目的评价巍山县国家级血吸虫病监测点采取的人畜同步化疗、改厕、健康教育、牲畜提倡圈养、禁止野外放牧、药物灭螺等各项措施在血吸虫病防治中的效果,以便进一步总结血吸虫病防治取得成绩的经验,查找工作中的不足,并加以完善。方法人群病情采用免疫学(IHA)、粪便孵化和Kato-Katz法查病;家畜病情采用粪便顶管孵化查病;螺情采用系统抽样法和环境抽样法查螺。结果实施项目前人群免疫学法、粪便孵化法、Kato-Katz法阳性率、人群感染率、家畜粪检阳性率分别为56.58%、15.61%、10.43%、8.80%、13.10%,项目实施后分别为10.62%、1.71%、0.11%、0.35%、2.04%,实施项目后各项人畜病情指标均比实施项目前显著下降;项目实施前有螺框出现率41.71%,活螺平均密度0.72只/框,活螺感染率0.36%,感染螺平均密度0.0 026只/框;项目实施后的2005-2015年每年查螺6 124~22 602框,查出有螺148~790框,捕获活螺214~2 348只,解剖活螺214~2 348只,均未检出阳性螺,有螺框出现率在0.83%~32.09%之间,活螺平均密度在0.01~0.72只/框之间,活螺感染率均为0.00%,感染螺平均密度也均为0.0 000只/框。结论巍山县五印乡鼠街村采取的药物灭螺、人畜同步化疗、改厕、健康教育、牲畜提倡圈养、禁止野外放牧等综合措施是有效的。取得螺情、人群病情、家畜病情等各项指标均明显下降,并且连续3年无人畜感染血吸虫病的成绩。 Objective To evaluate the effect of various measures such as synchronized therapy of human and animals, lavatories, health education, animal breeding, prohibition of grazing in the wild, snail elimination and other measures in schistosomiasis control at the national schistosomiasis monitoring stations in Weishan County in order to further summarize schistosomiasis Disease prevention and control of the achievements made to find the lack of work, and to improve. Methods The condition of the population was immunological (IHA), hatching of stool and Kato-Katz method. The disease of domestic animals was hatched by feces pipette. The system of sampling and environmental sampling were used to detect the disease. Results The positive rates of population immunization, faecal incubation, Kato-Katz method, population infection rate and livestock manure were 56.58%, 15.61%, 10.43%, 8.80% and 13.10% respectively before the implementation of the project. After the implementation of the project, 10.62%, 1.71%, 0.11%, 0.35% and 2.04% respectively. After the implementation of the project, the indicators of human and livestock disease decreased significantly compared with those before the project implementation. Before the implementation of the project, the occurrence rate of screw frame was 41.71% and the average density of live snails was 0.72 / The infection rate of live snails was 0.36% and the average density of infected snails was 0.0 026 per box. After the implementation of the project, the snails of 6 124-22 602 boxes were scanned every year from 2005 to 2015 after the implementation of the project, and snails 148 to 790 were found to capture live snails 214 ~ 2 348 and 214 ~ 2 348 anatomical lobules, respectively. No positive snails were found, the incidence rates of snails were between 0.83% ~ 32.09%, and the mean density of live snails was between 0.01 ~ 0.72 / box The rates of infection of snails were 0.00%, and the average density of infected snails was also 0.0 000 per box. Conclusions The comprehensive measures such as drug snail control, simultaneous chemotherapy of human and animals, toilet renovation, health education, animal raising promotion and prohibition of grazing in the wild are all effective in Weijin Village, Wuyin Township, Weishan County. Obtained snail, the crowd of diseases, livestock disease and other indicators were significantly decreased, and for 3 consecutive years no human infected with schistosomiasis results.