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Schistosomiasis infection source control work program


In order to conscientiously implement the "Regulations on the Prevention and Control of Schistosomiasis", in accordance with the national medium- and long-term planning guidelines for prevention and control of schistosomiasis and the spirit of the higher-level blood-defense conference, we will conscientiously grasp the comprehensive management of schistosomiasis, which mainly controls infectious sources, and protect the health of the people in the blood-defense areas. Building a harmonious society, promoting the construction of a new socialist countryside, promoting the coordinated development of the regional economy and society, and combining the epidemic characteristics of schistosomiasis in our region to ensure the smooth realization of the goal of schistosomiasis prevention and control in our region - the standard for the control of schistosomiasis transmission in 2019, specially formulated This program.

First, the guiding ideology

Guided by the scientific outlook on development and the spirit of the 17th National Congress of the Communist Party of China, we conscientiously implement the "Regulations on Prevention and Control of Schistosomiasis" and a series of guidelines and policies of the Party Central Committee, the State Council, the provincial party committee and the provincial government on blood-defense work, and adhere to the "prevention-oriented, The principle of treating both the symptoms and the root causes, comprehensive management, group prevention and control, and joint prevention and control, adhere to the prevention and control of schistosomiasis and the construction of a new socialist countryside, building a harmonious society, focusing on controlling the source of infection, and implementing comprehensive management and scientific prevention. Strategies to further strengthen organizational leadership, strengthen departmental responsibilities, strengthen health education, and effectively improve the self-protection awareness and ability of the people; strengthen integration with agriculture, water conservancy, and forestry projects, improve the natural environment, and effectively compress the area of ​​snails; Disease and manure management, effectively control the source of infection; strengthen the work of schizophrenia, effectively establish a group prevention and control work mechanism; strengthen regional prevention and control work, effectively establish a joint prevention and control work mechanism; increase prevention and treatment investment, and effectively reduce the risk of schistosomiasis Effective control of schistosomiasis epidemics.

Second, the prevention and treatment goals

1. Reduce the infection rate of human and animal schistosomiasis. By the end of 2019, the positive rate of human and animal schistosomiasis in all affected areas in the district fell below 1%, and no acute cases occurred. Strive to achieve communication control standards.

2. Popularize rural tap water and harmless toilets. By the end of 2019, the penetration rate of tap water in all affected areas in the district reached 90%, and the penetration rate of rural biogas-type or three-format harmless toilets reached 90%.

3. Improve the popularization rate of prevention and treatment knowledge and enhance the awareness of disease prevention. By the end of 2019, the knowledge rate and correct behavior formation rate of Chinese pediatrics and housewives in the region reached 95% and 90% respectively.

4. Increase the management of human and animal infection sources. For people and animals in infected areas with a human and animal infection rate of 1% or more, we will investigate and cure diseases, expand chemotherapy, build safe pastures, and implement schistosomiasis prevention projects such as machine-generation cattle, Fengzhou grazing ban, livestock captive, and poultry-pressing livestock. By the end of 2019, the livestock captivity rate of all affected areas in the district will strive to reach 100%.

Third, the scope of implementation

The scope of implementation is 6 towns and towns of Heshi Town, Huangjin Township, Fenghuang Township, Qinqi Township, Yingtian Town and Tianwen Sub-district Office, involving 70 administrative villages.

Fourth, work tasks and division of labor

1, human and animal schistosomiasis treatment.

Tasks: The population of the hospital is 37,828 person-times, 3,307 person-times of fecal examination, 43,490 person-times of treatment and chemotherapy, 26,424 heads of cattle and cattle, and 28,668 treatments and chemotherapy.

Responsible unit: township government, district blood prevention office, animal husbandry bureau.

Job requirements: According to the national schistosomiasis disease treatment technical norms, the municipal blood prevention and animal husbandry departments should simultaneously implement human and animal disease detection and chemotherapy work, build a card for the identified patients and sick animals, improve the database, and implement dynamic management. It is necessary to adjust the types of villages in the affected areas in a timely manner, increase the intensity of investigation and treatment of humans and animals, and reduce the infection rate of humans and animals.

Work indicators: The annual coverage rate of humans and animals in villages is 100%; the target human and animal coverage rate is over 90%, and the target human and animal chemotherapy coverage rate is over 95%.

Schedule of human and animal disease treatment planning for 2010-2019

Annual crowd check patient group chemotherapy livestock check livestock chemotherapy

Blood test

Total 37828 3307 43490 26424 28668

2010 6200 550 7000 4404 4778

2011 6741 420 7161 4404 4778

2012 6343 698 7456 4404 4778

2013 6310 523 7387 4404 4778

2014 6127 526 7456 4404 4778

2015 6107 590 7030 4404 4778

2, safe ranch

Tasks: 4 safety ranch, with a total area of ​​3,150 thousand square meters and 2,200 safe grazing cattle. Responsible unit: township government, district blood prevention office, animal husbandry bureau.

Job requirements: Construction of safe pastures in the area of ​​No. Every ranching is carried out every year, and the snail condition and disease monitoring are carried out at the same time. Each farm has a management staff of 2-4 people, and the government subsidizes the salary. Four safe ranch projects were completed by the end of 2019.

Safety Pasture Construction Planning Schedule for 2010-2019

Annual location length width area grazing number

Total 3150 2200

2011 Heshi Village, Heshi Village, Safe Ranch XX 600 1200 800

2011 Heshi Town Sanhe Village Safe Ranch 1500 700 1050 700

2012 Qinwan Township Dawan Village Safety Ranch 1000 500 500 400

2012 Baota Village Safe Ranch, Yingtian Town 1000 400 400 300

3. To adjust the structure of the machine and the agricultural industry. Seriously organize the implementation of the "machine-based cattle" project, using machine farming instead of cattle farming, and gradually eliminating cattle. Encourage, guide, and support livestock farmers such as beef cattle in the blood-defense area to abandon their breeding, turn to poultry farming, and implement standardized and large-scale farming.

Work tasks: purchase 1220 sets of machinery and eliminate 1,520 heads of three types of farm cattle.

Responsible unit: township government, district agricultural machinery bureau, animal husbandry bureau, district blood prevention office.

Work requirements:

Find out the base and build a card. Organized by the animal husbandry department to carry out the census work of the cattle in the affected areas, check the quantity, build the files one by one, and implement dynamic management.

Eliminate cattle. The district agricultural machinery bureau will register and accept the number of machine-based cattle on a case-by-case basis, and declare it according to the regulations; the blood defense department will strictly implement the inspection and acceptance of the agricultural machinery, animal husbandry, and finance departments, and implement the subsidy.

Vigorously promote agricultural machinery to ensure the need for farming. The district agricultural machinery department will manage well and implement the target responsibility to ensure that the cattle elimination will not rebound.

Machine-generation cattle planning schedule for 2010-2019

Annual purchase of machinery to eliminate cattle

Total 1220 1520

2010 220 260

2011 220 260

2012 200 250

2013 200 250

2014 200 250

2015 200 250

4, there is a snail zone forbidden animal husbandry.

Tasks: Planting trees in the snail area outside the snails, 48,000 meters of banned bans, 30 supervision booths, 90 warning signs, and 60 banquets.

Responsible units: township government, district animal husbandry bureau, agriculture and forestry bureau, and blood defense office.

Job requirements: The district committee and the district management committee bear the overall responsibility for the implementation of the snail-free grazing management; the township government in the epidemic area is the main responsible person, and the management and supervision should be strengthened; the animal husbandry department is the first responsible person for the ban on animal husbandry. The schistosomiasis department seriously carried out the investigation of snails, timely informed the relevant departments and the general public about the snail zone, delineated the ban on grazing, and set up warning signs with the township people's government. In conjunction with the Xinglin Snail Project, all trees are planted in Luozhou Beach, and a supervised guard post is set every 3 km for Luozhou Beach. There is a banned priest in each village involved in the administrative village of Luozhou Beach. Wages are included in the budget.

Work indicators: The current implementation rate of snail grazing in the region is 100%, preventing or even eliminating cattle and other livestock into the snail zone.

2010-2019 Bantan grazing ban planning schedule

Annual ban on pastoral guards against grazing warning signs to supervise the guardrail fence

Total 60 90 30 48000

2010 10 15 5 8000

2011 10 15 5 8000

2012 10 15 5 8000

2013 10 15 5 8000

2014 10 15 5 8000

2015 10 15 5 8000

5, the implementation of livestock captive, expanding poultry and livestock.

Tasks: Complete 1200 heads of livestock, 120,000 birds, and 600 heads.

Responsible unit: township government, district animal husbandry bureau, and blood defense office.

Job requirements: Actively guide farmers to carry out captivity for livestock such as cattle, sheep and pigs, and promote the implementation of grazing bans. In the popular villages where livestock are the main source of transmission in the affected areas, the livestock captivity management is further strengthened. The livestock in the popular villages of Heshi Town, Fenghuang Township and other townships are captive, promoting aquatic products and developing poultry breeding in key popular villages, and guiding farmers to operate on a large scale. It is completely forbidden to open livestock in Luozhou Beach.

Job indicator: The task completion rate is 100%.

Schedule of ban on grazing and poultry reform in Zhoutan, 2010-2019

Annual livestock captive expansion

Poultry reduction livestock

Total 1200 12 600

2010 200 2 100

2011 200 2 100

2012 200 2 100

2013 200 2 100

2014 200 2 100

2015 200 2 100

6. Strengthen the management of human and animal waste. We will continue to promote rural toilets and build biogas digesters, strengthen the management and use of harmless toilets, effectively change the rural sanitation environment, and effectively control the spread of schistosomiasis and other intestinal infectious diseases.

Tasks: In the third and fourth types of villages in the district, 9000 households with three types of harmless toilets and 6,000 biogas projects will be built.

Responsible unit: township government, district Aiwei Office, Energy Bureau, and Blood Defense Office.

Job requirements: verify, register, and implement target tasks on a case-by-case basis. Aiwei Office and the blood defense department cooperated to build a card for each household by village, and implemented it in stages, and completed the construction task by 2019.

Work indicators: The third- and fourth-class villages in the district will build a three-format harmless toilet coverage rate of 100% and the quality pass rate will be 100%. In addition to changing the toilet outdoors, the rest of the unmodified toilet households all implemented biogas construction, and the quality pass rate was 100%.

2010-2019 three-format harmless toilet construction planning schedule

Annual toilet change

Total 9000

2010 1500

2011 1500

2012 1500

2013 1500

2014 1500

2015 1500

Biogas construction planning schedule for 2010-2019

Annual biogas

Total 6000

2010 1000

2011 1000

2012 1000

2013 1000

2014 1000

2015 1000

7. Vigorously carry out schistosomiasis health education.

Tasks: 6 blood prevention and prevention bulletin boards, 15,000 dissemination materials, 150 public welfare advertisements for blood defense knowledge, 300 slogans for wall defense, and health education activities for 65,000 people.

Responsible unit: township government, district health bureau, education bureau, radio and television bureau.

Job requirements: The main provisions of the "Regulations on Prevention and Control of Schistosomiasis", prevention and control knowledge, safe water use, use of harmless toilets and biogas digesters; and the main objectives of "changing ideas, changing facilities, changing the environment, and changing behaviors" The form of schistosomiasis health education propaganda, comprehensively popularize schistosomiasis knowledge, improve people's awareness of disease prevention, and promote the formation of health behaviors.

Work indicators: The coverage rate of health education for target population in the affected areas is 100%, the knowledge rate of blood prevention is over 90%, and the formation rate of health behavior is over 80%.

Schedule of schistosomiasis health education planning for 2010-2019

Annual blood defense mobile bulletin board communication materials blood prevention knowledge television public service advertising wall slogan health education number

Total 36 90000 900 1800 390000

2010 6 15000 150 300 65000

2011 6 15000 150 300 65000

2012 6 15000 150 300 65000

2013 6 15000 150 300 65000

2014 6 15000 150 300 65000

2015 6 15000 150 300 65000

8, late blood treatment

Task: A total of 702 patients with late blood were treated in six years.

Responsible unit: township government and district blood prevention office in the epidemic area.

Job requirements: Adhere to overall planning, due to human needs, first and then slow, scientific treatment, follow-up management. Strengthen the follow-up management and follow-up services after treatment, accurately grasp the treatment effect, the characteristics of the disease and the treatment rules, and continuously improve and improve the quality of life of patients.

Work indicators: the treatment rate of patients with late blood reaches 100%.

2010-2019 Late Blood Treatment Planning Schedule

Annual treatment of late blood

Total 702

2010 117

2011 117

2012 117

2013 117

2014 117

2015 117

V. Budget

1. Budget: The total budget for the control of schistosomiasis infection sources in 2010-2019 is 7210.17 million yuan.

2. Source of funds: The total funding is 72,102.7 million yuan, mainly from the central government of 2,845,508,800 yuan; the province is 2,163,381,800 yuan; the district is 21,630,381 yuan.

3. Fund management: The finance and development and reform departments at all levels shall arrange and implement the relevant projects and funds of this plan in accordance with the principles of hierarchical management and their respective responsibilities. The auditing, discipline inspection and supervision departments shall, in conjunction with the development and reform, finance and relevant competent departments, regularly supervise, inspect, and audit the use of project funds. For units and individuals that have not earmarked funds for project funds in accordance with relevant requirements, they shall be recovered, confiscated, and misappropriated. Funds, and the relevant responsible persons shall be investigated and punished according to relevant state regulations.

Expected benefit evaluation

Blood test benefit analysis.

After the implementation of this program, the epidemic situation can be greatly reduced, the scope of the epidemic area can be compressed, and the health and life safety of the people in the epidemic area can be greatly protected. As the project adopts measures to treat both the symptoms and the root causes, it will not only produce significant blood-staining benefits, but also consolidate the effects and lay a good foundation for the continued development of schistosomiasis prevention work in the future.

Social benefit analysis.

Through the implementation of the project, the harm of schistosomiasis will be alleviated, the suffering of schistosomiasis in the affected areas will be relieved, and the production, living and investment environment of the people in the affected areas will be greatly improved, which will help protect and promote the health and labor productivity of the people and benefit the rural economy and society. Sustainable development is conducive to social stability and coordinated development.

Economic Benefit Analysis.

1. Direct benefits.

Through the implementation of key projects, not only the medical expenses of the people in the epidemic areas have been reduced, but also the funds for the implementation of drugs to eliminate snails have been reduced, and the implementation of agriculture, water conservancy and forestry projects can also produce huge economic benefits.

2. Indirect benefits.

First of all, it can reduce the chances of residents in the affected areas returning to poverty due to illness, and can have a healthy body to create wealth. Second, we can improve the environment and accelerate the economic development of the epidemic area. Third, with the extensive use of clean energy and the protection of wetlands and the conversion of farmland to forests, the ecological and environmental benefits such as water source protection, soil erosion prevention, air purification and pollution prevention will be further realized.

Seven, safeguard measures

Establish a sound management and working mechanism.

Under the leadership of the District Blood Prevention Work Leading Group, the departments of health, agriculture, water conservancy, and forestry work closely to guide the implementation of health, agriculture, water conservancy, and forestry projects. The District Blood Prevention Work Leading Group Office is responsible for coordinating and supervising the implementation of various objectives to ensure the effectiveness of the comprehensive management project. It is also responsible for reviewing the selection of project areas, coordinating and supervising the execution of related projects. Strictly follow the project plan selected by the project plan to plan and implement project funds. The district committee, the district management committee and all relevant departments shall also sign a letter of responsibility at all levels to incorporate the implementation of the project work and the achievement of the objectives into the clear responsibility of the target department responsibility system of each relevant department, and implement rewards and punishments. If the project is not arranged according to the planning requirements, or if the project location and project execution are not changed arbitrarily, it is necessary to notify the criticism and rectify within a time limit, and investigate the responsibility of the main leaders and project leaders.

Establish sound control measures

1. Strict quality control standards and strengthen supervision and evaluation.

Relevant departments at all levels shall supervise, evaluate and evaluate the projects in charge of the department according to the quality management standards of the industry. Engineering projects should supervise the whole process of project establishment, design, construction and completion acceptance. After the completion of the project, the contractor submits the completion report. According to the scope of the project, the administrative department of the district competent project will organize the blood prevention and engineering experts to combine the project quality and the quality of the prevention and control for comprehensive evaluation and acceptance.

2. Strict quality control standards and strengthen technical guidance.

In order to ensure the quality of project implementation, the District Blood Prevention Work Leading Group Office and project unit respectively set up a project technical guidance group composed of experts from relevant departments to undertake technical guidance, inspection, evaluation and acceptance in the project implementation process.

Strengthening funding review and supervision

Strictly implement the relevant national fund management regulations and financial systems, strengthen the use and management of project funds, special funds, and strictly prohibit the interception, misappropriation and misuse of project funds. Accept relevant departments such as finance and auditing to regularly supervise, inspect and audit the use of project funds.

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