摘要
目的分析2011-2018年江苏省宜兴市棘球蚴病监测结果,为该市棘球蚴病防治提供参考依据。方法在中国疾病预防控制中心传染病报告信息管理系统中,对宜兴市2007年以来报告的棘球蚴病病例进行个案调查。2011-2018年,对宜兴市芳东村和芳庄村常住人口以及羊肉交易市场从业人员进行血清学抗棘球绦虫抗体检测和腹部B超筛查,同时检查羊肉交易市场屠宰羊只肝、肺脏是否存在囊状物、包块或结节,并收集芳东村和芳庄村家犬粪便进行棘球绦虫抗原检测。此外,2011-2018年每年均采用调查表对上述监测人群开展棘球蚴病防治知识知晓情况调查。结果自2007年以来,宜兴市共报告7例棘球蚴病病例,患病率为0.56/10万人;7例均为细粒棘球蚴病患者,其中2例有流行区旅行史,5例有本地羊肉市场从业史或养犬史。2011-2018年共对1861人开展人群血清学调查,血清抗棘球绦虫抗体阳性率为0.54%,2016年后未检出阳性;对1807人开展腹部B超筛查,发现可疑囊肿143人(7.91%),可疑者血清学检测阳性率为1.40%(2/143)。2011-2018年共检测家犬粪便446份,棘球绦虫抗原检出率为0.67%(3/446);共触诊或肉眼观察羊肉交易市场屠宰羊肝、肺脏4010份,检出囊状物、结节7份,平均检出率为0.17%。2011-2018年共对538人进行棘球蚴病防治知识知晓情况调查,平均知晓率为76.95%(414/538),各年知晓率总体呈逐年上升趋势。结论宜兴市棘球蚴病患病率和人群血清抗棘球绦虫抗体阳性率较低,但存在棘球蚴病流行风险,应持续加强监测并采取相应防控措施。
Objective To analyze the results of echinococcosis surveillance in Yixing City from 2011 to 2018,so as to provide insights into echinococcosis control in the city.Methods All echinococcosis cases reported in Yixing City since 2007 that were captured from the China National Notifiable Infectious Disease Reporting Information System of Chinese Center for Disease Control and Prevention received a case study,and serological test and transabdominal B-mode ultrasound screening were performed among permanent residents and mutton market workers in Fangdong and Fangzhuang villages of Yixing City from 2011 to2018.The cyst,mass and tubercle were detected in the liver and lung of the sheep from the mutton markets,and the Echinococcus coproantigen was detected in the canine stool samples from Fangdong and Fangzhuang villages.In addition,the awareness of echinococcosis prevention and control knowledge was investigated in the two villages using a questionnaire survey from 2011 to2018.Results A total of 7 cases with echinococcosis had been reported in Yixing City since 2007,with prevalence of 0.56/100000,and all cases were E.granulosus-infected patients,including 2 cases with a history to travel to echinococcosis-endemic areas and5 cases with a history of working in local mutton markets or dog contacts.From 2011 to 2018,a total of 1861 residents received serological tests,with 0.54%seropositivity,and no seropositives were detected since 2016.Among the 1807 individuals receiving transabdominal B-mode ultrasound screening,suspected cysts were found in 143 individuals(7.91%),and 1.40%(2/143)seropositivity was detected in these individuals.The mean positive rate of the Echinococcus coproantigen was 0.67%(3/446)in the canine stool samples.Among the 4010 sheep liver and lung specimens sampled from the mutton markets,7 specimens(0.17%)were detected with cysts or tubercles.In addition,the mean awareness rate of echinococcosis prevention and control knowledge was 76.95%among the 538 subjects receiving questionnaire surveys from 2011 to 2018,and the overall awareness appeared a tendency towards a rise year after year.Conclusions Although the prevalence of echinococcosis and the seropositivity of antiEchinococcus antibodies are low,there is still a risk of transmission of echinococcosis in Yixing City.The surveillance of echinococcosis should continue to be intensified and related control interventions are required.
作者
梁静
薛志强
李学兵
孙旭峰
LIANG Jing;XUE Zhi⁃Qiang;LI Xue⁃Bing;SUN Xu⁃Feng(Yixing Center for Disease Control and Prevention,Jiangsu Province,Yixing 214206,China)
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2019年第6期638-640,648,共4页
Chinese Journal of Schistosomiasis Control
关键词
棘球蚴病
监测
问卷调查
宜兴市
Echinococcosis
Surveillance
Questionnaire survey
Yixing City
