水网地区人畜同步化疗效果观察

Observation of the Effect of Synchrochemotherapy on the Residents and Buffaloes in River Network Areas

目的 :探讨在垸内水网型血吸虫病流行重疫区 1个乡镇级单位的范围内 ,实施为期 5年的人群与水牛同步化疗方案对疫情与传播控制的影响。并与过去综合防治方法进行对照比较。方法 :人与水牛每年普治一次 ,覆盖率分别为 80 %、99%。治疗药品分别为人用吡喹酮片剂、兽用吡喹酮粉剂。辅助措施为对人群进行健康教育。结果 :同步化疗前 1991年人群粪检阳性率为 2 1.89% ,水牛粪检阳性率为 19.45 % ;同步化疗后 1997年人群粪检阳性率为 1.5 2 % ,水牛粪检阳性率为 4% ;对象化疗的人均费用为 7.86元 ,群体化疗的人均费用为 3.83元。结论 :实施人与水牛同步群体化疗是控制与阻断血吸虫病传播的有效途径 。

Objective:To study the influence of the five-year program of synchronized chemotherapy for schistomiasis of residents and buffloes on the epidemic situation and spreasing control, and to compare the synchronized chemotherapy with conventional method of prophylaxis and treatment in a small town area of serious infection. Method:To treat the infected residents and buffaloes once a year with human prazigquantel tablets and veterinary prazigquantel pulvis, supplemented with health education among the population. Results:In 1991, before the synchronized chemotherapy, the positive rate of human feces reached 21.89% while that of buffaloes' 19.45%, in 1997, after the synchronized chemotherapy, the positive rate of human feces dropped to 1.52% and that of the buffaloes dropped to 4%. The average cost for individual treatment was 7.86 RMB per capita and the average cost for group treatment was 3.83 RMB per capita. Conclusion: The application of synchronized chemotherapy for residents and buffaloes is an effective way to control and stop the spreading of schistosomiasis and cost-saving as well.\;