Zavoĭkin V D, Darchenkova N N, Zelia O P
Med Parazitol (Mosk). 1991 Nov-Dec(6):25-8.
Results of our own investigations and available data in the literature concerning the epidemiology of opisthorchiasis in Ob-Irtysh river basin have been gathered, and geographic ranging have been established. The prevalence of infection, children's infection rate, the intensity of infection and clinical manifestation rate have been suggested as a criterion for division of territories into areas. 4 degrees of endemia was established: areas with sporadic incidence rate (prevalence is less than 1%); hyperendemic (prevalence 1-10%, intensity of infection 1-20 egg/gr., children's infection and clinical manifestation are absent), mesoendemic (prevalence 10-40%, children's infection rate 1-25%, intensity of infection about 300 egg/gr., clinical manifestation rate about 50%) and hyperendemic area (prevalence above 40%, children's infection rate 25-60%, intensity of infection above 300 egg/gr., clinical manifestation rate about 80%). Original map of pattern of opisthorchiasis distribution area is presented. The decreasing of transmission of O. felineus to periphery of basin is noted.
我们收集了关于鄂毕河-额尔齐斯河流域华支睾吸虫病流行病学的自身调查结果及文献中的现有数据,并确定了地理分布范围。已建议将感染率、儿童感染率、感染强度和临床表现率作为划分地区为不同区域的标准。确定了4种地方病流行程度:散发病例发生率地区(患病率低于1%);高度流行区(患病率1%-10%,感染强度为1-20个虫卵/克,无儿童感染和临床表现),中度流行区(患病率10%-40%,儿童感染率1%-25%,感染强度约300个虫卵/克,临床表现率约50%)和高度流行区(患病率高于40%,儿童感染率25%-60%,感染强度高于300个虫卵/克,临床表现率约80%)。给出了华支睾吸虫病分布区域模式的原始地图。注意到猫后睾吸虫向流域周边传播的减少。