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预防医学  2022, Vol. 34 Issue (7): 654-658,664    DOI: 10.19485/j.cnki.issn2096-5087.2022.07.002
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南京市血吸虫病防治策略调整前后效果比较
何伊莎, 王毓, 杨佩才, 殷位刚, 谢朝勇
南京市疾病预防控制中心血地寄防制科,江苏 南京 210003
Comparison of the effectiveness before and after the adjustment of schistosomiasis control strategies in Nanjing City
HE Yisha, WANG Yu, YANG Peicai, YIN Weigang, XIE Chaoyong
Department of Schistosomiasis, Endemic Diseases and Parasitic Diseases Control, Nanjing Center for Disease Control and Prevention, Nanjing, Jiangsu 210003, China
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摘要 目的 比较南京市血吸虫病防治策略调整前后的防治效果,为完善血吸虫病防控策略提供依据。方法 收集1993—2018年南京市人畜血吸虫病疫情、螺情和哨鼠感染监测资料,比较血吸虫病防治策略调整前(1993—2004年)后(2005—2018年)南京市人畜血吸虫病阳性率、哨鼠阳性率、钉螺阳性率、钉螺面积、感染性钉螺面积和灭螺面积,评价防治策略调整前后的实施效果。结果 南京市血吸虫病防治策略调整后,人群血吸虫病阳性率分别为0.77%和0.02%,家畜血吸虫病阳性率分别为0.46%和0.01%,钉螺阳性率分别为0.19%和0.11%,哨鼠阳性率分别为34.35%和1.56%,差异均有统计学意义(χ2=6 430.634、344.401、239.685和1 856.286,均P<0.001);钉螺面积MQR)分别为4 175.37(1 301.65)hm2和2 366.44(885.27)hm2,感染性钉螺面积MQR)分别为870.49(1 001.75)hm2和0(158.89)hm2,灭螺面积MQR)分别为1 383.23(793.57)hm2和5 031.94(629.11)hm2,差异均有统计学意义(Z=-3.755,-3.654和-4.320,均P<0.001)。结论 南京市调整血吸虫病防治策略后,血吸虫病防治效果显著,达到了血吸虫病传播阻断标准;应继续实施并完善综合防治策略,消除血吸虫病。
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何伊莎
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关键词 血吸虫病综合防治钉螺南京市    
AbstractObjective To compare the effectiveness before and after the adjustment of schistosomiasis control strategies in Nanjing City, so as to provide the evidence for improving schistosomiasis control interventions. Methods The prevalence of Schistosomasis japonicum infections in humans, livestock, Oncomelania hupensis and sentinel mice was collected in Nanjing City from 1993 to 2018, and the prevalence of S. japonicum infections in humans, livestock, sentinel mice and O. hupensis, and the areas of snail habitats, areas of infected snail habitats and snail control areas were compared before (1993-2004) and after (2005-2018) the adjustment of schistosomiasis control strategies to evaluate the effectiveness. Results The prevalence of S. japonicum infections in humans, livestock, O. hupensis and sentinel mice was 0.77% and 0.02% (χ2=6 430.634, P<0.001), 0.46% and 0.01% (χ2=344.401, P<0.001), 0.19% and 0.11% (χ2=239.685, P<0.001), and 34.35% and 1.56% (χ2=1 856.286, P<0.001) in Nanjing City before and after the adjustment of schistosomiasis control strategies, respectively. The median areas (interquartile range) of snail habitats, infected snail habitats and snail control were 4 175.37 (1 301.65) and 2 366.44 (885.27) hm2 (Z=-3.755, P<0.001), 870.49 (1 001.75) and 0 (158.89) hm2 (Z=-3.654, P<0.001) and 1 383.23 (793.57) and 5 031.94 (629.11) hm2 (Z=-4.320, P<0.001) in Nanjing City before and after the adjustment of schistosomiasis control strategies, respectively. Conclusions After the adjustment of schistosomiasis control strategies, remarkable effects on schistosomiasis control has achieved in Nanjing City, where the transmission of schistosomiasis was interrupted. Nevertheless, the strategy requires to be continued and improved to move towards elimination of schistosomiasis in Nanjing City.
Key wordsschistosomiasis    integrated control    Oncomelania hupensis    Nanjing City
收稿日期: 2022-02-23      修回日期: 2022-04-26      出版日期: 2022-07-10
中图分类号:  R532.2  
通信作者: 谢朝勇,E-mail:xcy365@sina.com   
作者简介: 何伊莎,硕士,主管医师,主要从事寄生虫病防制研究工作
引用本文:   
何伊莎, 王毓, 杨佩才, 殷位刚, 谢朝勇. 南京市血吸虫病防治策略调整前后效果比较[J]. 预防医学, 2022, 34(7): 654-658,664.
HE Yisha, WANG Yu, YANG Peicai, YIN Weigang, XIE Chaoyong. Comparison of the effectiveness before and after the adjustment of schistosomiasis control strategies in Nanjing City. Preventive Medicine, 2022, 34(7): 654-658,664.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.07.002      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I7/654
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