examined for schistosomiasis infection, with a total examination rate of 58.72%. There was no positive fecal test in cattle. From 2004 to 2018, 231 345 harmless toilets, 2 278 domestic animals, 21 222 registered cows, 8 761.59 km of rivers, 828 200 mu of land, 3 618.87 km of field roads, and 8 087.68 km of irrigation, drainage and pipelines were built. From 2004 to 2018, the city has distributed more than 700 000 health materials, and more than 7.5 million person-time were received blood control education. In 2016-2018, the awareness rate and correct behavior formation rate of schistosomiasis control knowledge exceeded 95%. Conclusion After years of effort, the work of schistosomiasis control in Yancheng City has achieved remarkable results, laying a solid foundation for the ultimate goal of gradually eliminating schistosomiasis from transmission interruption.