摘要
目的了解四川省黑热病流行动态和防治现状,为全省制定防治对策提供依据。方法由省负责指导各流行县防治措施实施与患者诊治,每年收集、整理临床病历记录和疫情报告病例。结果全省2004～2008年发病284例。流行区178例,以九寨沟县居多,占发病的62.92%,经采取灭犬措施后,年发病数下降;黑水和茂县随着饲养犬只的增加,发病呈上升和扩散态势。非流行区106例,均为在省内外疫区居留感染发病。检出外省患者21例,在四川省疫区感染4例。结论九寨沟县在采取灭犬措施后的第2年,年发病数逐渐下降。未采取灭犬措施的黑水和茂县年发病数仍在高位徘徊。各疫区应继续采取及时诊治患者、犬只管理和灭蛉措施;加强健康教育,开展联防,尽快控制黑热病的流行。
Objectives To analyze current epidemic situation and control progress of leishmaniasis in Sichuan. Methods The reported data of leishmaniasis cases were collected and analyzed. Results During 2004-2008,a total of 208 cases were reported,in which 178 were native cases detected in the endemic areas,mostly in Jiuzhaigou County accounting for 62.92% （112/178）. After implementing dog control,annual leishmaniasis cases reduced obviously in Jiuzhaigou County,but case number rised and spread to other regions following dog populations increasing in Maoxian and Heishui counties. There 106 cases coming from non-endemic areas were found to have got infections during their staying in the endemic region in Sichuan and other provinces. In addition,21 cases suffered from leishmaniasis outside Sichuan were identified when they came to seeking for clinical diagnosis and treatment in Sichuan CDC. Conclusions Although leishmaniasis case reduced to some extent after taking control program in Sichuan, the case numbers are continuously keeping relatively high. New cases can still be identified each year in Jiuzhaigou,Maoxian and Heishui counties . Thus integrated measures including timely case identification and treatment, dog management, sandfly-killing activities ,health education and joint control efforts by neighbor regions be carried out.
出处
《中国热带医学》
CAS
2009年第9期1836-1838,共3页
China Tropical Medicine
关键词
黑热病
流行动态
防治措施
分析
Leishmaniasis
Epidemic trends
Control strategy
Analysis
