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目的了解近年广西壮族自治区(广西区)血吸虫病疫情变化情况,探讨今后的防治监测策略。方法根据广西区19个流行县(市)2004~2007年血防监测工作年报表,收集相关数据进行汇总、统计分析。结果4年内采用酶联免疫吸附试验(ELISA)筛查、粪便检查确诊,对26345名当地居民查病,未发现当地感染的血吸虫病人,但在393名外来人员中发现9例血吸虫病人;粪检当地耕牛14326头,解剖野鼠8566只,均未发现血吸虫阳性;累计在289个乡(镇)开展螺情监测,查螺面积12095.1hm2,共发现2个残存螺点,面积4.6hm2。结论广西区血吸虫病疫情稳定,但在监测中发现输入性病人和较大面积的残存螺点,提示今后应该继续加强监测工作。
Objective To understand the epidemic situation of schistosomiasis in Guangxi Zhuang Autonomous Region (Guangxi) in recent years and to explore the strategies for future prevention and cure. Methods According to the annual reports of blood monitoring in 19 counties (counties) in Guangxi from 2004 to 2007, the data were collected for summary and statistical analysis. Results Four years later, the patients were screened by enzyme-linked immunosorbent assay (ELISA) and stool examination. 26,345 local residents were diagnosed, and no local schistosomiasis was found. However, 9 cases of schistosomiasis were found among 393 migrant workers; 14326 local cattle and 8566 anatomical wild rats were found. None of them found positive for schistosomiasis. In a total of 289 townships, snail surveillance was carried out and the snail area was 12,095.1hm2. A total of 2 surviving snails were found with an area of 4.6 hm2. Conclusion The epidemic situation of schistosomiasis in Guangxi is stable. However, the imported patients and large residual snails are found during the surveillance, suggesting that monitoring should continue to be strengthened in the future.