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Surveillance and evaluation of schistosomiasis in Wuhan City in 2019
ZUO Yu-ting, LUO Hua-tang, XIONG Yue-ling, WANG Shuai, WANG Hao, LI Yang, XU Ming-xing
2021, 19 (6):
335-339.
Objective To analyze the surveillance and risk assessment data of schistosomiasis in Wuhan City in 2019 for understanding the dynamic epidemic status data basis to develop elimination strategies. Methods The data,including regular monitoring,site surveillance and risk monitoring,were collected in Wuhan area in 2019,analyzed the momtoring results of population,livestock,snail,wild feces and environment,and evaluated the risk of epidemic transmission. Results No single case of schistosomiasis was reported by the direct reporting system in Wuhan in 2019. A total of 15 102 local residents from the 28 surveillance sites underwent serological test,which revealed positive in 97 people (0. 64%). The positive rate was higher in men than in women (0. 87% vs. 0. 41%, χ2 = 65. 67,P<0. 001),and tended to increase with advanced age group ( χ2 trend = 75. 58,P<0. 001). The occupation associated with relatively higher positive rate successively represented by boat fishermen,farmer,workers and retirees. Stool examination in 479 people showed no positive infection. No positive case
was found in the 2 655 floating people in the surveillance sites undergone indirect hemagglutination (IHA) test. Stool test of
the 197 heads of cattle in stock showed no positive infection. Snail survey was conducted in area of 1 875. 33 hm2,where
731. 21 hm2 were identified with snail prevalence. The density of living snail was 0. 018 / 0. 1 m2. There was no positive results in the 11 aliquots of wild feces collected. 240 sentinel mice were placed in the risk monitoring sites,and were totally
negative by examination. No infection was found in another 14 aliquots of wild feces. A total of 187 987 frames of snail were
inspected by district level institution,with an average density of the snail were 0. 006 5 / 0. 1m2. A total of 13 877 frames of
snail were inspected by municipal level institution,with an average density of the snail were 0. 003 8 / 0. 1 m2,and no positive snails were detected. Risk assessment was concluded as class Ⅲ (low risk). Conclusion The epidemic of schistosomiasis continues to decline in Wuhan area after transmission interruption,and reaches the lowest level in history. However, potential risks such as the complex snail breeding environment,weak awareness of schistosomiasis prevention among high risk population,difficulty to reduce the snail areas within the embankment and fecal pollution in snail areas,should not be ignored. These findings suggest endless monitoring and early warning should be strengthened in order to timely eliminate potential risks at early stage.
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