中国寄生虫学与寄生虫病杂志 ›› 1983, Vol. 1 ›› Issue (2): 113-117.

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上海市南张实验区防治血吸虫病的纵向观察

郁维,路增印,蔡纯勇   

  1. 上海市血吸虫病防治研究所
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1983-05-31 发布日期:2017-01-12

LONGITUDINAL SURVEY OF SCHISTOSOMIASIS CONTROL IN NANZHANG PROJECT AREA, SHANGHAI

  • Received:2017-01-12 Revised:2017-01-12 Online:1983-05-31 Published:2017-01-12

摘要: 本文总结了南张实验区防治血吸虫病的经验,包括不同阶段的防治措施,各阶段考核效果的方法,达到基本控制指标后的有关监测工作。认为防治初期病人多、螺情重,防治对策采取全面的查治病、查灭螺措施,能使当地病情和螺情迅速减轻。在病人和钉螺减少以后,采取重点灭螺和治病措施以巩固成果,控制流行。当病人、钉螺很少时,要长期坚持监测,治完病人,灭净钉螺。实验区经过“准备”、“战斗”、“巩固和扫尾”,完成了防治任务。

关键词: 血吸虫病防治, 实验区, 纵向观察, 钉螺感染, 新感染率, 皮内试验, 阳性率, 残余点, 平均密度, 血吸虫感染

Abstract: A systematic report on the course of schistosomiasis control in Nanzhang project area is presented. The authors pointed out that at the beginning of the campaign there was heavy infestation of snail in the area, there were large number of patients, feces was not properly disposed of, exposure was heavy and infections and superinfections were the chief menace to the population. The chief emphasis was therefore laid on snail eradication and curing of patients, supplemented by other measures such as sanitary disposal of feces, etc. After the snail density and the number of patients had decreased to a certain point, snail survey and case finding were stressed and treatment of the snail-lafested area and patients repeated as often as necessary. The process was carried on until complete eradication of the vector snail and cure of all infected individuals were achieved* At the same time surveillance measures were instituted to detect possible spread of the snail vector and/or "migration of infected individuals from other endemic areas.The antischistosomiasis work had gone through three phases in its course of fight against the disease, namely: the phase of preparation; the phase of combat and the phase of consolidation and winding-up.Evaluation of the results of control should be made from epidemiological point of view; the individual and population morbidity should serve as criteria for assessing the success of control of transmission. Information on the interrelationship between population morbidity and snail dynamics is also indispensable.Still, several years' surveillance would be required after the eradication of schisto-somiasis, to ensure and to verify that schistosomiasis in the area has been completely eliminated.