四川省血吸虫病防治难点及策略分析

Analysis on Difficulties and Strategies in Schistosomiasis Prevention and Control in Sichuan Provence

介绍了四川省血吸虫病防治现状,分析得出:防治手段落后、山丘环境灭螺困难、流动人口管理困难、生态湿地建设和自然灾害对血吸虫病的影响是四川省血吸虫病防治的难点,并针对防治难点提出相应的建议。对四川省血吸虫病防治策略进行了思考,发现防治理念与社会经济发展水平不相适应,分析了以控制传染源为主的综合治理策略、血吸虫病传播阻断标准及达标考核评估方案对当前防治工作的影响,提出了四川省血吸虫病防治策略,当前重点是全面推进全省血吸虫病传播阻断达标进程;2015年四川全省血吸虫病传播阻断后,应加强监测体系建设,及时发现和有效扑灭有突发疫情,巩固全省血吸虫病传播阻断成果。

Objective This article introduced the present status of schistosomiasis prevention and control in Sichuan province. The key difficulties in schistosomiasis prevention and control included lagged prevention and control measures,snail control in hilly environments,floating population management,construction of the ecological wetland and the influence of natural disasters on schistosomiasis; based on which corresponding suggestions were proposed. With reflections on the current status,this article revealed that prevention and control philosophy had failed to adapt to the social economic development. Integrated schistosomiasis prevention and control strategies were analyzed with emphasis on infection source,schistosomiasis transmission blocking criteria,and standard evaluation scheme. Therefore,the current focus of work is comprehensively impelling the procession of standardization across the province in 2015; afterwards,surveillance system need to be strengthened,as well as timely detection and extinguish of the epidemic are both warranted to consolidate the blocking achievements.