[Current status of advanced schistosomiasis in Pukou District, Nanjing City, 2013].

OBJECTIVE: To understand the current status of advanced schistosomiasis in Pukou District, Nanjing City, so as to provide the evidence for its appropriate treatment. METHOD: An epidemiological investigation and medical examinations were carried out based on the national standard for the people who either had been already identified as advanced schistosomiasis or were new suspects. RESULTS: There were 55 cases of advanced schistosomiasis in Pukou District, 2013. Among them, 51 cases (92.73%) were splenomegaly type and 4 cases (7.27%) were ascites type. Fifty-three cases (96.36%) were clinically cured, 1 case (1.82%) was in the stable condition and 1 case (1.82%) still needed further treatment. In terms of the age, the youngest was 49 years and the oldest was 86 years. The gender distribution was male accounting for 58.18% (32 cases) and female 41.82% (23 cases). CONCLUSION: The condition of patients with advanced schistosomiasis in Pukou District, Nanjing City is complicated. The investigation and treatment to the patients should be conducted regularly.

[Effects of comprehensive schistosomiasis control in marshlands of Pukou District, Nanjing City].

OBJECTIVE: To evaluate the effects of comprehensive schistosomiasis control in marshlands of Pukou District, Nanjing City so as to provide the evidence for developing the strategy of the disease control. METHODS: The information of the prevention and control of schistosomiasis was collected in Pukou District from 2004 to 2013. The variations of the infection rates of human, livestock and Oncomelania hupensis snails were analyzed. RESULTS: In 2013, the area with snails in the entire district was 384.09 hm2, which was 66.24% decrease compared to 1 137.61 hm2 in 2004. Moreover, after 2008, no infected-snails and schistosomiasis patients were found, and both the density of live snails and serum positive rate of schistosomiasis declined with years. CONCLUSIONS: After the comprehensive prevention and control is conducted, the schistosomiasis situation in Pukou District is stable. However, in order to consolidate the results, it is still essential to continue monitoring the previous infected snail environments and implementing the comprehensive prevention and control measures.