山东省土源性寄生虫病防控策略与实践

Liu Xing, Miao Feng, Deng Xu-Li, Chen Xi-Xing, Zhao Heng-Lei, Wan Gong-Qun, Fu Zao-Yi, Zhang Dian-Bo, Wang Yong-Bin, Zhang Ben-Guang, Bo Xiu-Qing, Kong Xiang-Li

Shandong Academy of Medical Sciences, Shandong Institute of Parasitic Diseases.

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2013 Feb;25(1):76-9.

OBJECTIVE

To explore the sustainable development control strategies on soil-transmitted parasitic diseases appropriate to current epidemic characteristics so as to effectively reduce the epidemic level and harm to people in Shandong Province.

METHODS

This project was led by the Shandong Medical Department, governed and instructed by the Shandong Institute of Parasitic Diseases, concretely implemented by the centers for disease control and prevention in counties or cities. All the work was carried out according to the Control Programming of National Key Parasitic Diseases, and with the combination of routine and key control strategies according to the actual situation.

RESULTS

The average infection rate of soil-transmitted parasitic diseases in Shandong Province was 18.26% in 2003. During the 2007 to 2009 period, 3,115,194 people from 74 counties in 9 cities received anthelmintic medicine. The numbers receiving health education were 39 866 923 in county, 34,730,663 in city, 3,2000 in province, respectively. The coverage rate of non-hazardous sanitary latrines was 58.05%. In 2009, 6,581 people were surveyed from 7 counties or cities and the infection rate of soil-transmitted parasitic diseases was 7.61%. During three years, 30 provincial training classes were held and 2,130 people attended, 52 municipal classes were held and 3110 people attended, and 403 county classes were held and 12,789 people attended. In the whole province, the infection rate of soil-transmitted parasitic diseases reduced to 7.10% in 2009, with the reduction rate of 61.12%, reaching the national objective.

CONCLUSIONS

The comprehensive control model for soil-transmitted parasitic diseases is very successful in Shandong Province.

目的

探索适合当前流行特征的土源性寄生虫病可持续发展控制策略，有效降低山东省土源性寄生虫病的流行水平及危害。

方法

本项目由山东省卫生厅牵头，山东省寄生虫病防治研究所主持并指导，各县（市）疾病预防控制中心具体实施。各项工作均按照《全国重点寄生虫病防治规划》要求，结合实际情况采取常规与重点控制策略相结合的方式开展。

结果

2003年山东省土源性寄生虫病平均感染率为18.26%。2007 - 2009年期间，9市74个县3115194人接受驱虫治疗，接受健康教育的人数分别为县级39866923人、市级34730663人、省级32000人，无害化卫生厕所覆盖率为58.05%。2009年，对7个县（市）6581人进行调查，土源性寄生虫病感染率为7.61%。三年间，举办省级培训班30期，培训2130人；举办市级培训班52期，培训3110人；举办县级培训班403期，培训12789人。2009年全省土源性寄生虫病感染率降至7.10%，下降率为61.12%，达到国家目标要求。