摘要
目的评价湖南省血吸虫流行地区无害化卫生厕所粪便处理对控制血吸虫病的效果。方法采用实验室检测、人群问卷、现场勘测相结合的方法,对调查点改厕建设及使用管理状况、粪便处理效果、人群相关健康知识行为等情况进行调查分析。结果调查地区均未发现肠道传染病疫情,非卫生厕所内寄生虫卵总数平均值为6.484,卫生厕所无害化后为0.05,且三格化粪池式厕所卫生状况优于三联沼气式;卫生厕所户厕完整,符合需求,个人投入建造为主。改厕村经过健康教育干预后农民对血防相关知识接受程度,明显高于未改厕村。但32.5%的居民对建卫生厕所实施粪便无害化的意义了解不深。结论血吸虫病疫区改厕后的粪便无害化处理,对减少血吸虫卵的传播,降低血吸虫感染率效果明显。卫生厕所的卫生状况比非卫生厕所大有改观,无害化效果是十分明显的。改厕后对疫区农民的血防相关知识有促进作用。
Objective To evaluate the effect of reforming latrine for schistosomiasis control in Hunan. Methods Scene survey, questionnaire, and laboratory examination were performed successively. The situation of building manage- ment, the use of the reforming restroom, the effect of nightsoil treatment, and health knowledge among the population were analyzed. Results No intestinal infectious disease was found in the investigation areas. The total average value of parasite egg in the original latrine was 6. 484, and the hygienic situation of three - frame latrine was better than that of firedamp la- trine. The reformed latrines were complete which were built by specialized construction teams. The mainly source of input funding was individual investment. Health behavior of the subjects in the villages with reformed latrine was much better than those of the original ones after the intervention of the health education of farmers. But the residents who didn't deeply understand of the significance of those reached to 32.5 %. Conclusions The reformed latrine is effective in improving schistosomiasis control, decreasing the incidence of intestinal infectious diseases, and promoting the change of personal behavior.
出处
《实用预防医学》
CAS
2008年第6期1776-1779,共4页
Practical Preventive Medicine