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Objective: To evaluate the effect of integrated schistosomiasis control measures in Honghu City during the period from 2008 through 2018., Methods: The data pertaining to schistosomiasis control measures and the endemic situation of schistosomiasis in Honghu City were collected from 2008 to 2018, and the effect of integrated schistosomiasis control measures implemented was evaluated., Results: The resources from agriculture, water resources, forestry, land, education and communication sectors were integrated to implement the integrated schistosomiasis control strategy with the focus on the control of source of Schistosoma japonicum infection in Honghu City from 2008 to 2018. The prevalence of S. japonicum infection reduced from 3.03% in 2008 to 0 in 2018 in humans in the city, and no acute infection was detected since 2009. In addition, the prevalence of S. japonicum infection in cattle reduced from 2.85% in 2008 to 0 in 2018, and no snail infection was found since 2012. Transmission control of schistosomiasis was achieved in the city in 2013, and transmission interruption was achieved in 2018., Conclusions: The integrated schistosomiasis control measures achieve remarkable effects in Honghu City; however, there is still a risk of schistosomiasis transmission.

Objective: To grasp the endemic situation of schistosomiasis in Jingzhou City in 2017, so as to provide the evidence for formulating prevention strategies., Methods: According to the requirements of National Schistosomiasis Surveillance Program ( 2014 ), Hubei Schistosomiasis Surveillance Program ( 2015 ) and Jingzhou Schistosomiasis Surveillance Program , the local population infection monitoring, mobile population infection monitoring, livestock disease monitoring, snail monitoring, and wild manure monitoring were carried out at 71 monitoring sites throughout the city., Results: Among the 71 surveillance sites, 44 118 local residents received the indirect hemagglutination test (IHA) for schistosomiasis and 1 925 persons were positive, with the positive rate of 4.36%, However, no stool examination positive cases were found. Totally 2 175 mobile people received the IHA for schistosomiasis and 93 persons were positive, with the positive rate of 4.28%, but no stool examination positive cases were found. A total of 1 937 head of cattle received the stool examination for schistosome infection, but no positives were found. Totally 1 302 Oncomelania hupensis habitats were found in 69 surveillance sites, with 1 923.64 hm 2 area with snails. Totally 348 756 frames were surveyed, and the occurrence rate of snails was 17.19%. A total of 142 494 living snails were captured, with the average density of 0.41 snail/0.1 m 2 . No schistosome-infected snails were found. Totally 596 cases of wild manure were picked up in 41 environments with snails among 23 surveillance sites, but schistosome infested wild manure was not found., Conclusions: In 2017, the level of schistosomiasis epidemic was very low in Jingzhou City. However, the risk of epidemic rebound still exists, and therefore, it is necessary to strengthen the monitoring work to further consolidate the achievements of schistosomiasis control.

Objective: To investigate the effects and cost of four formulations of niclosamide ethanolamine salt in Oncomelania hupensis snail control in the field in marshland and lake regions, so as to provide the evidence for drawing up the plan of molluscicide using in schistosomiasis endemic areas., Methods: One drainage channel and one channel without water in the same area with snails in Jiangling County, Jingzhou City were selected as the research fields. The drainage channel was divided into 9 sections, except one section as a blank control group where the natural death rate of snails was observed only, and the remaining 8 sections were taken as the observation groups, where different dosages of 4% niclosamide ethanolamine salt powder, 5% niclosamide ethanolamine salt granules, 25% niclosamide ethanolamine salt suspending agent, 26% metaldehyde and niclosamide ethanolamine salt suspending agent, and 50% niclosamide ethanolamine salt wettable powder were used respectively. The channel without water were divided into 4 sections, except one section as a blank control group, the other 3 segments were taken as the observation groups, where 4% niclosamide ethanolamine salt powder, 5% niclosamide ethanolamine salt granules, and 50% niclosamide ethanolamine salt wettable powder were used respectively. Before and after spraying molluscicide for 7 days and 15 days, the system sampling method was used to observe the effects of snail control. Meanwhile, the unit cost method was used to calculate the costs of the different mulluscicide formulations abovementioned in unit area (1 m 2 )., Results: In the field at the drainage channel, the snail mortality rates of the groups spraying 4% niclosamide ethanolamine salt powder (50 g/m 2 ), 5% niclosamide ethanolamine salt granules (40 g/m 2 ), 25% niclosamide ethanolamine suspending agent, 26% metaldehyde and niclosamide ethanolamine salt suspending agent, and 50% niclosamide ethanolamine salt wettable powder (2 g/m 2 and 4 g/m 2 ) for 7 days were 79.52%97.87%, while the rates after spraying for 15 days were 71.00%-96.30%, and compared with those before spraying, the differences were statistically significant (all P < 0.01). For the groups spraying with 2 g/m 2 or 4 g/m 2 suspending agent as well as wettable powder for 7 days, the snail mortality rates were significantly different (both P < 0.05). In the field at the channel without water, the snail mortality rates of the 3 observation groups after spraying molluscicide for 7 days were 97.14%-100%, while for 15 days were 94.32 %-100%, and compared with the rates before spraying, all the differences were statistically significant (all P < 0.01). The unit costs per 1 m 2 of the molluscicide abovementioned were ranged from 0.280 Yuan to 0.416 Yuan., Conclusions: In marshland area inside embankment, the molluscicide formulations of the powder and granule are suitable for the environments without water or with instability water level, while the molluscicide formulations of the suspended agents and wettable powder are suitable for the water environment. Though the unit cost of powder is the lowest, the molluscicide in this formulation flies away seriously.

Objective: To observe the Oncomelania hupensis snail control effects of molluscicides with different formulations in the ditch with unstable water level in field of marshland and lake areas, so as to provide the evidence for formulating the prevention strategies., Methods: A drainage channel with O. hupensis snails in Jiangling County, Jingzhou City were selected as the study field, then it was divided into 6 segments, except 1 segment was treated as the blank control group for observing the natural mortality rate of the snails, the other 5 segments were treated as observation groups, where 4% niclosamide ethanolamine salt powder, 5% niclosamide ethanolamine salt granule, 25% suspension concentrate of niclosamide ethanolamine salt, 26% suspension concentrate of metaldehyde and niclosamide ethanolamine salt, 50% niclosamide ethanolamine salt wettable powder were applied respectively. Before and after the mollusciciding, the snail surveys were carried out through the systematic sampling method, and the short- and long-term effects of snail control were observed, and the mortality rates of the snails on the slope above the water level and those below the water level were compared., Results: When 7 d and 15 d after mullusciciding, the mortality rates of snails on the slope above the water level in each observation group were 79.52%-97.87% and 90.43%-96.30%, respectively, when compared with those before mollusciciding, all the differences were statistically significant (all P < 0.01). When 7 d after mullusciciding, the mortality rates of snails below the water level in each observation group were 17.11%-50.00%, which were all lower than those of the snails on the slope above the water level in the corresponding groups (all P ＜ 0.05); when 15 d after mullusciciding, the rates were 9.43%-95.24%, and those in 25% suspension concentrate of niclosamide ethanolamine salt, 26% suspension concentrate of metaldehyde and niclosamide ethanolamine salt, 50% niclosamide ethanolamine salt wettable powder groups were all lower than those of the snails on the slope above the water level in the corresponding groups (all P ＜ 0.01). Compared with the densities of living snails before mollusciciding, those 6 months after mollusciciding in each observation group decreased by 70.21%-78.98%., Conclusions: The molluscicides in the formulation of powders and granule are suitable for both the snail environment with or without water, while those in the formulation of suspension agents and wettable powders are suitable only for environments with water.

Objective: To evaluate the effect of the clinical nursing path integrated with the holistic nursing on advanced schistosomiasis patients with ascites., Methods: A total of 226 advanced schistosomiasis patients with ascites were randomly divided into a control group and an experimental group (113 cases each group). The subjects in the experimental group were nursed by the clinical nursing path integrated with the holistic nursing, while those in the control group were nursed only by the holistic nursing. Then the clinical relevant indexes of the two groups were observed, and the quality of life of the patients before and after hospital discharge was assessed., Results: The improvement rate, satisfaction degree, and awareness rate of health knowledge of the patients in the experiment group were 93.8%, 100% and 97.4%, respectively, which were significantly higher than those of the control group (all P < 0.05). The mortality rate and the complication rate of the patients in the experimental group were 0 and 2.7%, respectively, which were significantly lower than those of the control group (both P < 0.05). In addition, the average hospitalization days and the hospitalization cost of the experiment group were (12.2 ± 0.7) d and (4 725.0 ± 310.1) Yuan respectively, which were less than those of the control group (both P < 0.01). When 6 months after the discharge from hospital, the quality of life of the patients in the experimental group in various fields was significantly better than that of the control group (all P < 0.05)., Conclusions: The clinical nursing pathway integrated with holistic nursing can effectively improve the improvement rate and decrease the mortality of the advanced schistosomiasis patients with ascites; meanwhile, it can shorten the hospitalization time and save the hospitalization cost. Therefore, this nursing model is suitable for popularization and application in the treatment and nursing work of the advanced schistosomiasis assistance.

Objective: To analyze the change of endemic situation of schistosomiasis in Jingzhou City of Hubei Province, so as to provide evidence for the development of future control strategy., Methods: The data of endemic situation of schistosomiasis and the implementation of integrated control measures were collected and analyzed in the 9 counties (districts, cities) of Jing-zhou City from 2004 to 2014., Results: The endemic situation of schistosomiasis appeared a decline year by year since 2004. The prevalence of human Schistosoma japonicum infection was 0.40% in 2014, which was reduced by 95.72% as compared to that in 2004, and the fitting exponential equation was y = 11.067e -0.240 x . The incidence of acute schistosomiasis reduced to less than 0.5 per 100 000 in 2007. No acute infection was found since 2010, and no emergency epidemics occurred for successive 9 years. It was estimated that there were currently 22 547 people infected with S. japonicum , which reduced by 85.87% in relative to 2004. The prevalence of cattle S. japonicum infection reduced to 0 in 2014, with a 100% reduction as compared to that in 2004, and the fitting exponential equation was y = 15.69e -0.339 8 x . The actual Oncomelania hupensis snail area was 31 084.00 hm 2 , which reduced of 1931.21 hm 2 as compared to that in 2004, with a 5.91% reduction, and no schistosome-infected snails were found since 2012. Both human and animal schistosome infections reduced to less than 1% in all administrative villages in 2013., Conclusions: The implementation of the key schistosomiasis program and whole-county promotion and province-ministry joint integrated control program results in effective control of schistosomiasis in Jingzhou City. However, further control programs are required to consolidate the achievements, interrupt and eliminate schistosomiasis.

Objective: To evaluate the schistosomiasis control effect of county promotion and comprehensive control interventions in Jingzhou City., Methods: The data of schistosomiasis endemic situation of 9 counties (cities, districts) in Jingzhou City from 2006 to 2010 were collected by a retrospective survey method, and the schistosome infection situation of residents and cattle were selectively examined in November, 2010., Results: The endemic situation in Jingzhou City from 2006 to 2010 presented a decline tendency. Compared to the infection rate of residents in 2006 (5.15%), that in 2010(2.22%) decreased by 56.89%, and no acute schistosomiasis cases were found. No sudden epidemic happened in the consecutive 5 years. The infection rate of cattle dropped from 8.04% in 2006 to 1.87% in 2010, with a reduction rate of 81.72%. The snail area and area with infected snails in 2010 were 31 070.61 hm2 and 321.70 hm2, respectively, with reduction rates of 3.68% and 71.20%, respectively, compared to those in 2006. Compared to 2006, the snail density and infection rate of snails in 2010 decreased by 63.76% and 64.74%, respectively., Conclusions: After the implementation of the project with county promotion and comprehensive control interventions in Jingzhou City, the schistosomiasis control work has obtained obvious achievement, and the endemic situation has been controlled effectively.