中国寄生虫学与寄生虫病杂志 ›› 1996, Vol. 14 ›› Issue (2): 94-97.

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广西基本消灭丝虫病后的监测

潘士贤,谢祖英,麦富珍,吕先纲,李惠扬,杨小春   

  1. 广西壮族自治区寄生虫病防治研究所
  • 出版日期:1996-05-31 发布日期:2017-01-02

SURVEILLANCE OF FILARIASIS ERADICATION IN GUANGXI

  • Online:1996-05-31 Published:2017-01-02

摘要: 目的:监测基本消灭丝虫病后的远期效果及流行动态,为消灭丝虫病提供科学依据。方法:按常规进行血检微丝蚴、蚊媒个体解剖检查幼丝虫和IFAT检测人群丝虫抗体水平。结果:病原学监测11—20年,微丝蚴率由基本消灭后第1年的0.021%,逐年下降至第9年的0.001%,第10—20年未发现微丝蚴血症者;10年内监测覆盖率分别占乡、村和流行区人口的71.4%、29.9%和14.6%,11年以后覆盖率分别为37.0%、8.5%和3.8%,未发现微丝蚴血症者。蚊媒监测,每县、市3个以上村,共解剖人房致倦库蚊711823只、嗜人按蚊和中华按蚊13007只,未发现人体幼丝虫感染。IFAT检测259934人(次),年平均抗体阳性率为1.69—3.90%,与非丝虫病流行区抗体水平2.47%相近。结论:广西丝虫病的传播已被阻断,达到了消灭丝虫病的指标。

关键词: 丝虫病, 病原学, 蚊媒, IFAT, 监测, 消灭

Abstract: AIM: To observe the long term effect and the dynamics of prevalence of filariasis after the disease has been basically eradicated and to provide scientific evidence for the eradication of filariasis. METHORD: Microfilaremia and the antibody level were detected by IFAT. The vector mosquitoes were dissected for the filarial larvae. RESULTS: The microfilaria rate was further reduced from 0.021% in the first year after filariasis was basically eradicated to 0.001% in the ninth year. No microfilaremia case was found in the following decade. The surveillance covering rates of the population of the township, village and endemic area were 71.0%, 29.9% and 14.6%, respectively in the first ten years, whereas in the following ten years the covering rates were 37.0%, 8.5% and 3.8% and no microfilaremia case could be detected. No natural infection of filarial larvae in Culex pipiens quinquefasciatus (n= 711 823), Anopheles anthropophagus and A. sinensis (n=13 007) was found as a whole. The annual average positive rate of filarial antibodies in inhabitants(n=259 934) living in endemic area detected by IFAT ranged from 1.69% to 3.90%. There was no significant difference between the filarial antibody levels of inhabitants both living in endemic area and in non endemic area. CONCLUSION: It is suggested that the transmission of filariasis in Guangxi has been interrupted and filariasis has been eradicated.

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