Darchenkova N N, Romanenko N A, Chernyshenko A I
Med Parazitol (Mosk). 2006 Oct-Dec(4):40-3.
In the Russian Federation (RF), ascariasis remains to be the most common geohelminthiasis, in children in particular. With its overall reduction, the prevalence of ascariasis is very uneven on the RF territory. In the past 15 years, from 1991 to 2004, there was a steady-state decrease in the incidence of ascariasis from 79.5 to 46.0 per 100,000. Its incidence rates remained higher than the average Russian ones in 33 RF subjects and lower than those in 48 subjects and began reducing in 8 subjects in the past 4 years. Of the 33 RF subjects wherein the incidence rates were constantly greater than the average Russian ones, 27 subjects are located in the natural background-favorable areas. In the past 15 years, there was an increase in the impact of socioeconomic factors on the higher incidence of ascariasis: the population's migration; the delivery and transport of Ascaris egg-contaminated greens, vegetables, berries; the development of hothouse gardening, and, as a result, the occurrence of ascariasis in the northern areas of the country, as well as the use of discharged waters for soil fertilization to grow crops. The territory of Russia was first epidemiologically districted in the context of ascariasis, by taking into account the natural background and socioeconomic factors. The area of ascariasis is on the rise. In all RF subjects, public health and social security bodies should constantly keep in mind the problem in ascariasis control and prevention.
在俄罗斯联邦，蛔虫病仍然是最常见的土源性蠕虫病，尤其是在儿童中。随着其总体发病率的下降，蛔虫病在俄罗斯联邦境内的流行情况极不均衡。在过去15年中，即1991年至2004年期间，蛔虫病发病率从每10万人79.5例稳步下降至46.0例。其发病率在俄罗斯联邦的33个地区高于俄罗斯平均水平，在48个地区低于平均水平，并且在过去4年中，有8个地区的发病率开始下降。在发病率一直高于俄罗斯平均水平的33个地区中，有27个地区位于自然环境有利的地区。在过去15年中，社会经济因素对蛔虫病较高发病率的影响有所增加：人口迁移；受蛔虫卵污染的绿叶蔬菜、蔬菜、浆果的运输和配送；温室园艺的发展，结果导致该国北部地区出现蛔虫病，以及使用排放的水进行土壤施肥以种植作物。俄罗斯领土首次在考虑自然背景和社会经济因素的情况下，按照蛔虫病进行了流行病学分区。蛔虫病流行区域正在扩大。在俄罗斯联邦所有地区，公共卫生和社会保障机构应始终牢记蛔虫病防控问题。
