四川芦山地震灾区血吸虫病防治效果阶段性评估
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摘要
目的评估"4·20"四川芦山地震灾区灾后血吸虫病防控措施阶段性效果及血吸虫病传播流行风险,为制定下阶段防控工作提供参考依据。方法根据芦山、天全两县历史血吸虫病疫情资料及现场调查情况,结合地震受灾情况,每县在受灾严重且历史流行程度较重的乡(镇)中抽取2~3个乡(镇)、每个乡(镇)选择1个流行村作为评估村。对评估村的螺情、当地居民和外来人员的血防知识和疫水接触情况、相关卫生行为等情况进行调查。同时对两县外来人员进行血吸虫病病情监测并排查可疑发热病人。综合评估灾后血吸虫病防治效果。结果芦山县和天全县的5个评估村活螺平均密度为0.41只/0.1 m2,未发现感染性钉螺。对655名外来人员进行血清学检测,阳性率为2.14%,未发现粪检阳性病人。排查两县发热病人484人,未发现急性血吸虫病人。经过单因素和多因素非条件Logistic检验,发放宣传资料的健康教育形式更适宜当地居民,而树立警示牌对外来人员的宣传效果更好。结论经过落实有效防控措施,"4·20"地震后芦山县和天全县血防工作取得阶段性成绩,但仍需不断深入开展有针对性的健康教育宣传,加强血吸虫病监测。应采取适宜的防控措施,阻断血吸虫病传播途径,力争如期实现血吸虫病传播阻断的目标。
Objective To evaluate the effect of schistosomiasis control in Lushan earthquake stricken areas in Sichuan Province,so as to provide the evidence for formulating appropriate measures for schistosomiasis prevention and control.Methods According to the data of historical schistosomiasis prevalence,5 villages were selected as research sites and field investigations were conducted.Results The average density of Oncomelania hupensis snails was 0.41 snails/0.1 m2,and there were no schistosome-infected snails. There were no acute schistosomiasis cases in these five villages. For local residents,the health education leaflets were more suitable than warning signs,and for migrant population,they were more concerned about the warning signs.Conclusion After the implementation of effective prevention and control works,the epidemic risks of schistosomiasis have been controlled. However,the health education,surveillance,and prevention measures for schistosomiasis still need to be persisted in.
Objective To evaluate the effect of schistosomiasis control in Lushan earthquake stricken areas in Sichuan Province,so as to provide the evidence for formulating appropriate measures for schistosomiasis prevention and control.Methods According to the data of historical schistosomiasis prevalence,5 villages were selected as research sites and field investigations were conducted.Results The average density of Oncomelania hupensis snails was 0.41 snails/0.1 m2,and there were no schistosome-infected snails. There were no acute schistosomiasis cases in these five villages. For local residents,the health education leaflets were more suitable than warning signs,and for migrant population,they were more concerned about the warning signs.Conclusion After the implementation of effective prevention and control works,the epidemic risks of schistosomiasis have been controlled. However,the health education,surveillance,and prevention measures for schistosomiasis still need to be persisted in.
引文
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[11]许静,林丹丹,吴晓华,等.全国血吸虫病疫情资料回顾性调查III传播控制和传播阻断后疫情回升地区疫情变化分析[J].中国血吸虫病防治杂志,2011,23(4):350-357.
[12]张奕,张旭东,唐红英,等.四川省山丘地区血吸虫病疫情回顾性调查[J].中国血吸虫病防治杂志,2012,24(2):164-1677.
[13]魏海春.我国血吸虫病流行地区农村卫生厕所管理状况分析[J].环境与健康杂志,2010,27(4):332-334.
[14]臧照芳,刘保华,谭吉宾,等.四川地震灾区农村家庭厕所现状调查[J].现代预防医学,2011,38(8):1415 -1417.
[15]刘阳,栾荣生,钟波,等.四川省传播控制地区疫情回升的影响因素研究[J].预防医学情报杂志,2010,26(3):165-169.
[16]Parker RM,Ratzan SC,Lurie N.Health literacy:a policy challenge for advancing high quality health care[J].Health Aff(Millwood),2003,22(4):147-153.
[17]魏望远,袁里平,江起雄,等.健康教育减少小学生接触疫水行为的研究[J].中国血吸虫病防治杂志,2000,12(3):143-145.
[18]祝红庆,钟波,曹淳力,等.“荣宝”在山丘型血吸虫病流行区的灭螺效果[J].中国血吸虫病防治杂志,2007,19(3):212-216.
[19]钟波,吴子松,陈琳,等.我国山丘型血吸虫病流行区防治成果巩固与发展[J].中国血吸虫病防治杂志,2011,23(1):10-13.
[20]王陇德.中国控制血吸虫病流行的关键是管理好人畜粪便[J].中华流行病学杂志,2005,26(12):929-930.
[21]魏海春,付彦芳.血吸虫病流行地区农村居民血吸虫病相关知识及行为现状[J].中国健康教育,2009,25(8):566-568.
[22]周新,陈家荣,李珊珊,等.三峡库区潜在血吸虫病流行区模拟血防干预的效果观察[J].热带医学杂志,2011,11(10):1207-1209.
[2]Chen KT,Chen WJ,Malilay J,et al.The public health response to the Chi Chi earthquake in Taiwan,1999[J].Public Health Rep,2003,118(6):493-499.
[3]Schuster MA,Stein BD,Jaycox L,et al.A national survey of stress reactions after the September 11,2001,terrorist attacks[J].N Engl JMed,2001,345(20):1507-1512.
[4]唐雪峰,吴先萍,吴建林,等.芦山地震后2周卫生防疫绩效评估[J].中国循证医学杂志2013,13(5):507-513.
[5]尹治成,辜学广,邱东川,等.四川省血吸虫病流行状况—2001年抽样调查报告[J].实用寄生虫病杂志,2002,10(3):97-103.
[6]钟波,陈琳,刘阳,等.四川芦山地震灾区血吸虫病传播风险初步分析与评估[J].中国血吸虫病防治杂志,2013,25(3)226-231.
[7]许静,李石柱,黄轶昕,等.中国血吸虫病潜在流行区的风险评估[J].中国寄生虫学与寄生虫病杂志,2012,30(6):428-437.
[8]李大明,蒋健,金鸿,等.绵竹市5.12地震后血吸虫病潜在流行因素分析与防控对策[J].中国血吸虫病防治杂志,2009,21(2):102-106.
[9]林丹丹,吴晓华,朱蓉,等.全国血吸虫病疫情资料回顾性调查I传播阻断县达标前后疫情变化分析[J].中国血吸虫病防治杂志,2011,23(2):114-120.
[10]朱蓉,林丹丹,吴晓华,等.全国血吸虫病疫情资料回顾性调查II传播控制县达标前后疫情变化分析[J].中国血吸虫病防治杂志,2011,23(3):237-242.
[11]许静,林丹丹,吴晓华,等.全国血吸虫病疫情资料回顾性调查III传播控制和传播阻断后疫情回升地区疫情变化分析[J].中国血吸虫病防治杂志,2011,23(4):350-357.
[12]张奕,张旭东,唐红英,等.四川省山丘地区血吸虫病疫情回顾性调查[J].中国血吸虫病防治杂志,2012,24(2):164-1677.
[13]魏海春.我国血吸虫病流行地区农村卫生厕所管理状况分析[J].环境与健康杂志,2010,27(4):332-334.
[14]臧照芳,刘保华,谭吉宾,等.四川地震灾区农村家庭厕所现状调查[J].现代预防医学,2011,38(8):1415 -1417.
[15]刘阳,栾荣生,钟波,等.四川省传播控制地区疫情回升的影响因素研究[J].预防医学情报杂志,2010,26(3):165-169.
[16]Parker RM,Ratzan SC,Lurie N.Health literacy:a policy challenge for advancing high quality health care[J].Health Aff(Millwood),2003,22(4):147-153.
[17]魏望远,袁里平,江起雄,等.健康教育减少小学生接触疫水行为的研究[J].中国血吸虫病防治杂志,2000,12(3):143-145.
[18]祝红庆,钟波,曹淳力,等.“荣宝”在山丘型血吸虫病流行区的灭螺效果[J].中国血吸虫病防治杂志,2007,19(3):212-216.
[19]钟波,吴子松,陈琳,等.我国山丘型血吸虫病流行区防治成果巩固与发展[J].中国血吸虫病防治杂志,2011,23(1):10-13.
[20]王陇德.中国控制血吸虫病流行的关键是管理好人畜粪便[J].中华流行病学杂志,2005,26(12):929-930.
[21]魏海春,付彦芳.血吸虫病流行地区农村居民血吸虫病相关知识及行为现状[J].中国健康教育,2009,25(8):566-568.
[22]周新,陈家荣,李珊珊,等.三峡库区潜在血吸虫病流行区模拟血防干预的效果观察[J].热带医学杂志,2011,11(10):1207-1209.
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