四川省芦山县血吸虫病消除巩固时期传染源风险分析

Risk analysis of infection source risks during the elimination and consolidation stage of schistosomiasis in Lushan County, Sichuan Province

  • 摘要: 【目的】 分析四川省芦山县(属大山区)血吸虫病消除时期传染源的潜在风险,为大山区巩固血吸虫病消除成果提供防控策略。【方法】 2024年在芦山县历史重流行乡镇中分别选取1~2个疫情较重村作为监测点,开展野生动物粪便、家畜、野鼠、散养犬、本地人群、流动人员监测,在思延镇草坪村开展既往感染者监测,统计分析传染源的风险。【结果】 孵化野生动物粪便13种115份,阳性0份;血检牛492头,羊34头,狗261只,阳性0份;放置鼠夹2520个,捕获野鼠67只,捕获率为2.66%,经解剖未发现阳性野鼠。散养犬活动轨迹最远2212 m,最近236 m,平均744 m,沿途拾得野粪68份(均为犬粪),阳性0份。本地人群血检3 540人,血检阳性39人,血阳率为1.10%;粪检193人,阳性0人。流动人员血检315人,血检阳性1人,血阳率为0.32%;粪检1人,阳性0人。调查既往感染者505人,血检阳性5人,血阳率为0.99%;粪检15人次,阳性0份。【结论】 本次调查未发现本地和输入的血吸虫传染源,但当地潜在传染源的种类众多,数量较大,应积极探索消除地区监测模式,因地制宜转变防控策略,做到精准防控,巩固消除成果。

     

    Abstract:Objective】To analyze the potential risk of infectious agents during the elimination period of schistosomiasis in Lushan County of Sichuan Province and to provide prevention and control strategies for consolidation of schistosomiasis elimination achievements in mountainous areas. 【Methods】 In 2024, one to two villages with relatively severe epidemic situations were selected in the historically heavily endemic towships of Lushan County as monitoring sites to carry out monitoring for wild animal feces, domestic animals, wild rats, free-ranging dogs, local populations, and mobile people; follow-up monitoring for previously infected individuals was carried out in Caoping Village of Siyan Town. Statistical analyses were performed to assess the risks associated with infection sources. 【Results】 A total of 115 fecal samples from 13 species of wildlife were incubated, with zero positive. Blood tests were conducted on 492 cattle, 34 sheep, and 261 dogs, with zero positive.A total of 2520 rodent traps were set, capturing 67 wild rats with a capture rate 2.66%, and no positive wild rats were found upon dissection. The activity track of loose dogs was 2212 meters at the farthest, 236 meters at the nearest, and 744 meters on average; a total of 68 wild droppings were picked up along the way, with zero positive. Blood tests were performed on 3540 local population, yielding 39 blood-positive with a blood positive rate of 1.1%; fecal examinations were conducted on 193 individuals, with zero positive. . A total of 315 blood tests were performed on mobile population, identifying 1 positive with a blood-positive rate of 0.32%; one person received a fecal examination, with o positive. A follow-up survey of 505 previously infected individuals revealed 5 blood-positive cases with a positive rate 0.99%; fecal examinations were conducted on 15 individuals, with 0 positive. 【Conclusion】 In this investigation, no local or imported sources of schistosomiasis transmission were found. However, there were a wide variety and large number of potential sources of infection in the local area. It is necessary to actively explore the elimination of regional monitoring models, adaptively transform prevention and control strategies according to local conditions, achieve precise prevention and control, and consolidate the achievements of elimination.

     

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