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目的分析湖北省血吸虫病疫情控制地区达到传播控制标准的风险因素。方法采用回顾性调查、雷达图分析法、多因素分析等相结合方法,分析、评估湖北省疫情控制地区在人群病情、耕牛病情、螺情等方面面临的达标风险。结果 2009-2011年湖北省达标风险村总体呈逐年下降的趋势,人群病情是今后主要的达标风险因素。在疫情控制地区3 459个流行村中,高度达标风险村占1.01%,中度达标风险村占13.70%,低度达标风险村占26.97%。结论湖北省疫情控制地区达标风险处于可控状态,但要确保全省在2013年底达到传播控制标准,必须以1 442个达标风险村为重点,制定并有效实施“一村一策”防治方案。
Objective To analyze the risk factors of transmitting control standard in schistosomiasis control areas in Hubei Province. Methods The methods of retrospective investigation, radar chart analysis and multivariate analysis were used to analyze and assess the risk of reaching the standard in population control, cattle disease and snail control in the outbreak control areas in Hubei Province. Results In 2009-2011, the risk-adjusted villages in Hubei Province showed a decreasing trend year by year, and the population condition was the major risk factor for the future. Among the 3 459 endemic areas in the areas controlled by the epidemic, 1.01% were highly-targeted risk villages, 13.70% were moderately-targeted risk villages and 26.97% were low-risk villages. Conclusions The compliance risk in Hubei outbreak control areas is under control. However, to ensure that the province reaches the dissemination control standard by the end of 2013, we must focus on 1 442 standard risk villages and formulate and effectively implement the “One Village One Policy” Program.