常州市武进区消除血吸虫病的措施与效果

目的总结常州市武进区消除血吸虫病的措施与效果,为同类地区血吸虫病消除工作提供参考。方法收集常州市武进区1995-2015年血吸虫病防治资料,分析其防治措施与效果。结果 1995-2015年,武进区累计开展监测查螺15 934.01 hm~2,累计发现有螺面积34.61 hm~2,未发现血吸虫感染性钉螺;累计开展药物灭螺234.59 hm~2,对18个重点环境进行了环境改造灭螺、面积为84.48 hm~2;累计开展监测查病25.93万人次,家畜检查17 314头次,未发现血吸虫病原学阳性者和病畜;累计开展人群血吸虫病扩大化疗2 042人次。到2015年,全区无害化卫生厕所普及率达99.25%;人群血防知识知晓率达98.06%、正确行为形成率达97.82%。结论武进区通过积极防治,已实现消除血吸虫病危害的目标,但影响血吸虫病再流行的社会和自然等因素仍然存在,因此仍要加强血吸虫病监测和防治成果的巩固工作。

Measures and effects of schistosomiasis elimination in Wujin District,Changzhou City

Objective To understand the measures and effects of schistosomiasis elimination in Wujin District， Changzhou City， so as to provide the reference for other similar areas. Methods The data of schistosomiasis prevention and control were collected and analyzed in Wujin District， Changzhou City from 1995 to 2015. Results From 1995 to 2015， the accumulated area for investigating Oncomelania hupensis snail habitats was 15 934.01 hm2 in Wujin District， and the accumulated area with snail habitats was 34.61 hm2， but no schistosome?infected snails were found. The area of snail control by molluscicides was 234.59 hm2， and the area of snail control by environmental reform was 84.48 hm2 in 18 key points. There were 259.3 thousand person?times receiving the examinations for schistosomiasis， and there were 17 314 head of livestock receiving the examinations for schistosomiasis， but no schistosome?infected cases were found. There were 204 2 person?times receiving the extensive chemotherapy. The popularizing rate of sanitary toilets was 99.25% in the whole district. The awareness rate of schistosomiasis control knowledge was 98.08% and the formation rate of proper behaviors was 97.82% in the population. Conclusions In Wujin District， the aim of schistosomiasis elimination has been performed through the active control measures. However， there are still social and natural risk factors of re?endemic of schistosomiasis， and therefore， the schistosomiasis monitoring work still should be strengthened.