中国寄生虫学与寄生虫病杂志 ›› 1987, Vol. 5 ›› Issue (4): 294-296.

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浙江余杭县阻断马来丝虫病传播的研究

沈中立,袁行政,顾雪如,周金水,夏生荣,丁善根,宗旭余,洪又新,邓珊珊,宋昌存   

  1. 浙江医学研究院寄生虫病研究所(世界卫生组织蠕虫病研究合作中心); 浙江医学研究院寄生虫病研究所(世界卫生组织蠕虫病研究合作中心); 浙江医学研究院寄生虫病研究所(世界卫生组织蠕虫病研究合作中心); 浙江省卫生防疫站; 浙江省卫生防疫站; 浙江省卫生防疫站; 余杭县卫生防疫站; 余杭县卫生防疫站; 浙江医学研究院寄生虫病研究所(世界卫生组织蠕虫病研究合作中心); 浙江医学研究院寄生虫病研究所(世界卫生组织蠕虫病研究合作中心)
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1987-11-30 发布日期:2017-01-12

STUDIES ON CRITERIA OF TRANSMISSION-INTERRUPTION OF FILARIASIS DUE TO BRUGIA MALAYI

  • Received:2017-01-12 Revised:2017-01-12 Online:1987-11-30 Published:2017-01-12

摘要: 在马来丝虫病低度流行的浙江余杭县莫家桥村,进行了阻断马来丝虫病传播的现场研究。当地系以中华按蚊为丝虫病的传播媒介。根据连续3年实验证明:治疗微丝蚴密度较高者,是阻断马来丝虫病在低度流行区传播的关键性措施。人群微丝蚴率在1%或以下,微丝蚴血症者的微丝蚴密度在5条/60μl以下时,其残存的微丝蚴血症者不经治疗可逐年转阴,达到阻断马来丝虫病传播的结果;其后的防治对策应着重监测工作,无需采取反复查治的措施,这样可节省大量的人力和财力.

关键词: 马来丝虫病, 中华按蚊, 幼丝虫, 浙江余杭, 寄生虫病研究所, 自然感染率, 世界卫生组织, 防治对策, 感染度, 蠕虫病

Abstract: A field investigation of critical transmission level of malayan filariasis was carried out in a low endemic area from 1982 to 1984 in Mojiaqiao village of Yuhang County, Zhejiang Province, where Anopheles hyrcanus sinensis acts as vector of the disease. Based on the findings of three consecutive years, we are convinced that a microfilarial density below 5/60μl peripheral blood is no longer significant in the spreading of the disease. And, if the microfilariemia rate is reduced to less than 1% and the microfilarial density is as low as 5/60μl or less, the remaining cases with microfilariemia would gradually be self-cured and the transmission of the disease would virtually be interrupted. Therefore, finding out and treating those subjects with high microfilarial density as soon as possible are key measures to prevent the spreading of filariasis malayi in low endemic area. In addition, there is no longer any need for repeated surveys and treatments. The necessary work is to strengthen monitoring activities. As a result, much manpower and material resources could be saved.