总结2016-2019年江西省重点寄生虫病综合防治示范区创建工作经验,根据2018年中期评估结果,分析示范区重点寄生虫病防治工作取得的初步成效及存在问题,为2020年示范区创建工作提出建议。2016年,基于江西省卫生健康委员会与中国疾病预防控制中心寄生虫病预防控制所（简称中国疾控中心寄生虫病所）协作创新寄生虫（血吸虫）病防治工作机制,在江西省信丰县建立重点寄生虫病综合防治示范区。4年来通过双方密切合作,采取以健康教育为先导,以传染源控制为主的综合防治策略,实施健康教育、阳性人群治疗、改水改厕、环境整治等措施,示范区建设取得初步成效。华支睾吸虫和土源性线虫感染率大幅下降,分别由2016年的21.56%和2.01%下降至2018年的8.85%和0.17%,降幅分别高达58.95%和91.54%;居民健康意识得到了提高,居民华支睾吸虫病防治知识知晓率提高了37.40%,不食生鱼片行为合格率提高至83.41%。此外,依托“协作创新”模式,建立了国家、省、市、县、乡5级寄生虫病防控监测网络,培养了一支基层寄生虫病防治队伍,积累了寄生虫病综合防治经验,有效推进了中国疾控中心寄生虫病所和江西省寄生虫病防治研究所科研协作,较好地发挥了示范区基地在寄生虫病防治科研工作中的作用。

This paper summarized the experience in establishment of demonstration area for integrated control of important parasitic diseases in Jiangxi Province during 2016-2019, analyzed the achievements and problems of parasitic disease control in the demonstration area based on the mid-term evaluation findings, providing suggestions for the establishment work of demonstration area in 2020. In 2016, a demonstration area for important parasitic diseases control was established in Xinfen County in Jiangxi Province, as a part of the cooperation between Jiangxi Health Commission and National Institute of Parasitic Diseases (NIPD), Chinese Center for Disease Control and Prevention (China CDC) to cooperatively innovate working mechanism in parasitic diseases control and to establish a demonstration area in Xinfen County. The two parties worked closely in the four years adopting the strategy of “led by health education, prioritized with infection source control”, and implementing health education, treatment of the infected population, improving drinking water and toilet, and surrounding environment. as a result, the building-up of demonstration area gained preliminary achievement. The infection rates of C. sinensis and soil-transmitted nematodes decreased from 21.56% and 2.01% in 2016 to 8.85% and 0.17% in 2018, respectively, showing a reduction by 58.95% and 91.54%. The health awareness of residents was raised; the awareness rate on knowledge of clonorchiasis control increased by 37.40%, and the pass rate of not eating raw fish increased to 83.41%. Moreover, applying the mode of “cooperative innovation”, a surveillance network for parasitic diseases control was established at five administrative levels comprising state, province, city and township, a grass-rooted control task team was developed, and apparently, experience has been accumulated in comprehensive control of parasitic diseases. In addition, the building-up of demonstration area evidently promoted collaboratibe scientific research between NIPD and Jiangxi was promoted, and successfully demonstrates the roles in local control and research activities.