[Objective]To analyze the monitoring results and trends of Oncomelania in Songjiang District of Shanghai from 2007 to 2023,and to provide reference for future monitoring work.[Methods]The data of snail monitoring in Songjiang District from 2007 to 2023 were collected,including the location of snail spots,the number of survey frames,the area with snails,the number of frames with snails,the total number of snails,etc.The density of living snails and the occurrence rate of living snail frames were calculated.[Results]From 2007 to 2023,a total of 158 snail spots were found in 22 administrative villages in 4 towns in Songjiang District,including 131 emerging snail habitats(82.91%)and 27 reemerging snail habitats(17.09%).The total snail area was 175 980 m2,the number of snail frames was 10 061,and 33 302 snails were captured.The highest density was 260/0.11 m2,and 15 662 snails were dissected.No positive snails were found.The average density of living snails was 0.60/0.11 m2 and the average occurrence rate of living snail frames was 17.99%.The snail areas in different areas were Yexie Town 126 000 m2(71.60%),Maogang Town 26 470 m2(15.04%),Xinbang Town 17 040 m2(9.68%),and Shihudang Town 6 470 m2(3.68%).The average density of living snails in different areas was 0.89/0.11 m2 in Yexie Town,0.65/0.11 m2 in Maogang Town,0.26/0.11 m2 in Shihudang Town and 0.24/0.11 m2 in Xinbang Town.The snail areas of different snail habitats were as follows:woodland 151 250 m2(85.95%),river 13 810 m2(7.85%),ditch 6 910 m2(3.93%),farmland 4 010 m2(2.28%).The average density of living snails in different snail habitats:ditch 1.01/0.11 m2,beach 0.86/0.11 m2,woodland 0.57/0.11 m2,river 0.40/0.11 m2.The occurrence rate of living snail frames in different regions and different snail environment types showed a downward trend and the difference was statistically significant.[Conclusion]Although the snail monitoring indicators such as snail area,average living snail density and average living snail frame occurrence rate in Songjiang District are still at its historically low level,the average living snail density and average living snail frame occurrence rate are still high compared with other regions or the national average.We should focus on the upper reaches and tributaries of the Huangpu River,especially the key areas of seedling transplantation,and strengthen monitoring and supervision to reduce the risk of snail input.

[目的]分析松江区叶榭镇一起生态公益林血吸虫病预警疫情处置的方法,评估灭螺效果,为今后开展林地螺情监测和控制提供依据.[方法]收集公益林的螺情、病情、灭螺等监测数据,进行灭螺效果评估.[结果]发现钉螺面积10.47 hm2,3次灭螺后有螺面积下降98.28％.人群血清学检测1904人,受检率88.76％,阳性率0.16％;病原学检测3人,未检出阳性病人.家畜血清学检测狗11条、羊1只,未查出阳性.对1480只活螺进行感染性鉴定,未发现阳性钉螺.275名学生血防知识知晓率为98.2％,行为形成率为95.3％.[结论]叶榭镇生态公益林的螺情得到有效的控制,但还存在散在的活钉螺,应继续加强灭螺和监测工作.

目的 了解2010-2017年间上海市松江区德国小蠊的抗性发展趋势,以便科学、合理地使用杀虫剂.方法 分别于2010年、2014年、2017年的6-7月在餐饮店采集德国小蠊试虫,带回实验室饲养后采用果酱瓶药膜法进行抗药性测定.结果 松江城区德国小蠊2010年、2014年、2017年对高效氯氰菊酯的抗性倍数分别为1.41、5.54、12.04;2010年、2014年对溴氰菊酯的抗性倍数分别为3.56、8.42;2010年、2014年、2017年对残杀威的抗性倍数分别为1.70、2.27、4.46;2014年、2017年对乙酰甲胺磷的抗性倍数分别为1.14、4.11.结论 松江城区德国小蠊对常用杀虫剂有不同程度的抗药性,且有发展升高的趋势.应注重综合治理,轮换杀虫剂使用,延缓抗性发展.

OBJECTIVE:To analyze the surveillance data after schistosomiasis transmission interruption from 1985 to 2018, so as to provide scientific basis for the future prevention and control of schistosomiasis.METHODS:The data pertaining to snail survey, surveillance of schistosomiasis in humans and livestock, and health education were collected and analyzed in Songjiang District after schistosomiasis transmission interruption from 1985 to 2018.RESULTS:From 1985 to 2018, there were 8 townships, 68 villages and 1 462 settings with snails in Songjiang District, covering an area of 96.399 hm2. There were 4 townships and 59 villages with snails newly identified in previously schistosomiasis non-endemic areas, with emerging snail habitats of 60.161 hm2. A total of 26 148 snails were captured, and no infections were detected. The snail habitats were mainly distributed in the river course, ditches and farmlands, which accounted for 45.28%, 33.17% and 21.55% of total snail habitats, respectively. A total of 245 955 humans were subjected to the serological test, with a positive rate of 0.03%, and 37 humans were subjected to the parasitological test, with 3 positives detected. These three egg-positives were all imported chronic cases with schistosomiasis. A total of 9 109 livestock were detected using the serological test, and no infection was found. Most of the awareness rate of schistosomiasis control knowledge and the rate of correct behavior formation were over 80% in residents and students.CONCLUSIONS:The achievements of schistosomiasis control are consolidated in Songjiang District; however, there are still risk factors of schistosomiasis transmission, including residual snails, snail diffusion and importation of external source of infection. The future surveillance of schistosomiasis should focus on snails and sources of infection.

目的 探讨职业人群心理一致感与主观幸福感之间的关系,为工作场所健康促进提供新的证据.方法 采用横断面研究设计,方便抽样选择2家工作场所,在每家工作场所随机选择500名职业人群进行问卷调查.调查内容主要包括一般人口学特征、健康状况、健康行为、主观幸福感和心理一致感.结果 纳入样本量为972人.男性和女性的比例分别为49.9％和50.1％,主观幸福感平均得分为(71.7±18.6)分(满分100分).控制其他变量后:与可理解感得分为第一四分位数的人群相比较,可理解感得分为第二、第三和第四分位数的人群的主观幸福的回归系数分别5.22 (95％CI:2.04～8.40),4.92 (95％CI:1.56～8.28)和9.92 (95％CI:6.33～13.52);与可控制感得分为第一四分位数的人群相比较,可控制感得分为第二、第三和第四分位数的人群的主观幸福感的回归系数分别1.31(95％CI:1.19 ～4.57),6.26 (95％CI:2.67～9.85)和7.74 (95％CI:3.50～10.98);与意义感得分为第一四分位数的人群相比较,意义得分为第二、第三和第四分位数的人群的主观幸福感的回归系数分别1.74(95％CI:1.32～4.80),7.35(95％ CI:4.18～10.51)和8.31 (95％CI:5.27～11.35).结论 职业人群心理一致感与其主观幸福感呈正相关,可通过改善心理一致感水平,促进职业人群的主观幸福感.

目的：评价三体联动（“疾控机构－医疗机构－社区政府”）机制在老年高血压自我管理小组中的运行效果。方法选取健康档案中正在管理的60岁以上老年高血压患者，根据城乡地理位置不同在松江区选择4个社区，随机分为干预组和对照组，对照组进行“居／村委会动员＋社区医生上课”的自我管理小组活动，干预组在整合三个部门的资源，衔接各部门职能的基础上开展自我管理小组活动。比较两组在项目实施前和实施后的基本情况、生活方式、情绪、高血压相关知识态度和血压控制情况。结果干预组干预前、后知识态度方面有较大改进，尤其在干预后血压也有显著改进（P＜0．01）。对照组干预前后知识态度方面也有所改进，尤其干预后吸二手烟的比例显著下降（P＜0．01）。干预组在血压改善、定期检查腰围、知道体质指数（ BMI）、高血压并发症和控制方法方面效果优于对照组，在吸二手烟、超重、采取措施控制血压方面效果不如对照组。结论三体联动运行机制下的自我管理小组活动对老年高血压患者的血压达标有较好效果，仍应加强高血压防治知识宣传教育。

目的分析全民健康生活方式行动对居民健康知识和生活方式的影响.方法随机抽取2008位调查对象，通过面对面问卷调查的方式，调查其周围环境开展示范创建的情况，以及对平衡膳食、吸烟、运动及常见疾病的了解程度和生活方式.结果周围环境开展示范创建的调查对象，健康知识知晓率高于未开展和不知道是否开展的调查对象(P<0.05).在蔬菜水果摄入、限盐、限油、使用腰围尺、使用BMI尺、控制体重方面，干预对象比未干预对象生活方式有显著改善，但在吸烟、过量喝酒及参加锻炼三方面，未发现统计学意义差异.结论对居民生活方式进行健康干预对控制体重、控盐、控油及改善膳食结构方面有积极意义.

Some effects have been achieved for health self-management in Songjiang District,and the skills of self-management were spread around the residents.In this article,it analyzed the present situation and the problems happened during the practice and promotion.Finally,the corresponding countermeasures were put forward in view of these problems.