Cai Li, Huang De-sheng, Ma Xing-bao, Zhang Bao-xiu, Fu Ying-hua, Ge Hong-yan
Shanghai Municipal Center for Disease Prevention and Control, Shanghai 200336.
Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2002;20(1):18-20.
To evaluate the current status of intestinal nematode infection in Shanghai and make recommendations for further control activities.
Retrospective review of the control program was made based on the change of nematode prevalence in Shanghai area since the 1950s, and challenges under the current situation were analysed.
The intervention measures included chemotherapy, health education, sanitary disposal of human excreta and safe water supply. With the control strategy, socio-economical development and the change of farming patterns, the prevalence of intestinal nematode infection in population was reduced by 88.5%, from 62.6% in 1955 to 8.2% in 2000. Among them, ascaris infection decreased by 89.0%, from 52.1% to 6.3%, hookworm infection decreased by 99.0%, from 12.9% to 0.1%, but pinworm infection was still as high as 18.9% in 1999.
Prevalence of nematode infection in Shanghai was considerably reduced. To match it with the current socio-economical development in the Municipality, however, more needs to be done. Sustainable control activities and surveillance are recommended.
评估上海肠道线虫感染的现状，并为进一步的防控工作提出建议。
基于20世纪50年代以来上海地区线虫感染率的变化，对防控项目进行回顾性分析，并分析当前形势下的挑战。
干预措施包括化疗、健康教育、人类排泄物的卫生处理和安全供水。随着防控策略、社会经济发展和耕作模式的变化，人群肠道线虫感染率下降了88.5%，从1955年的62.6%降至2000年的8.2%。其中，蛔虫感染率下降了89.0%，从52.1%降至6.3%，钩虫感染率下降了99.0%，从12.9%降至0.1%，但蛲虫感染率在1999年仍高达18.9%。
上海线虫感染率大幅下降。然而，为了与上海市当前的社会经济发展相匹配，仍需开展更多工作。建议开展可持续的防控活动和监测。
