2019—2023年四川省国家级土源性线虫病防治项目试点县防治效果分析

热带病与寄生虫学 ›› 2025, Vol. 23 ›› Issue (5): 278-282,309.

2019—2023年四川省国家级土源性线虫病防治项目试点县防治效果分析

吴小红¹，毛晓琴²，张成全²，李佳雯³，罗静雯¹，铁磊¹，邓秀¹，张素平¹，刘阳¹

1. 四川省疾病预防控制中心，四川成都610041； 2. 合江县疾病预防控制中心； 3. 雷波县疾病预防控制中心

收稿日期:2025-08-25 出版日期:2025-10-20 发布日期:2025-11-28
通信作者: 刘阳，E-mail: liuyangcdc@163.com
作者简介:吴小红，男，本科，副主任医师，研究方向：寄生虫病防治与研究。E-mail: 18981958362@163.com
基金资助:
四川省卫生健康委员会科技项目（24CXTD04）

The control effect of soil-transmitted nematode in the pilot counties of the National Soil-Transmitted Helminthiasis Prevention and Control Project in Sichuan Province, 2019-2023

WU Xiaohong¹, MAO Xiaoqin², ZHANG Chengquan², LI Jiawen³, LUO Jingwen¹, TIE Lei¹, DENG Xiu¹, ZHANG Suping¹, LIU Yang¹

1. Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, Sichuan Province, China; 2. Hejiang Center for Disease Control and Prevention; 3. Leibo Center for Disease Control and Prevention

Received:2025-08-25 Online:2025-10-20 Published:2025-11-28

摘要/Abstract

摘要： 目的评估四川省国家级土源性线虫病防治项目的实施效果，为四川省土源性线虫病防控提供科学依据。方法 2019—2023年，以四川省合江县和雷波县为国家级土源性线虫病防治项目试点县，开展人群感染情况监测、健康教育、药物驱虫、改水改厕和专业人员防治能力建设等综合防治工作，其中雷波县2019年未开展人群感染情况监测。获取人群感染率、健康教育覆盖率、防治知识知晓率、药物驱虫覆盖率、卫生厕所覆盖率、安全饮用水覆盖率、专业人员培训率以及乡镇卫生院合格检验人员配备率等数据并进行描述性分析。结果合江县人群年均感染率为6.60%（330/5 000），人群感染率从2019年的9.30%降至2023年的2.60%，总体呈下降趋势（χ²_趋势=96.62，P<0.001）；雷波县人群年均感染率为17.32%（695/4 013），其中2020年最高（31.00%），2021年最低（5.50%）。健康教育覆盖率方面，合江县从0.31%提升至100.00%，雷波县从1.74%提升至43.67%；两县居民的防治知识知晓率均呈逐年上升趋势（χ²_趋势=102.87、60.59，P均<0.001），分别从76.00%和84.00%提升至98.80%和97.20%。合江县卫生厕所覆盖率从75.00%持续提升至91.10%，安全饮用水覆盖率自2020年起保持在100.00%；雷波县卫生厕所覆盖率始终维持在96.88%以上，安全饮用水覆盖率始终为100.00%。两县专业人员培训率均达100.00%；合格检验人员配置率方面，合江县为100.00%，雷波县从2019年的10.64%提升至2023年57.14%。合江县和雷波县重点人群药物驱虫覆盖率分别为85.59%和87.74%。结论四川省土源性线虫病防治项目在试点县取得了良好效果，值得进一步推广。

关键词: 土源性线虫病, 综合防治, 效果评价, 四川省

Abstract: Objective To evaluate the effect of the National Soil-Transmitted Helminthiasis Prevention and Control Project implemented in Sichuan Province for a scientific basis for the prevention and control of this infection in Sichuan Province. Methods From 2019 to 2023, Hejiang County and Leibo County in Sichuan Province were designated as pilot counties for the National Soil-Transmitted Helminthiasis Prevention and Control Project. Comprehensive control measures were implemented, including monitoring of human infections, health education, deworming medication, improvements in water supply and sanitation facilities, and capacity building for healthcare professionals. It should be noted that no human infection monitoring was conducted in Leibo County in 2019. The data, including population infection rate, health education coverage rate, awareness rate of prevention and control knowledge, coverage rate of drug deworming, sanitary toilet construction and safe drinking water as well as professional training rate, and the allocation rate of qualified laboratory personnel in township health centers, were collected and subjected to descriptive analysis. Results The average annual soil-transmitted nematode infection rate was 6.60% (330/5 000) in Hejiang County, decreasing from 9.30% in 2019 to 2.60% in 2023, showing an overall downward trend (χ^²_trend=96.62, P<0.001). The monitoring was carried out in Leibo County from 2020 to 2023, during which the average annual infection rate was 17.32% (695/4 013), and the highest in 2020 (31.00%) and lowest in 2021 (5.50%). The coverage in health education in Hejiang County and Leibo County was increased from 0.31% to 100.00%, and from 1.74% to 43.67%, respectively. The awareness rate of prevention and control knowledge among the residents in both counties showed a yearly increasing trend (χ^²_trend=102.87, χ^²_trend=60.59, both P<0.001), rising from 76.00% and 84.00% to 98.80% and 97.20%, respectively. The coverage rate of sanitary toilets and safe drinking water was continuously increased from 75.00% to 91.10% and maintained by 100.00% after 2020 in Hejiang County, and remained over 96.88% and at 100.00% in Leibo County. The training rate of professional personnel in both counties reached 100.00%. The allocation rate of qualified laboratory personnel was 100.00% in Hejiang County, and increased from 10.64% in 2019 to 57.14% in 2023 in Leibo County. For the coverage rate of deworming medication among key populations, Hejiang County was at 85.59%, and Leibo County at 87.74%. Conclusion The project for the prevention and control of soil-transmitted helminthiasis in Sichuan Province has achieved good results in the pilot counties, and is worthy of further promotion.

Key words: Soil-transmitted helminthiasis, Integrated control, Effect evaluation, Sichuan Province

中图分类号:

R532.1，R181.3

吴小红, 毛晓琴, 张成全, 李佳雯, 罗静雯, 铁磊, 邓秀, 张素平, 刘阳. 2019—2023年四川省国家级土源性线虫病防治项目试点县防治效果分析[J]. 热带病与寄生虫学, 2025, 23(5): 278-282,309.

WU Xiaohong, MAO Xiaoqin, ZHANG Chengquan, LI Jiawen, LUO Jingwen, TIE Lei, DENG Xiu, ZHANG Suping, LIU Yang. The control effect of soil-transmitted nematode in the pilot counties of the National Soil-Transmitted Helminthiasis Prevention and Control Project in Sichuan Province, 2019-2023[J]. Journal of Tropical Diseases and Parasitology, 2025, 23(5): 278-282,309.

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