[Strategy and effect of snail control in inside-embankment areas in Junshan District, Hunan Province from 1998 to 2017].

Objective: To explore the strategy and countermeasures of snail control and evaluate the effect in inside-embankment areas of lake-type schistosomiasis endemic area, for providing the effective method for controlling and interrupting the schistosomiasis transmission.

Methods: The data of schistosomiasis epidemic and its control and prevention were collected in Junshan District, Hunan Province, and the effect of snail control countermeasures were evaluated and the trend of indexes of snails was drafted in the inside-embankment areas of Junshan District, Hunan Province from 1998 to 2007.

Results: The area with snails in the inside embankment areas of Junshan District decreased by 98.43%, from 1 496.66 hm in 1998 to 23.48 hm in 2017. The occurrence rate and average density of of living snails decreased from 20.61% and 0.45 snail/0.1 m in 2003 to 2.06% and 0.03 snail/0.1 m in 2017. The highest area with schistosome infected snails was found in 2001 and the total area was 79.36 hm, however, no infected snails were found since 2007. The total fiscal investment for schistosomiasis prevention and control was 398.857 million RMB in Junshan District, including molluscicide (81.770 9 million RMB) and environment reform (213.5 million RMB) respectively.

Conclusions: The comprehensive measures, mainly including the combination of molluscicide and environment reform have gotten a significant effect in snail control and elimination in the inside-embankment areas, but the snail surveillance still need to be strengthened in the historic areas with snails.