【摘要】 目的阐明社会经济及组织管理在湖南省桃源县血吸虫病可持续传播控制中的作用。方法收集湖南省桃源县血吸虫病疫区社会经济、卫生血防组织管理、环境、血吸虫病疫情变化等资料,抽样调查核实血吸虫病疫情现状,评估社会经济及组织管理在桃源县血吸虫病传播控制中的作用。结果 1998-2012年桃源县社会经济发生了巨大变化,桃源县血吸虫病疫区居民生产、生活方式改变明显。桃源县社会经济发展在血吸虫病可持续传播控制中产生了积极作用,但经济活动如劳务输出、外来流动人群以及动植物引进等引发已经达到传播控制标准的血吸虫病疫情回复的可能性仍然存在。桃源县卫生血防组织管理模式运行成本低、资源配置高效、人力资源配置科学专业、符合国家关于加强农村基层公共卫生体系建设的要求。结论桃源县社会经济的协调发展与卫生血防组织管理的科学高效在快速阻断血吸虫病流行环节和血吸虫病可持续传播控制中发挥了关键性作用。更多还原

【Abstract】 Objective To clarify the role of socio-economy and management in the sustainable schistosomiasis-control in Taoyuan County,an endemic area in hilly region,Hunan Province,China.Methods From 1996 to 2011,the data of socio-economy,the management of schistosomiasis control organizations,environment,and the changes in schistosomiasis prevalence were collected in Taoyuan County where schistosomiasis transmission had been controlled since 2008.A sampling survey of schistosomiasis prevalence of human and bovine was performed in 2011 to verify the current status of schistosomiasis transmission.All the data were analyzed statistically to evaluate the role of socio-economy and management in the sustainable schistosomiasis control.Results During the period from 1998 to 2012,the socio-economy including the residents’ productive mode and daily life in Taoyuan County improved dramatically,but the recurrence risk of schistosomiasis endemic still existed due to the retuning of out-going workers and the migrating population.Moreover,the introduction of exotic species of plants and animals may increase the risk.The low running cost of schistosomiasis control organization as well as the efficient and adequate resource allocation in the county was in line with the national requirement to strengthen the rural grass-roots public health system.Conclusion The harmonious development of socio-economy and the scientific and efficient health system in Taoyuan County are the key factors for the sustainable transmission control of schistosomiasis.更多还原