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目的评价分析血吸虫病综合治理项目实施5年的效果,为调整防治策略提供依据。方法对2004～2008年防治措施和疫情变化资料进行比较分析,评价防治效果。结果人群和家畜血吸虫感染率分别从2004年的6.42%和3.81%下降到2008年的0.07%和0.15%,2008年未发现阳性钉螺和急性血吸虫感染病例,疫情较重的一、二、三类村所占比例从2004年的49.42%下降到2008年的7.51%,92.48%的行政村达到了传播控制或传播阻断标准。结论项目实施以来,大理州血吸虫病病情和螺情都显著下降,但巩固和扩大现有防治成果的任务还十分艰巨。
Objective To evaluate and analyze the effect of comprehensive treatment of schistosomiasis for five years and provide basis for adjusting control strategy. Methods The comparative analysis of prevention and control measures and epidemic situation data from 2004 to 2008 was conducted to evaluate the control effect. Results The prevalence of schistosomiasis in the population and livestock dropped from 6.42% and 3.81% in 2004 to 0.07% and 0.15% in 2008 respectively. No positive snail and acute schistosome infection were found in 2008, The proportion of villages dropped from 49.42% in 2004 to 7.51% in 2008, and 92.48% of administrative villages reached the standards of transmission control or transmission block. Conclusion Since the implementation of the project, the condition and snail status of schistosomiasis in Dali Prefecture have dropped significantly. However, the task of consolidating and expanding the existing prevention and treatment results is still arduous.