中国寄生虫学与寄生虫病杂志 ›› 1984, Vol. 2 ›› Issue (2): 78-82.

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浙江省妙西公社消灭马来丝虫病现场实验研究

  

  1. 中国预防医学中心寄生虫病研究所流行病学研究室
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1984-05-31 发布日期:2017-01-12

ON THE CONTROL OF MALAYAN FILARIASIS IN MIAOXI COMMUNE, ZHEJIANG PROVINCE

  • Received:2017-01-12 Revised:2017-01-12 Online:1984-05-31 Published:2017-01-12

摘要: 妙西公社在消灭马来丝虫病的第一阶段采取二二三滞留喷洒与口服海群生,3年内使人群的微丝蚴率由20.21%降至1%,达到控制丝虫传播。第二阶段采用海群生治疗微丝蚴阳性者的单一措施,普查普治1次后,人群微丝蚴率从1.26%降至0.2%左右,此后一直处于低水平,未发现儿童新感染,该地丝虫传播已告中止。以海群生0.5g/天×3或1g顿服全民服药,对“丝虫反应阳性”者再给予复治,可迅速降低人群微丝蚴率,节省血检普查的人力和物力。对“丝虫反应阳性”者用0,5g/天×4复治1或2个疗程或1g顿服复治4次,可使微丝蚴转阴率达95%左右。

关键词: 马来丝虫病, 海群生, 现场实验, 浙江省, 滞留喷洒, 防治措施, 幼丝虫, 平均密度, 再感染, 自然感染率

Abstract: Field control of malayan filariasis was carried out from 1964 to 1979 in Miaoxi Commune, Zhejiang Province. In the first stage from 1964 to 1967, the measures used were chemotherapy with DEC and residual spraying with DDT in human dwellings and animal sheds. Follow-up examination in 1968 showed thai the microfilaremia fate dropped from 20.21% to 0.7%, infective larvae were not found in mosquito vectors and the morbidity of filarial lymphangitis decreased gradually after control. When checked up 6 years later in 1974, it was found that the microfilaremia rate was 1.26%, 38.1% of the microfilarial positive cases were new immigrants, and some of the originally positive cases turned to be negative without treatment. These data indicated that the transmission of filariasis has been effectively controlled during this period. In the second stage (1974-1979), selective treatment with DEC was conducted. Thereafter the microfilarial rate was reduced from 1.26% to less than 0.2%. Since then, several blood surveys of the population in the commune showed that the microfilaremia rate was maintained at the low level throughout and no new infection among infants was found.