title: [Assessment on the effect of joint effort for schistosomiasis control in Hubei Province].
abstract: OBJECTIVE
  To analyze the progress of implementation of integrated strategy with emphasis on the control of infectious sources and effectiveness for joint-project of schistosomiasis control in Hubei province.
  
  
  METHODS
  Data on the endemic status and implementation of each integrated intervention in 6 collaborated counties including Gongan, Hanchuan, Honghu, Jiangling, Xiantao and Yangxin during 2009-2013 were collected and analyzed. 18 administrative villages with a history of endemic schistosomisis from 6 counties were selected for field survey. Individuals aged 6-65 years received screening test by IHA, and feces of antibody positive inhabitants were collected and tested by miracidia hatching technique. Hatching technique was conducted to determine the infection rate of schistosomiasis in cattle if there was any cattle existed.
  
  
  RESULTS
  Various interventions were conducted with adaption to the local situation by the Departments of Agriculture, Water Conservancy, Forestry, and Health. The total number of cattle decreased from 75 388 at the beginning of 2009 to 1 805 at the end of 2013 in 6 counties with a reduction rate of 97.5%, while the prevalence in cattle reduced to 0-0.3% in 2013. Snail-infested areas were stable but areas with infected snails decreased significantly, and no infected snails were found in 2012-2013. Meanwhile, the infection rate of human beings on county level were less than 1%. No infected snails and cattle were found in 18 selected villages and the prevalence in inhabitants was in the range of 0-0.8%.
  
  
  CONCLUSIONS
  Cooperation between provincial government and the Ministries of Health and Agruiculture accelerates the process to reach the criteria of transmission control of schistosomiasis in Hubei Province. However, sustainable effort in needed as the current endemic situation of schistosomiasis is stillunstable.
authors.forename: Jing
authors.initials: J
authors.lastname: Xu
authors.forename: Xian-Feng
authors.initials: XF
authors.lastname: Zhang
authors.forename: Jing
authors.initials: J
authors.lastname: Gao
authors.forename: Xi-Bao
authors.initials: XB
authors.lastname: Huang
authors.forename: Li-Juan
authors.initials: LJ
authors.lastname: Zhang
authors.forename: Shi-Zhu
authors.initials: SZ
authors.lastname: Li
authors.forename: Chun-Li
authors.initials: CL
authors.lastname: Cao
authors.forename: Hong-Qing
authors.initials: HQ
authors.lastname: Zhu
authors.forename: Qing
authors.initials: Q
authors.lastname: Yu
authors.forename: Hui
authors.initials: H
authors.lastname: Dang
authors.forename: Zi-Ping
authors.initials: ZP
authors.lastname: Bao
authors.forename: Tie-Wu
authors.initials: TW
authors.lastname: Jia
authors.forename: Zhao
authors.initials: Z
authors.lastname: Chen
authors.forename: Li-Ying
authors.initials: LY
authors.lastname: Wang
authors.forename: Xiao-Nong
authors.initials: XN
authors.lastname: Zhou
authors.forename: Yang
authors.initials: Y
authors.lastname: Hao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D002417:Cattle; D002648:Child; D002681:China / Q000453:epidemiology; D003141:Communicable Diseases; D005243:Feces; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012552:Schistosomiasis / Q000453:epidemiology*; D012908:Snails; D055815:Young Adult