中国寄生虫学与寄生虫病杂志 ›› 2012, Vol. 30 ›› Issue (1): 14-65-70.

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湖北省淋巴丝虫病的流行、控制与消除历程

詹发先*,张绍清,王莉莉,袁方玉,张华勋,董小蓉,李凯杰,余品红   

  1. 湖北省疾病预防控制中心传染病防治研究所,武汉 430079
  • 出版日期:2012-02-29 发布日期:2012-09-28

Lymphatic Filariasis in Hubei Province:from Prevailing to Elimination

ZHAN Fa-xian*,ZHANG Shao-qing,WANG Li-li,YUAN Fang-yu,ZHANG Hua-xun,DONG Xiao-rong,LI Kai-jie,YU Pin-hong   

  1. Hubei Provincial Center for Disease Control and Prevention,Wuhan 430079,China
  • Online:2012-02-29 Published:2012-09-28

摘要: 湖北省曾是丝虫病流行较为严重的省份,全省69个县(市)有丝虫病流行,流行区总人口2 900万,丝虫病感染者约200万,其中微丝蚴血症者约160万,慢性丝虫病患者约40万,人群平均微丝蚴率5.94%,中华按蚊和致倦库蚊为主要传播媒介。1970-1980年全省采取以消灭传染源为主的防治策略开展大规模防治,1988年以村为单位人群微丝蚴率降至0.048%,达到卫生部颁布的基本消除丝虫病标准。通过10余年的监测和跟踪治疗,2001年全省实现消除丝虫病。本文从湖北省消除淋巴丝虫病的技术方法、措施和策略等方面,对湖北省丝虫病的流行、控制与消除的历程进行概述。

关键词: 丝虫病, 流行, 控制, 消除, 湖北

Abstract:  Lymphatic filariasis used to highly prevalent in 69 counties (cities) with 29 million people at the risk of infection in Hubei Province. There were 2 million people infected either by B. malayi or W. bancrofti that 1.6 million microfilaremia cases and 0.4 million chronic patients. The average rate of microfilaremia among population was 5.94%. Anopheles sinensis and Culex quinquefasciatus were the principal transmitting vectors. Since 1970s,with the strategy of taking elimination of infection source as a major focus,the average rate of the microfilaremia reduced to 0.048% with a village as the unit in 1988,and reached the standard of transmission interruption. With continuous surveillence for over a decade,the province reached the goal of filariasis elimination in 2001. This paper reviews the prevalence,control and elimination process of filariasis in Hubei Province since 1950s.

Key words: Filariasis, Prevalence, Control, Elimination, Hubei