热带病与寄生虫学

热带病与寄生虫学 ›› 2025, Vol. 23 ›› Issue (5): 273-277.

• 寄生虫病防控专题 • 上一篇    下一篇

2015—2024年湖北省血吸虫病综合防治效果评估

单晓伟1，陈新苗2，肖瑛1，李凯杰1，陈艳艳1，刘斯1，刘建兵1   

  1. 1. 湖北省疾病预防控制中心，湖北武汉430079；  2. 鄂州市疾病预防控制中心
  • 收稿日期:2025-04-02 出版日期:2025-10-20 发布日期:2025-11-28
  • 通信作者: 肖瑛，E-mail: 11511398@qq.com
  • 作者简介:单晓伟，男，硕士，副主任医师，研究方向：血吸虫病流行病学。E-mail: 350909089@qq.com
  • 基金资助:
    湖北省自然科学基金项目（2019CFB114）

Evaluation of comprehensive control effect of schistosomiasis in Hubei Province, 2015-2024

SHAN Xiaowei1, CHEN Xinmiao2, XIAO Ying1, LI Kaijie1, CHEN Yanyan1, LIU Si1, LIU Jianbing1   

  1. 1. Hubei Center for Disease Control and Prevention, Wuhan 430079, Hubei Province, China;  2. Ezhou City Center for Disease Control and Prevention 
  • Received:2025-04-02 Online:2025-10-20 Published:2025-11-28

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摘要： 目的 评估湖北省血吸虫病综合防治效果，为制定血吸虫病防治措施提供科学依据。方法 收集2015—2024年湖北省63个血吸虫病流行县（市、区）卫生、水利、农业和林业等部门血吸虫病防治数据，建立数据库并分析防治措施实施情况、主要工作指标实现情况等，评估湖北省血吸虫病综合防治效果。结果2015—2024年，湖北省累计完成人群询检筛查1 201.82万人·次，询检阳性205.20万人·次；完成人群血检查病1 074.48万人·次，血检阳性21.34万人·次；完成人群粪检查病40.65万人·次，2016年以来未查出粪检阳性者。累计完成家畜查病150.18万头·次，2015年以来未检出阳性耕牛。累计调查钉螺面积150.66万hm2，新发现钉螺面积133.34 hm2，复现面积1 066.32 hm2，2015年以来未查到感染性钉螺，阳性钉螺面积持续为0。全省63个流行县（市、区）中，43个达到消除标准，20个达到传播阻断标准。结论 2015—2024年湖北省实施以传染源控制为主的血吸虫病综合防治效果较为显著。下一阶段要强化风险监测、加强部门协作、优化队伍建设，确保血吸虫病消除目标实现。

关键词: 血吸虫病, 综合防治, 效果评估, 钉螺, 湖北省

Abstract: Objective To evaluate the outcomes of comprehensive prevention and control of schistosomiasis implemented in Hubei Province for a scientific basis to formulate following prevention and control plan for schistosomiasis infections. Methods The data on schistosomiasis prevention and control were initially obtained from the health, water conservancy, agriculture, forestry and other departments in 63 schistosomiasis-endemic counties (cities, districts) in Hubei Province from 2015 to 2024. Then a database was established to analyze the status of prevention and control measures implemented, the achievement of major work indicators, and the effectiveness of schistosomiasis comprehensively prevention and control was evaluated. Results From 2015 to 2024, a total of 12.018 2 million person-times in Hubei Province underwent inquiry examination for schistosomiasis, and 2.052 million person-times of them with positive results. A total of 10.744 8 million person-times of population were subjected to serology tests for the disease screening, and 213 400 person-times with positive findings received further confirmation. Fecal examination were completed for 406 500 person-times, and no positive fecal test results were found since 2016. A total of 1.501 8 million head-times of livestock underwent screening for schistosomiasis, yet no positive cases in farm cattle had been detected since 2015. Snail surveys were conducted in an area of 1.506 6 million hm2, where Oncomelania hupensis was newly discovered in an area of 133.34 hm2, and snail resurgence was identified in an area of 1 066.32 hm2. No infectious Oncomelania hupensis had been detected since 2015, and the area with positive Oncomelania hupensis remained at 0. Among the 63 endemic counties (cities and districts) in the province, 43 have met the elimination criteria and 20 have met the transmission blocking criteria. Conclusion From 2015 to 2024, the comprehensive prevention and control of schistosomiasis in Hubei Province, mainly focusing on the control of infection sources, achieved relatively remarkable results. In the next stage, it is necessary to strengthen risk monitoring, enhance inter-departmental collaboration, optimize team building, and ensure the achievement of the goal of eliminating schistosomiasis.

Key words: Schistosomiasis, Comprehensive control, Effect evaluation, Oncomelania hupensis, Hubei Province 

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