全国血吸虫病抽样调查

中国寄生虫学与寄生虫病杂志 ›› 1998, Vol. 16 ›› Issue (2): 2-88.

全国血吸虫病抽样调查

卫生部全国地方病防治办公室, 卫生部血吸虫病专家咨询委员会, 中国预防医学科学院寄生虫病研究所*

卫生部全国地方病防治办公室, 卫生部血吸虫病专家咨询委员会, 中国预防医学科学院寄生虫病研究所*

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1998-04-30 发布日期:1998-04-30

AN INTRODUCTION OF A NATIONWIDE SAMPLING SURVEY ON SCHISTOSOMIASIS IN CHINA

Office of Endemic Diseases Control,Ministry of Health Expert Advisory Committee on Schistosomiasis,Ministry of Health Institute of Parasitic Diseases*,Chinese Academy of Preventive Medicine

Office of Endemic Diseases Control,Ministry of Health Expert Advisory Committee on Schistosomiasis,Ministry of Health Institute of Parasitic Diseases*,Chinese Academy of Preventive Medicine

Received:1900-01-01 Revised:1900-01-01 Online:1998-04-30 Published:1998-04-30

摘要/Abstract

摘要： 目的：为了解血吸虫病流行现状和评价１９９０－１９９５年的血吸虫病防治效果，于１９９５年９－１１月开展了全国血吸虫病流行病学调查。方法：采用分层整群随机抽样法进行调查。在未控制流行地区，对居民血吸虫感染，采用尼龙绢袋集卵孵化法和改良加藤法检查粪便，对耕牛等家畜，采用尼龙绢袋集卵孵化法检查粪便。同时，对部分居民询检症状、体征；并调查晚期血吸虫病。在已控制流行地区，先以环卵沉淀试验或间接血凝试验检查初筛，阳性者再以尼龙绢袋集卵孵化法和改良加藤法粪检。结果：在未控制流行地区，样本村１９５个，检查２２４８１９人，居民粪检阳性率为４．９％，耕牛粪检阳性率为９．０６％。在已控制流行县中，样本村１６９个，检查１８３０２人，在湖北和四川两省查出粪检阳性者１７例。推算感染者为８６５０８４例，推算病牛为１００２５１头。结论：推算感染者例数较１９８９年的下降４７．２％，病牛头数约５０％。

关键词: 日本血吸虫病流行病学抽样调查

Abstract: AIM: In order to know the present status of the endemicity of schistosomiasis and to evaluate the control effect during 1990-1995, a second nationwide sampling survey on schistosomiasis japonica was undertaken during September and November of 1995. METHODS: A stratifying and clustering random sampling technique was used in the survey. Serological test, circumoval precipitin test or indirect hemagglutination assay were used for preliminary screening. Stool examination using hatching technique and Kato Katztechnique w as app lied fo r ident ificat ion
of the infected persons and intensity of infect ion and hatch ing test only fo r survey of domest ic animals.
RESULTS: In 195 samp led villages from endem ic areas, a to tal of 224 819 peop le w ere ex2
am ined. The infect ion rate of residents w as 4189% and the infect ion rate of farm cat t le w as
9106%. In the 169 samp led villages from endem ic areas under cont ro l, only 17 out of 18 302 ch il2
dren w ere ident ified as infected by stoo l exam inat ion from Hubei and Sichuan P rovinces. F rom the
results of the survey, the number of infected persons, and the number of infected farm cat t le and
w ater buffaloes w ere est imated to be 865 084 and 100 251, respect ively, in the w ho le count ry.
CONCLUSION: A s comparedw ith the data in 1989 , a reduct ion of 4712% in infected persons and
about 50% in infected farm cat t le and w ater buffaloes, respect ively, w as show n.

Key words: Schistosomiasis japonica, epidemiology, sampling survey, China

卫生部全国地方病防治办公室;卫生部血吸虫病专家咨询委员会;中国预防医学科学院寄生虫病研究所. 全国血吸虫病抽样调查[J]. 中国寄生虫学与寄生虫病杂志, 1998, 16(2): 2-88.

OfficeofEndemicDiseasesControl;MinistryofHealthExpertAdvisoryCommitteeonSchistosomiasis;MinistryofHealthInstituteofParasiticDiseases*;ChineseAcademyofPreventiveMedicine. AN INTRODUCTION OF A NATIONWIDE SAMPLING SURVEY ON SCHISTOSOMIASIS IN CHINA[J]. Chinese Journal of Parasitology and Parasitic Diseases, 1998, 16(2): 2-88.