Objective To analyze and evaluate the schistosomiasis control in Yancheng City during the 2004-2018 , and we provide evidence for schistosomiasis control strategies.
Methods The data of schistosomiasis control in Yancheng City in 2004-2018 were collected and analyzed.
Results From 2004 to 2018, the total area of snail investigated in Yancheng city was 110 491.12 hm 2, and the total area of snail control by drug consolidation was 2 409.08 hm 2, the area of existing snails in Yancheng City decreased from 40.03 hm 2 in 2004 to 1.03 hm 2 in 2018, without positive snails; a total of 164 500 schistosomiasis patients were examined, and 135 500 were blood examined, the survey of residents’ schistosomiasis showed 1 134 positive persons, with a total positive rate of 0.84%, without cases of schistosomiasis; 34 014 stool tests were carried out, without positive persons; 5 248 advanced cases of schistosomiasis were found, without cases of acute infection. A total of 13 800 cattle were examined for schistosomiasis infection, with a total examination rate of 58.72%. There was no positive fecal test in cattle. From 2004 to 2018, 231 345 harmless toilets, 2 278 domestic animals, 21 222 registered cows, 8 761.59 km of rivers, 828 200 mu of land, 3 618.87 km of field roads, and 8 087.68 km of irrigation, drainage and pipelines were built. From 2004 to 2018, the city has distributed more than 700 000 health materials, and more than 7.5 million person-time were received blood control education. In 2016-2018, the awareness rate and correct behavior formation rate of schistosomiasis control knowledge exceeded 95%.
Conclusion After years of effort, the work of schistosomiasis control in Yancheng City has achieved remarkable results, laying a solid foundation for the ultimate goal of gradually eliminating schistosomiasis from transmission interruption.
摘要： 目的 分析评价盐城市2004—2018年血吸虫病防治工作, 为制定防治策略提供依据。 方法 收集2004—2018年盐城市血吸虫病防治工作报表并整理分析。 结果 2004—2018年, 盐城市调查钉螺面积累计110 491.12 hm2, 药物巩固灭螺面积累计2 409.08 hm2, 现有钉螺面积从2004年的40.03 hm2下降至2018年的1.03 hm2, 无阳性钉螺; 累计开展血吸虫病人群检查16.45万人, 开展血检累计13.55万人, 居民血吸虫病调查显示阳性人员1 134例, 血检总阳性率为0.84%, 无血吸虫病病例; 开展粪检34 014例, 无阳性人员; 发现血吸虫病晚期病例5 248例, 无急性期感染病例。开展牛血吸虫病感染检查1.38万头, 总检查率为58.72%, 无粪检阳性耕牛。2004—2018年全市累计建造无害化厕所231 345 户, 圈养家畜2 278 头, 登记奶牛21 222 头, 治理河流8 761.59 km, 整治土地82.82 万亩, 修建田间道路工程3 618.87 km, 修建灌、排 (渠) 、管道8 087.68 km。全市2004—2018年累计发放健康材料超70万份, 受血防教育人数累计超过750万人次。2016—2018年血防知识知晓率和正确行为形成率均超过95%。 结论 2004年至今, 盐城市血吸虫病防治各项工作成效显著, 为实现从传播阻断到消除血吸虫病的终极目标打下坚实基础。