安徽芜湖市1992～2003年血吸虫病防治对策及效果评价

Study on the schistosomiasis control strategies and their effects from 1992 to 2003 in Wuhu city

目的比较不同时期血吸虫病防治策略及其效果,为探索有效的控制策略提供科学依据。方法收集芜湖市在1992～2003年间血吸虫病防治对策内容及情况,分析各种策略的优缺点,比较其防治效果。结果世界银行贷款期间(1992～1998年)实施以大规模化疗为主的防治策略,而贷款结束后(1999～2003年)采取感染者化疗+易感地带灭螺等措施的防治策略;贷款期间病情明显下降,但活螺密度有所上升,贷款结束后病情明显上升,但螺情明显下降。结论控制血吸虫病必须因地制宜,采取综合防治措施。

Objective To compare the different control strategies and their effects in different period,in order to provide scientific evidence for effective control strategy.Methods Data on the contents of different control strategies and their effects in different periods were collected.Merits and demerits of each control strategy were discussed.The effects of different strategies were analyzed.Results Mess chemotherapy was considered as a main measure in the control strategy during the World Loan Program,while individual chemotherapy and snail mullicicide were regarded as main control measures in the control strategy after the Program.During the Program,the prevalence in humans and livestock reduced markedly,but the living snail density increased;after the Program,the prevalence increased signif- icantly,but the distribution of snails and infected snails were going for better.Conclusion After taking the local sit- uation of Schistosomiasis into account of a general comprehensive control strategy should be implemented.