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目的:监测基本消灭丝虫病后的远期效果及流行动态,为消灭丝虫病提供科学依据。方法:按常规进行血检微丝蚴、蚊媒个体解剖检查幼丝虫和IFAT检测人群丝虫抗体水平。结果:病原学监测11—20年,微丝蚴率由基本消灭后第1年的0.021%,逐年下降至第9年的0.001%,第10—20年未发现微丝蚴血症者;10年内监测覆盖率分别占乡、村和流行区人口的71.4%、29.9%和14.6%,11年以后覆盖率分别为37.0%、8.5%和3.8%,未发现微丝蚴血症者。蚊媒监测,每县、市3个以上村,共解剖人房致倦库蚊711823只、嗜人按蚊和中华按蚊13007只,未发现人体幼丝虫感染。IFAT检测259934人(次),年平均抗体阳性率为1.69—3.90%,与非丝虫病流行区抗体水平2.47%相近。结论:广西丝虫病的传播已被阻断,达到了消灭丝虫病的指标。
Objective: To monitor the long-term effects and epidemic dynamics after the basic elimination of filariasis and provide a scientific basis for the elimination of filariasis. Methods: According to the routine blood tests microfilariae, mosquito vector dissection of individual filariasis and IFAT test population filarial antibody levels. Results: The etiology monitored from 11 to 20 years and the rate of microfilariae decreased from 0.021% in the first year after basic elimination to 0.001% in the 9th year. No microfilariae blood was found in the 10-20 years The coverage of surveillance within 10 years accounted for 71.4%, 29.9% and 14.6% of the population of townships, villages and epidemic areas, respectively, with coverage rates of 37.0% and 8.5% respectively 11 years later 3.8%, did not find microfilaremia who. Mosquito media monitoring, each county, city more than 3 villages, a total of 711823 anatomical human Kunyang mosquito, Anopheles anthrax and Anopheles sinensis 13007 only, did not find the human young worm infection. IFAT test 259934 people (times), the annual average antibody positive rate of 1.69-3.90%, and non-filariasis epidemic area antibody level of 2.47% similar. Conclusion: The transmission of filariasis in Guangxi has been blocked, reaching the target of eliminating filariasis.