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目的制定出科学的防治策略与措施,实现区域消除丝虫病。方法按照“科研先导、科学防治,灭源为主、综合防治,因地制宜、分类指导”的原则,从20世纪50年代开始流行病学调查、60年代试点防治、70~80年代大面积防治,直至净化监测、消灭达标监测等,以消灭传染源为主的防治策略贯穿始终。结果建立了一整套病原学和蚊媒学的检测方法、流行病学调查方法;查清了河南省丝虫病的流行状况;确立了以消灭传染源为主导的防治策略;制定了一系列治疗方法、防治方案和措施,包括乙胺嗪对象治疗、全民或病户服药,乙胺嗪药盐普治等:完善了基本消灭丝虫病后的纵横向相结合的监测体系;建立了科学的考核体系,包括资料考核、现场考核,基本消灭丝虫病考核、消灭丝虫病审评等,确保了防治的质量;1987年达到了基本消灭丝虫病标准,1991年丝虫病传播被阻断,2004年通过了国家级消除丝虫病审评,实现了消灭的目标。结论河南省已达到部颁消除丝虫病标准,实现了全省消灭丝虫病。
Objective To formulate scientific prevention and control strategies and measures to eliminate filariasis in the area. Methods According to the principles of “leading scientific research, scientific prevention and control, prevention and control of major diseases, comprehensive prevention and control, according to local conditions and classified guidance”, epidemiological investigation started in the 1950s, pilot prevention and control in the 1960s and prevention and control of large area in the 1970s and 1980s Decontamination monitoring, eliminate compliance monitoring, etc., in order to eliminate the source of infection-based prevention and control strategies throughout. Results A set of etiological and mosquito detection methods and epidemiological investigation methods were established. The prevalence of filariasis in Henan Province was identified. A prevention and treatment strategy was established to eliminate the source of infection. A series of treatments Methods, measures and measures of prevention and treatment, including the treatment of diethylcarbamazine, the treatment of all the patients or the sick, the treatment of diethylcarbamazepine salt, and so on: the monitoring system combining vertical and horizontal basic elimination of filariasis; the establishment of a scientific Assessment system, including data assessment, site assessment, the basic elimination of filariasis assessment, the elimination of filariasis review, to ensure the quality of prevention and control; in 1987 reached the basic criteria for the elimination of filariasis in 1991, the transmission of filariasis was blocked Off, in 2004 passed the national review of filariasis, to achieve the elimination of the goal. Conclusion Henan Province has reached the ministry to eliminate filariasis standards, to achieve the province to eliminate filariasis.