约旦河谷约旦一侧的皮肤利什曼病：严重漏报及对公共卫生管理的影响
Cutaneous leishmaniasis in the Jordanian side of the Jordan Valley: severe under-reporting and consequences on public health management.
作者信息
Mosleh Ibrahim M, Geith Eid, Natsheh Lina, Abdul-Dayem Muna, Abotteen Nabil
机构信息
Department of Biological Sciences, Faculty of Science, University of Jordan, Amman, Jordan.
出版信息
Trop Med Int Health. 2008 Jun;13(6):855-60. doi: 10.1111/j.1365-3156.2008.02063.x. Epub 2008 Mar 24.
OBJECTIVE
To test if cutaneous leishmaniasis (CL) is under-reported in the Jordanian Mid Jordan Valley, with resultant serious consequences for drug supply.
METHODS
For 2001-2003, prescribed amounts of drug and laboratory log-books were investigated to estimate CL cases reported in Jordanian Mid Jordan Valley. From April 2004 to May 2005, passive detection and focused active 'index case cluster'-directed detection were used.
RESULTS
An average of 75/100,000 cases per year was estimated to have occurred 2001-2003, resulting in under-reporting by a factor of 47. In 2004/2005, 313/100,000 cases per year were passively detected. Active case-finding detected additional cases.
CONCLUSION
Cutaneous leishmaniasis is severely under-reported in Jordanian Mid Jordan Valley, which impacts its eradication.
目的
检测约旦中约旦河谷地区皮肤利什曼病（CL）是否存在报告不足的情况，以及这对药物供应是否会产生严重后果。
方法
对2001年至2003年期间的药物处方量和实验室日志进行调查，以估算约旦中约旦河谷地区报告的CL病例数。2004年4月至2005年5月，采用被动监测和针对“索引病例群”的重点主动监测。
结果
据估计，2001年至2003年期间每年平均发生75/10万例病例，导致报告不足达47倍。2004/2005年，每年被动监测到313/10万例病例。主动病例发现又检测到了其他病例。
结论
约旦中约旦河谷地区皮肤利什曼病的报告严重不足，这对其根除工作产生了影响。
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