云南省鹤庆县1954～2011年晚期血吸虫病防治回顾

Control of the advanced schistosomiasis in Heqing,Yunnan province,1954～2011

目的总结鹤庆县防治晚期血吸虫病(以下简称晚血)的成绩和经验。方法收集鹤庆县血吸虫病流行区的基本情况和1954～2011年不同时期开展防治晚血的情况、资料和收到效果,对收集的资料进行整理分析。结果鹤庆县是云南省血吸虫病流行的重疫县之一,2009年全县达到血吸虫病传播控制。2011年尚存有钉螺面积963273 m2,查出血吸虫病人2人,现存晚血患者116例,病畜4头。1958、1966、1977、1992、2005、2011年全县晚血病例分别为458、349、410、378、92、116例,晚血患病率分别为0.57%、0.43%、0.34%、0.25%、0.06%、0.07%,1958年以来晚血病人数逐渐减少;全县历次调查出的晚血病例均以女性占多数。全县2011年晚血患病率较1958年下降87.10%,辛屯镇、草海镇、金墩乡和松桂镇2011年分别较1958年下降了89.30%、91.56%、75.68%和96.51%,朵美乡较1958年下降100.00%。结论鹤庆县在不同的防治阶段把晚血救治工作放在重要的位置,晚血防治成效显著。应继续坚持做好晚血救治工作。

Objective To evaluate the effect of advanced schistosomiasis control in Heqing County.Methods The data of advanced schistosomiasis control in heavy endemic area of Heqing County from 1954 to 2010 were collected and analyzed.Results There was 116 patients and 4 livestock with advanced schistosomiasis with the oncomelania distribution areas of 963 273 m2 by 2011.The schistosomiasis was controlled at the national standard in Heqing County in 2009 and 2 new cases were screened in 2011.The number of advanced schistosomiasis patients in 1958,1966,1977,1992,2005 and 2011 was 458,349,410,378,92 and 116 with the prevalance rate of 0.57%、0.43%、0.34%、0.25%、0.06% and 0.07%,respecitively,showing the decreasing trend year by year.Female patients were the majority in these investigations.Compared to 1958,total prevelance rate dropped by 87.10%,with the reduction rate of 89.30%,91.56%,75.68%,96.51% and 100.00% in the fownships of Xintun,Caohai,Jindun,Songgui and Duomei.Conclusion The treatment and prevention of advanced schistosomiasis has been always our emphasis work and the effect is remarkable.Saving patients with the advanced schistosomiasis be strengthened.