湖北省吸虫病流行区查治病和吡喹酮的应用现状调查

A study of the detection and control of schistosomiasis leakage from endemic areas and praziquantel use in those areas

在血吸虫病流行区选择6个流行村结合省监测点查治病工作，用IHA方法对6～65岁的居民进行血吸虫病抗体检查。结果6个流行村漏查、漏治情况较严重，漏查、漏治率分别为42．67％和17．73％；漏查原因以外出务工为主，占97．09％，生病和妊娠占2．91％；漏治原因以生病和妊娠为主，占76．55％，拒治者占23．45％。吡喹酮的滥用情况亦较普遍。随着农村社会环境和经济结构的改变，血吸虫病的防治对策应作出调整，在加大健康教育的同时，应调整查治病时间，加强对漏查漏治人员的跟踪，强调吡喹酮的规范性使用。

Six villages were selected for study in conjunction with provincial surveillance and control efforts in schistosomiasis-endemic areas. An indirect hemagglutination assay （IHA） was used to detect Schistosoma japonicum infection in residents ages 6 to 65 years in six villages in schistosomiasis--endemic areas. Schistosomiasis leakage and control was considerable in six villages. Leakage was detected at a rate of 42.67 % and leakage was controlled at a rate of 17.73%. Leakage Was most often detected as a result of working outside the province, accounting for 97.09% of leaks detected. Sickness or pregnancy were the second most frequent reason leaks were detected, accounting for 2.91% of leaks detected. Leakage control was most often the result of sickness or pregnancy, accounting for 76. 55% of leaks controlled. Leakage control was also the result of refused treatment, accounting for 23.45% of leaks controlled. Misuse of praziqnantel was also somewhat common. Measures to control schistosomiasis should be adjusted in line with social changes and economic restructuring of villages. Health education should be increased and the timing of schistosomiasis detection and control should be adjusted. Tracking of individuals responsible for schistosomiasis leakage should be enhanced, and the standard use of praziquantel should be emphasized.