Besbes M, Sellami H, Cheikhrouhou F, Makni F, Ayadi A
Laboratoire de parasitologie-mycologie, Faculté de médecine Sfax, Tunisie.
Bull Soc Pathol Exot. 2003 Nov;96(4):320-2.
Echinococcosis is one of the major parasitic diseases in Tunisia, accounting for a considerable public health problem. We propose in this work to analyse the behaviour of butchers and to evaluate its impact on the hydatic cyst transmission.
We carried out a national transversal descriptive survey that included 97 butcher shops using illegal practice, located in 18 regions (governorats) of Tunisia. The sampling procedure was implemented according to the level of disease endemicity.
60.8% of butcher shops were located along main roads and therefore supplying travellers. Among the animals slaughtered sheep come in first position (97.9%). More than 80% of the butchers kept aside a place around the butcher shop to sacrifice their animals. We noted the presence of dogs near butcher shop in 52.6% of cases and stray dogs in 43.3% of cases. Only 13.4% of the butchers knew the disease mode of transmission. Parasitized viscera were thrown into dustbins or further in the riverbed in 56.7%. More than 50% of butchers, having an inadequate behaviour in front of parasitized viscera or ignoring the disease cycle, were originating from an hyper or holoendemic area.
Illegal slaughtering practices have an important impact on transmission of cystic echinococcosis in Tunisia.
棘球蚴病是突尼斯主要的寄生虫病之一，是一个相当严重的公共卫生问题。我们在这项工作中旨在分析屠夫的行为，并评估其对包虫囊肿传播的影响。
我们开展了一项全国性横断面描述性调查，调查对象包括突尼斯18个地区（省）的97家存在非法行为的肉店。抽样程序根据疾病流行程度实施。
60.8%的肉店位于主干道沿线，因此为旅行者供货。在屠宰的动物中，绵羊位居首位（97.9%）。超过80%的屠夫在肉店周围留出一块地方宰杀动物。我们注意到，52.6%的肉店附近有狗，43.3%的肉店附近有流浪狗。只有13.4%的屠夫了解疾病传播方式。56.7%的寄生内脏被扔进垃圾桶或更远的河床。超过50%在面对寄生内脏时行为不当或忽视疾病传播周期的屠夫来自高度或完全流行地区。
非法屠宰行为对突尼斯囊性棘球蚴病的传播有重要影响。
