鹤庆县血吸虫病流行和社会因素的关系

Social Factors and Pathophoresis of Schistosomiasis in Heqing County

目的了解社会因素对鹤庆县血吸虫病流行与控制的影响。方法收集鹤庆县1954-2011年不同时期开展血吸虫病防治的资料和相关社会资料。结果鹤庆县血吸虫病流行区从开始防治到实现传播控制的时间为32.3±10.7年,实现传播阻断的时间为43.6±6.1年。农民人均纯收入和小学以上文化程度人数占总人口比例相对较高的高原平坝地区达到传播阻断村数比例高于峡谷地区,传播阻断地区的农民人均纯收入和小学以上人数占总人口比例高于传播控制地区。原来疫情重的地区达到传播控制和传播阻断的使用时间相对较长。农民人均纯收入高的地区达到传播阻断村数的比例高,由开始防治到达传播控制需要的时间相对较短。防治工作开始较早的流行村和防治停顿年限短的地区达到传播阻断村数的比例较大。结论社会经济文化因素影响着当地血吸虫病的流行和控制水平,血防策略要与社会经济发展同步。

Object To understand the relationship between social factors and pathophoresis and control of schis- tosomiasis in Heqing county. Methods Data of different stages of 1954 - 2011 were collected, including data of schistosomiasis control, fundamental information and social factors. Results It took 32.3 ± 10. 7 years from starting to control disease to effectively controlling the spread of the disease, and 43.6 ±6. lyears to stopping the spreading. The flat areas in plateau with higher level of social economic and culture presented higher per- centage of stopping spread disease villages than that of the valley - land. Villagers with higher incomes resul- ted in high portion of blocking villages and shorter blocking time. Villages with early preventive measures and less intermission presented a higher portion of btocking villages. Conclusion Social economic and cultural factors can affect the pathophoresis and the control of schistosomiasis, implying that corresponding strategies should be took into consideration.