湖北省2016—2019年重点寄生虫病防治规划终期评估

Final evaluation of the prevention and control plan of key parasitic diseases in Hubei Province,2016-2019

目的 评估湖北省2016—2019年重点寄生虫病防治规划任务完成情况和终期效果,总结经验,发现问题,为下一阶段防治提供依据。方法 按照《全国包虫病等重点寄生虫病防治规划(2016—2020年)终期评估方案》要求,采取回顾性调查方法,收集2016—2019年湖北省重点寄生虫病防治工作落实情况和保障措施及人群感染情况等相关资料进行报告。结果 2016—2019年湖北省累计开展宣传教育2 920 992人次,防治技术培训209次,业务培训7 680人次,平均每年开展52次,平均培训1 920人次;全省共安排专项寄生虫病防治经费344.52万元,其中省本级投入经费172.22万元,实现国家现行标准下农村安全饮水全覆盖,累计建成农村无害化厕所768.79万户。2016—2019年开展监测查病39 658人次,人群肝吸虫病感染率为0,土源性线虫感染率0.42%,各年间感染率有波动,年间感染率差异无统计学意义(χ^(2)=2.276,P>0.05),各虫种间感染率差异有统计学意义(χ^(2)=112.807,P<0.01)。2016—2019年在17个监测点共检测5 393人,肺吸虫血清阳性率3.93%,年间血清学阳性率差异有统计学意义(χ^(2)=146.011,P<0.01);共采集溪蟹738只,中间宿主溪蟹感染率16.26%,年间溪蟹感染率差异有统计学意义(χ^(2)=49.731,P<0.01)。结论 2016—2019年,湖北省坚持实施“预防为主,防治结合”的防治策略,全面落实各项防治措施,效果显著,重点寄生虫病已处于较低流行态势,达到了防治目标要求,但传播风险依然存在,下一步要继续加大保障与监测力度,巩固防治成果。

Objective To evaluate the completion and final effect of key parasitic disease prevention and control planning tasks in Hubei Province from 2016 to 2019,summarize the experience,find out the problems,and provide the basis for the next stage of prevention and control.Methods According to the requirements of the Final Evaluation Plan of the National Plan for the Prevention and Control of Hydatid Disease and Other Major Parasitic Diseases(2016-2020),a retrospective survey method was adopted to collect relevant data on the implementation and safeguard measures of the prevention and control of major parasitic diseases,and population infection status in Hubei Province in 2016-2019.Results From 2016 to 2019,We carried out 2920992 person times of publicity and education,209 times of prevention and control technology training,7680 person times of business training,with an average of 52 sessions and 1920 person times per year.We have allocated 3.4452 million yuan for the prevention and control of parasitic diseases,including 1.7222 million Yuan froom provincial government,to achieved full coverage of safe drinking water in rural areas under the current national standards,and 7.6879 million harmless toilets have been built in rural areas.From 2016 to 2019,we carried out 39658 person times of monitoring and disease investigation,the infection rate of human liver fluke was 0,and the infection rate of soil transmitted nematode was 0.42%.While the annual infection rates varied,there was no statistically significant difference in infection rate between years(χ^(2)=2.276,P>0.05),but there were statistically significant differences in the infection rates between various soil nematodes(χ^(2)=112.807,P<0.01).From 2016 to 2019,a total of 5393 people were detected at 17 monitoring points,with the serum positive rate of 3.93%for paragonimiasis,there was a statistically significant difference in serological positive rate between years(χ^(2)=146.011,P<0.01);a total of 738 stream crabs were collected,and the infection rate of intermediate host was 16.26%,wtih a statistically significant difference in the infection rate of stream crabs between years(χ^(2)=49.731,P<0.01).Conclusions From 2016 to 2019,we adhered to the prevention and control strategy of"prevention first,prevention and control combined",implemented comprehensively various prevention and control measures,and achieved remarkable results in Hubei Province.The key parasitic diseases have been in a low epidemic situation,meeting the requirements of the prevention and control objectives.But the transmission risk still exists,the next step is to continue to strengthen security and monitoring and consolidate the achievements of prevention and control.