洞庭湖区外出务工人员血吸虫病感染情况调查.pdfVIP

1752 实用预防医学 2007年l2月 第14卷 第6期 Practical Preventive Medicine，Dec．2007。Vol 14。No．6 文章编号：1006—3110(2007)06—1752～04 洞庭湖区外出务工人员血吸虫病感染情况调查 刘国初 ，陈燕国 ，李 君‘，朱剑君 ，赵正元 ，贺宏斌 摘要： 目的 了解血吸虫病非流行区和流行区外出务工人员(农民工)流向、工种、工作生活环境及其行为学，分析 外出打工者血吸虫病感染现状及造成血吸虫病传播或再流行的潜在危险。 方法 分别从非流行区和流行区外出务工 人员中，随机抽取500人以上进行问卷调查，然后进行血清学和病原学方法检查。 结果 非流行区调查外出务工人员 577人，血清检查阳性率 15．53％，粪检阳性率 1．89％，务工期间有99．8％的人员接触过疫水；流行区调查外出务工人员 529人，血清检查阳性率32．82％，粪检阳性率3．40％，务工期间98．9％的人员未接触疫水。 结论 非流行区外出人员 在血吸虫病流行区务工期间，以务农为主接触疫水时间多，容易形成血吸虫病新感染；流行区外出人员中的血吸虫病人或 传染源，在城市工厂打工，接触疫水感染血吸虫病机率少，造成当地血吸虫病传播或再流行的可能性小，但对有螺无病区、 历史流行区、不知情疫源地，是造成血吸虫病再流行的潜在危险因素。 关键词： 外出务工人员；血吸虫病感染；传播；再流行 中图分类号：R532．21 文献标识码：A Survey on Schistosomiasis Infection Among Farmer Labors out From Dongting Lake Regions LIU Guo—chu‘，CHEN Yan— guo ，LI n‘，et a1 ． (1．Hunan Institution ofParasitic Diseases，Yueyang 414000，Hunan； 2．Off~eofSchistosomiasis Control ofHuarong County，Huarong 414200，Hunan) Abstract： Objective The directions where farmer labors from an endemic village and a non—endemic village of schis- tosomiasis have gone，what jobs did they de nowadays，and their new working and living environments were surveyed to ana- lyze the status of schistosom iasis infection among them，and the potential risks of schistosom iasis transmission were evaluated in addition． Methods More than 500 farmer labors仃Om an endemic village and a non —endemic village of schistosom iasis were surveyed by questiOnnaires；and serolog ical and stool parasitological tests were performed as wel1． Results Among the 577 subjects from non—endemic village。the positive rate of schistosomiasis by serological test was 15．53％，the positive rate by stool examination was 1．89％。and 99．8％subjects had history of polluted water exposure in their new working sites． I