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印度北部瓦拉纳西地区的班氏丝虫病:一项流行病学研究。

Bancroftian filariasis in the Varanasi region of north India: an epidemiological study.

作者信息

Sharma S, Sharma M, Rathaur S

机构信息

Department of Biochemistry, Faculty of Science, Banaras Hindu University, Varanasi, India.

出版信息

Ann Trop Med Parasitol. 1999 Jun;93(4):379-87. doi: 10.1080/00034989958375.

DOI:10.1080/00034989958375
PMID:10656039
Abstract

The age- and sex-specific distributions of human infections with Wuchereria bancrofti were investigated at two sites in the Varanasi region of north India: one a rural, agricultural area (Chiraigaon) and the other an urban-slum area (Sunderpur). A random clinical and parasitological survey revealed that the prevalence of microfilaraemia and elephantiasis in the urban area (14% and 7.3%, respectively) were both higher than in the rural area (9% and 3.1%, respectively). In both areas, prevalence of microfilaraemia generally increased with age, to a maximum in those aged 20-29 years, and then declined. Within most age-groups, the prevalences of microfilaraemia and elephantiasis were higher in males than females. However, the prevalence of microfilaraemia in females from Chiraigaon who were aged > 30 years was higher than in their male counterparts. Though individual microfilarial intensities varied greatly, the geometric mean microfilarial intensity was higher in Sunderpur than in Chiraigaon (214 v. 196 microfilariae/ml). All 83 subjects with elephantiasis, except one in Sunderpur, were amicrofilaraemic. The present results indicate that bancroftian filariasis is one of the major public-health problems in the study area.

摘要

在印度北部瓦拉纳西地区的两个地点,对班氏吴策线虫人类感染的年龄和性别特异性分布进行了调查:一个是农村农业地区(奇莱冈),另一个是城市贫民窟地区(孙德布尔)。一项随机临床和寄生虫学调查显示,城市地区微丝蚴血症和象皮病的患病率(分别为14%和7.3%)均高于农村地区(分别为9%和3.1%)。在这两个地区,微丝蚴血症的患病率通常随年龄增长而增加,在20 - 29岁人群中达到最高,然后下降。在大多数年龄组中,男性的微丝蚴血症和象皮病患病率高于女性。然而,奇莱冈年龄大于30岁的女性微丝蚴血症患病率高于男性。尽管个体微丝蚴强度差异很大,但孙德布尔的微丝蚴几何平均强度高于奇莱冈(分别为214条/毫升和196条/毫升)。除孙德布尔的一名患者外,所有83名象皮病患者均无微丝蚴血症。目前的结果表明,班氏丝虫病是研究地区主要的公共卫生问题之一。

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