125例华之睾吸虫病疫情分析及今后控制对策

Epidemiological Analysis on 125 Patients With Clonorchiasis and Control Measures

目的了解肇庆市华之睾吸虫病发病情况和流行特点,为阻断和控制华之睾吸虫病在肇庆市的传播和流行制定防治对策提供依据。方法对全市检出华之睾吸虫卵的病人个案调查及流行病学调查资料进行统计分析。结果肇庆市三年来共发现华之睾吸虫病例125例。病例主要集中在与珠三角毗邻的平原淡水鱼养殖区及其周围,98%以上病人均有吃鱼生或虾生的过往史。结论目前对华之睾吸虫病缺乏系统的防控措施,流行区疫情居高不下,提示必须加强预防控制措施;积极开展主动性监测、及时发现和治疗病人及带虫者,大力开展卫生宣传教育,改变吃淡水鱼生等不良的饮食和生活习惯是防治华之睾吸虫病的有效措施。

Objective To understand the situation and epidemiological characteristics of clonorchiasis in Zhaoqing City and to provide scientific basis for preventive and control measures. Methods The patient who had registered that carrying the Clonorchis sinensis eggs in the city were collected and analyzed. Results In the recent three years, altogether 12.5 patients with clonorchiasis were detected. Most of them were distributed near by the Zhujiang River where was freshwater fishes breeding; and more than 98% patients had a history of eating raw fish or shrimps. Conclusions Currently there are no countermeasure programs for prevention and control of the Clonorchis sinensis epidemic and the situation is severe. The prevention and control is important to initiate open active surveillance, detect and treat the infected patients and health education and behavior intervention for altering the habitual eat of raw fish and shrimps should be emphasized.