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目的评估金湖县控制肠道线虫病防治策略与效果。方法参照《江苏省县(市、区)级肠道线虫病控制标准及其考评工作方案》,在金湖县随机抽取5个镇5个村,采用Kato-Katz法调查2 500人肠道线虫感染情况;采用肠道线虫病防治KAP表调查500人,评估健康教育效果;走访调查20户居民改水改厕情况;对历年肠道线虫病防治档案资料进行核查。结果共调查5个镇5个村居民2 554人,查出肠道线虫感染4人,总感染率为0.16%,其中蛔虫、钩虫、鞭虫感染率分别为0.04%、0.08%、0.04%,差异无统计学意义(χ2=0.50,P>0.05);未发现多重感染,除1例鞭虫感染者为轻度感染外,其余3例均为中度感染;男性感染率为0.08%,女性感染率为0.22%,差异无统计学意义(χ2=0.76,P>0.05);感染者平均年龄51岁,职业集中为学生和农民。问卷调查500人,卫生知识知晓率为95.60%,卫生行为正确率为96.40%。自来水普及率达97.90%,农村卫生户厕普及率达98.24%;建立了能全面反映金湖县肠道线虫病防治档案资料,并有监测巩固方案和下阶段防治规划。结论金湖县已达到江苏省控制肠道线虫病标准,仍需做好监测和重点人群防治工作。
Objective To evaluate the strategy and effect of controlling gut nematode in Jinhu County. Methods According to the “Control Criteria of Gut Nematode Disease in Jiangsu Province (prefecture-level) and its Evaluation Program”, 5 villages in 5 towns were randomly selected in Jinhu County. The Kato-Katz method was used to investigate the intestinal nematode Infected with gneiss disease prevention and treatment of KAP table survey of 500 people, to assess the effect of health education; visited 20 households to change the water and toilets; check the history of intestinal nematode disease archives to verify. Results A total of 2 554 residents were surveyed in 5 villages and 5 villages. Four intestinal nematode infections were detected, with a total infection rate of 0.16%. The infection rates of roundworm, hookworm and whipworm were 0.04%, 0.08% and 0.04%, respectively, No significant difference was found between the two groups (χ2 = 0.50, P> 0.05). No multiple infection was found except for 1 case of whipworm infection. The other 3 cases were moderately infected. The male infection rate was 0.08% The infection rate was 0.22%, the difference was not statistically significant (χ2 = 0.76, P> 0.05); the average age of infected persons was 51 years old, occupational concentration was students and peasants. 500 questionnaires, awareness of health knowledge was 95.60%, health behavior correct rate was 96.40%. The popularization rate of tap water reached 97.90%, and the popularization rate of household sanitation in rural areas reached 98.24%. A file that fully reflects the prevention and treatment of intestinal nematode diseases in Jinhu County has been set up. Monitoring and consolidation programs and prevention and control plans in the next stage have also been established. Conclusion Jinhu County has reached the standard of controlling gut nematodes in Jiangsu Province, and monitoring and prevention and treatment of key populations still need to be done.