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本文报告广西田阳县在丝虫病防治初期采取普治的措施后,人群微丝蚴率由1959年的4.44%,下降至1975年的2.36%。1975~1979年采用对象治疗加流行村全民服药,微丝蚴率下降0.61~0.87%。1980年普海群生药盐的巩固措施,1981年微丝蚴率迅速下降至0.11%,经1984~1994年的监测,除1985年检出3例微丝蚴阳性者外,其余各年均未发现阳性,蚊媒监测亦未发现幼丝虫自然感染,IFAT检测人群抗体阳性率降至非流行区抗体水平,表明丝虫病的传播已阻断,达到了消灭的目的。认为基本消灭丝虫病的监测,应重点放在防治比较薄弱的边远山区。
In this paper, we report the population microfilariae rate decreased from 4.44% in 1959 to 2.36% in 1975 after Tianyang County, Guangxi Province, adopted the universal method to control filariasis. From 1975 to 1979 with the object of treatment plus popular village full of people taking medicine, microfilariae rate decreased 0.61 ~ 0.87%. In 1980, the general measures of consolidating crude salt of common seaweed were adopted. In 1981, the rate of microfilariae rapidly decreased to 0.11%. After monitoring from 1984 to 1994, except for three cases of positive microfilariae in 1985, the remaining years No positive results were found. Mosquito-mediated monitoring did not reveal natural infection of young filariasis. The positive rate of IFAT antibody in the population decreased to antibody level in non-endemic area, indicating that the transmission of filariasis had been blocked and reached the goal of extinction. We think that the monitoring of the basic elimination of filariasis should focus on the prevention and control of relatively weaker remote mountainous areas.