丹棱县晚期血吸虫病疫情分析

Epidemic Stuation of Advanced Schistosomiasis in Danleng County

目的探讨晚期血吸虫病(晚血)发病趋势,为血吸虫病传播阻断达标后的血防工作提供依据。方法 2010年收集丹棱县历史晚期血吸虫病病例记录。在全县开展晚血现况调查,重新登记晚血患者名册,对不符晚血条件的在册登记予以除名,对符合晚血条件则登记入册,对现有晚血患者提出处理意见。统计并分析其分布及发病率。结果丹棱县晚血档案齐全、真实,未发现不符合晚血登记的情况。丹棱县历史晚血患者共119人,其中,仁美乡(镇)45例、杨场乡(镇)35例、双桥乡(镇)20例;农民115例,干部4例;文盲7例、小学67例、初中44例、高中1例;30～59岁共有82例(68.9%);男性75例、女性44例。20世纪80年代以前发生晚血16例,80年代以后发生晚血103例,80年代以后发生数明显多于80年代以前(χ2=40.17,P<0.01)。现存晚血37人。结论丹棱县晚期血吸虫病在20世纪80年代后明显增加,应引起高度重视。

Objective To discuss the incidence trend of advanced schistosomiasis, and provide the basis for the work af- ter interruption of schistosomiasis transmission. Methods Historical records of advanced schistosomiasis cases were collected and detailed investigation was carried out within the county; new cases were registered and the mismatched were removed from the register. Incidences and distribution were statistically analyzed. Results To- tally 119 cases were recorded through the last 60 years ; of whom, 4 were the cadres, 115 of farmers, 7 of illiterates. Males were 75 and females were 44. Significant difference was found between cases before 1980s and cases after that （X2 = 40. 17, P 〈 0. 01 ）. There were 37 advanced schistosomiasis cases alive. Conclusion Advanced schistosomiasis morbidity rises yearly in Danoleng county, thus intimate attention should be paid to the worsening situation.