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目的考核评估湖北省预防控制血吸虫病中长期规划防治目标和效果。方法分析湖北省2007、2008年血吸虫病疫情控制资料;查阅和审核15个县(市、区)(以下简称县)2004-2008年血吸虫病防治资料;每县随机抽取3个流行村,现场调查人、畜血吸虫病感染情况,资料整理和归档情况,考核和评估血吸虫病疫情现状。结果防治资料表明全省5408个流行村人群、家畜感染率均降至5%以下。15个县、45个抽样村2004-2007年资料均为合格;2008年资料整理系统、规范,得分均>70分,建立了以村为单位的反映疫情变化的档案资料。现场考核的15个县3279个流行村的人畜感染率均降至5%以下,其中人群感染率≥1%的村2544个(占77.58%),<1%的村578个(占17.63%),为0的157个(占4.79%),人群平均感染率最高的是公安县(3.72%),家畜(耕牛)感染率最高的是沙市区(3.51%)。现场调查45个流行村,人畜感染率均在5%以下,其中人群感染率最高的3个村分别为公安县积玉村(2.98%)、嘉鱼县复阳村(2.50%)、潜江市进步村(2.46%)。耕牛感染率最高的3个村分别为江陵县花彭村(3.51%)、监利县烟灯村(2.97%)、汉川市丁岗村(2.63%)。结论湖北省所有的流行村人群、家畜感染率均降至5%以下,两年没有发生血吸虫病突发疫情,建立了以行政村为单位反映病情、螺情变化的档案资料,符合《血吸虫病控制和消灭标准》(GBl5976—2006)中血吸虫病疫情控制标准的有关指标,全省达到了国家血吸虫病疫情控制标准。
Objective To assess the long-term prevention and control of schistosomiasis prevention and control in Hubei Province prevention and control goals and effects. Methods The data of schistosomiasis control in Hubei Province in 2007 and 2008 were analyzed. The data of schistosomiasis control in 15 counties (cities and districts) from 2004 to 2008 were reviewed and reviewed. Three endemic villages were randomly selected in each county, Human, schistosomiasis infection, data collation and archiving, assessment and assessment of the status quo of schistosomiasis. Results of prevention and treatment data show that the province’s population of 5408 popular villages, livestock infection rates fell to 5% or less. Data from 2004 to 2007 in 15 counties and 45 sampling villages were all qualified. In 2008, the system of information compilation, norms and scoring were all> 70 points, and the archives which reflected the change of epidemic situation were set up in villages. The infection rate of livestock and livestock in 3279 epidemic villages in 15 counties was reduced to less than 5%, of which 2544 (77.58%) were infected with ≥1% of the population, 578 (17.63%) were less than 1% of the villages, 157 (accounting for 4.79%) of 0, and Gong’an County (3.72%) with the highest average prevalence among the population, and Shashi District (3.51%) with the highest prevalence of livestock (cattle). In the 45 endemic villages, the prevalence rates of human and livestock were below 5%. Among them, the three villages with the highest population infection rate were Gyuyu Village of Gong’an County (2.98%), Fuyang Village of Jiayu County (2.50%), Qianjiang City Progressive village (2.46%). The three villages with the highest rates of cattle breaching were Hua Peng Village (3.51%) in Jiangling County, Yanting Village (2.97%) in Jianli County, and Dinggang Village (2.63%) in Hanchuan City respectively. Conclusion All the epidemic villages in Hubei Province, the infection rate of livestock dropped to below 5%, no outbreak of schistosomiasis occurred in two years, and established the archival data reflecting the changes of the disease and snail in the administrative villages as “schistosomiasis Control and elimination standards ”(GBl5976-2006) schistosomiasis control standards for the relevant indicators, the province has reached the national schistosomiasis control standards.