【作者】 朱惠国； 朱红； 张映皓； 戴欲海；

【Author】 ZhuHuiguo,ZhuHong,ZhangYinhao,DiaYuhai (Hubei institute of schistosomiasis control)

【机构】 湖北省疾病预防控制中心血吸虫病防治研究所；

【摘要】 目的通过分析湖北省2005年急性血吸虫病发病因素和规律,为遏制湖沼型血吸虫病流行区急感发生,提供有效的防治对策;方法建立急感发病数据库,对数据库和急感突发疫情疫点的流行病学调查资料进行统计分析;结果全省急性血吸虫病发病呈抛物线曲线趋势;全省累计发生153例感染,性别男女比为3.3:1;感染人群主要为36～55岁年龄段的农民,其次为7～15岁学生;结合突发疫情疫点落实防治工作评分结果,耕牛防治工作最差、人群查治病工作也不能落实位,以及影响实施防治工作的四方面因素;分析与结论发生感染地区县、乡镇范围与以往基本一致,特别显示这类地区要加大防治工作力度;发生感染病人的年龄、职业、接触方式等指标,指出要重点针对农民和中、小学生加强健康教育;有效地遏制或减少急感发生,要解决防治工作中存在的困难和问题,重点做好人畜同步防治工作,认真扎实地落实每年防治工作任务。更多还原

【Abstract】 Objective To analyze the morbidity factors of acute schistosomiasis during 2005 in Hubei province in order to explore effective treatment and prevention strategies.Method An Excel database created with the help of DBASE software was established to analyze morbidity factors of acute schistosomiasis.Infected patient data and Epidemiological data concerning locality of acute schistosomiasis break outs underwent statistical analysis.Results In Hubei province between May and August 2005 acute schistosomiasis showed a pronounced increase with a total of 153 reported cases.Provincial statistics show that infections in males outnumbered infections in females with a ratio of 3.3:1.Furthermore,the majority of infections occurred in rural residents aged between 36 and 55.Regions where acute schistosomiasis has reached epidemic proportions. In this instance the treatment and prevention of acute schistosomiasis in two areas has been the least successful.Firstly,in students between the ages of seven and fifteen from epidemic regions and secondly,infected bovine.The attack rate of the acute schistosomiasis was relatively low in the past three years.It was higher of the male than that of the female.It is difficult to thoroughly prevent the disease and some preventive measures cannot be put into practice.Analysis and Conclusion It is evident that the infected regions in this case are essentially the same as with previous spread of infection,It’s also clear in these areas treatment and prevention efforts must be trebled.Furthermore,the factors of age,vocation and manner of infection point strongly to a need to improve health education in rural areas and especially elementary schools.In order to effectively control and reduce the occurrence of acute schistosomiasis we must first deal with the problems and difficulties we face in treatment and prevention.Most importantly we must implement conjointly human and animal treatment and prevention initiative.Each year we must strong efforts to control acute schistosomiasis.更多还原