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埃塞俄比亚西南部甘贝拉地区间日疟原虫和恶性疟原虫的流行病学

Plasmodium vivax and P. falciparum epidemiology in Gambella, south-west Ethiopia.

作者信息

Nigatu W, Abebe M, Dejene A

机构信息

National Research Institute of Health, Addis Ababa, Ethiopia.

出版信息

Trop Med Parasitol. 1992 Sep;43(3):181-5.

PMID:1470839
Abstract

Plasmodium vivax and P. falciparum epidemiology were studied for parasitological and entomological samples collected during the period 1989 and 1990, respectively, from Gambella, South West Ethiopia. Of the total population examined (n = 1091), 147 (13.5%) were found to be positive for malaria parasites. Prevalence rates among males and females were 13.8% and 13.1%, respectively. Differences in the prevalence rates of malaria in the eleven villages were observed, the highest (33.3%) being in Ukuna 2 and the lowest (3.9%) in Ukuna 22. The dominant species of malaria found were both P. falciparum and P. vivax. 88.9% and 11.1% of the malaria cases of the general population were due to these parasites, respectively. It was also recognized that P. falciparum and P. vivax were prevalent in 81.6% and 18.4% of the Anuak population, respectively. The mosquito species responsible for malaria transmission were the indoor-resting A. gambiae s. l. and A. pharoensis. The parasite infection rates of these species were 0.76% and 0.46% and they were found to be the exclusive vectors of P. falciparum and P. vivax, respectively. The present findings are not in accord with the study results previously reported twenty years ago by Armstrong (1972) and Krafsur (1971). The most probable contributing factors for such switch of malaria transmission patterns were, the rehabilitation and resettlement programmes and agricultural activities undertaken in Gambella for the past 10 years that may have brought changes of the socio-economic situation and environmental factors.

摘要

分别对1989年和1990年期间从埃塞俄比亚西南部甘贝拉采集的寄生虫学和昆虫学样本进行了间日疟原虫和恶性疟原虫的流行病学研究。在接受检查的总人口(n = 1091)中,发现147人(13.5%)疟原虫呈阳性。男性和女性的患病率分别为13.8%和13.1%。观察到11个村庄的疟疾患病率存在差异,最高的(33.3%)是乌库纳2村,最低的(3.9%)是乌库纳22村。发现的主要疟原虫种类是恶性疟原虫和间日疟原虫。普通人群中88.9%和11.1%的疟疾病例分别由这些寄生虫引起。还认识到,恶性疟原虫和间日疟原虫分别在81.6%和18.4%的阿努阿克人群中流行。负责疟疾传播的蚊种是室内栖息的冈比亚按蚊复合种和法老按蚊。这些蚊种的寄生虫感染率分别为0.76%和0.46%,并且发现它们分别是恶性疟原虫和间日疟原虫的唯一传播媒介。目前的研究结果与阿姆斯特朗(1972年)和克拉夫苏尔(1971年)20年前先前报告的研究结果不一致。疟疾传播模式发生这种转变最可能的促成因素是,过去10年在甘贝拉开展的恢复与重新安置计划以及农业活动可能带来了社会经济状况和环境因素的变化。

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