江苏省慢性丝虫病现状调查

目的 了解江苏省慢性丝虫病患病现状，为开展丝虫病防治和慢性丝虫病治疗提供依据。方法 采用分层整群抽样和线索调查2种方法，对全省71个原丝虫病流行县15周岁以上人群进行慢性丝虫病症状、体征和实验室检查，对调查资料进行统计分析。结果 抽样调查慢性丝虫病患病率为0．15％，推算全省有慢性丝虫病病人65298例。线索调查发现病人9793例。年龄17～92岁，60岁以上者占65．39％，病程1～64年，10年以上者占91．09％，临床分型以下肢淋巴液肿居多，占69．35％。34个丝虫病中度流行县的推算病例数占全省病例数的86．64％。结论 分层抽样调查和线索调查并用在慢性丝虫病调查中具有实际意义。江苏省慢性丝虫病患病率仍较高，应积极开展慢性丝虫病治疗和照料工作。

Investigation on the current status of chronic filariasis in Jiangsu Province

Objective To understand the current status of chronic filariasis in Jiangsu Province, so as to provide basis of making practical control and treatment measures. Methods People over 15-year old were checked up on clinic symp- toms, signs and laboratory signals in chronic filariasis in 71 old endemic counties, by stratified-cluster and clue sampling. The data were analyzed statistically. Results The morbidity of chronic filariasis was 0. 15% evaluated by stratified- cluster sampling, and 65 298 chronic cases were calculated in Jiangsu Province. 9 793 cases were found by clue sampling, of which the age ranged in 17-92, over 60 to be 65.39~. The course of diseases was in 1-64 years, and over 10 years to be 91.09%~. The type of disease with leg-lymphatic liquid was 69.35 %. The patients calculated in 34 middle-endemic counties were up to 86.64 % of all cases in Jiangsu Province. Conclusion The application of combination with stratified- cluster and clue sampling was practical on investigation of chronic filariasis at province-level. The morbidity of chronic fil- ariasis maintain high in Jiangsu Province. We should launch treatment and care for them energetically.