湖北省西部山区并殖吸虫病流行现状调查
发布时间：2018-10-26 10:28
【摘要】：目的了解湖北省西部山区并殖吸虫病流行现状。方法选取兴山县、恩施市、郧西县和保康县等4个县(市)作为并殖吸虫病监测点,开展主动监测。在监测点采集溪蟹检测囊蚴感染情况,采用酶联免疫吸附试验(ELISA)检测人群血清并殖吸虫特异性抗体Ig G和Ig M,同时开展相关知识行为的问卷调查。结果共采集人群血清1 143人份,总体阳性率为1.84%(21/1 143);其中男性阳性率1.78%(10/562),女性阳性率1.89%(11/581),差异无统计学意义(χ2=0.002,P0.05)。共采集溪蟹161只,平均重量11.72 g,阳性率为9.32%(15/161),感染度为7.07个/只。其中雌性溪蟹阳性率为11.54%(9/78),雄性为7.23%(6/83),差异无统计学意义(χ2=0.884,P0.05);雌性溪蟹感染度为6.67个/只,雄性溪蟹为7.67个/只。参与问卷调查的1 143人中,有生食或半生食溪蟹行为者占0.44%,有喝生水行为者占0.87%。结论湖北省西部山区并殖吸虫病传播链仍然存在,部分监测点第二中间宿主感染率回升,应持续开展监测防控和健康教育宣传,以免出现暴发流行。
[Abstract]:Objective to understand the prevalence of paragonimiasis in western mountainous area of Hubei Province. Methods four counties (cities), including Xingshan County, Enshi County, Yunxi County and Baokang County, were selected to monitor paragonimiasis. The infection of cysticercaria was detected in the monitoring site. The specific antibodies Ig G and Ig M of paragonimus were detected by Elisa (ELISA), and the questionnaire survey of related knowledge and behavior was carried out at the same time. Results A total of 1 143 serum samples were collected, the total positive rate was 1.84% (21 / 1 143). The positive rate of male was 1.78% (10 / 562) and that of female was 1.89% (11 / 581). The difference was not statistically significant (蠂 2 0.002 P 0.05). A total of 161 crabs were collected, the average weight was 11.72 g, the positive rate was 9.32% (15 / 161), and the infection degree was 7.07 / mouse. The positive rates of female and male were 11.54% (9 / 78) and 7.23% (6 / 83) respectively (蠂 2 0.884 P 0.05). The infection rate of female crabs and male crabs was 6.67 and 7.67, respectively. Among the 1 143 people who participated in the questionnaire, 0.44 were raw or semi-raw crabs, 0.87 were drinking raw water. Conclusion the transmission chain of paragonimiasis still exists in western mountainous area of Hubei Province, and the infection rate of the second intermediate host in some monitoring points is rising. It is necessary to continuously carry out surveillance, prevention and control and health education to prevent the outbreak of the disease.
【作者单位】： 湖北省疾病预防控制中心;
【分类号】：R181.81;R532.22
，
本文编号：2295421
[Abstract]:Objective to understand the prevalence of paragonimiasis in western mountainous area of Hubei Province. Methods four counties (cities), including Xingshan County, Enshi County, Yunxi County and Baokang County, were selected to monitor paragonimiasis. The infection of cysticercaria was detected in the monitoring site. The specific antibodies Ig G and Ig M of paragonimus were detected by Elisa (ELISA), and the questionnaire survey of related knowledge and behavior was carried out at the same time. Results A total of 1 143 serum samples were collected, the total positive rate was 1.84% (21 / 1 143). The positive rate of male was 1.78% (10 / 562) and that of female was 1.89% (11 / 581). The difference was not statistically significant (蠂 2 0.002 P 0.05). A total of 161 crabs were collected, the average weight was 11.72 g, the positive rate was 9.32% (15 / 161), and the infection degree was 7.07 / mouse. The positive rates of female and male were 11.54% (9 / 78) and 7.23% (6 / 83) respectively (蠂 2 0.884 P 0.05). The infection rate of female crabs and male crabs was 6.67 and 7.67, respectively. Among the 1 143 people who participated in the questionnaire, 0.44 were raw or semi-raw crabs, 0.87 were drinking raw water. Conclusion the transmission chain of paragonimiasis still exists in western mountainous area of Hubei Province, and the infection rate of the second intermediate host in some monitoring points is rising. It is necessary to continuously carry out surveillance, prevention and control and health education to prevent the outbreak of the disease.
【作者单位】： 湖北省疾病预防控制中心;
【分类号】：R181.81;R532.22
，
本文编号：2295421
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