Instituto de Medicina Tropical Pedro Kourí, Autopista Novia del Mediodia km 61/2, Ciudad de La Habana, Cuba.
Trends Parasitol. 2010 Jan;26(1):26-34. doi: 10.1016/j.pt.2009.10.005. Epub 2009 Nov 10.
Fascioliasis, an emerging parasitic infection, impacts significantly on both veterinary and human health worldwide. Endemic foci are not limited only to areas of extensive livestock farming, but owing to the parasite's abilities to colonise new intermediate hosts and adapt to new environments, also occur in other places, including Cuba. In Cuba, despite a high prevalence of fascioliasis in livestock, and the widespread occurrence of two potential intermediate hosts, human infection has decreased steadily over the past 10 years. In other parts of the world, human fascioliasis is apparently becoming more frequent. Problems in counteracting the spread of fascioliasis, and approaches used in Cuba to limit zoonotic transmission are discussed, with emphasis on diagnostic and treatment problems, malacological initiatives, and the importance of an integrated control programme. Such programmes may be of benefit in other countries where the prevalence of human fascioliasis is increasing, and lessons may perhaps be learned from the Cuban approach.
片形吸虫病是一种新出现的寄生虫感染，对全球的兽医和人类健康都有重大影响。地方性流行区不仅限于广泛的畜牧业地区，而且由于寄生虫具有定植新的中间宿主和适应新环境的能力，也出现在其他地方，包括古巴。在古巴，尽管家畜的片形吸虫病流行率很高，而且有两种潜在的中间宿主广泛存在，但在过去 10 年中，人类感染一直在稳步下降。在世界其他地区，人类片形吸虫病显然越来越频繁。本文讨论了在古巴，对抗片形吸虫病传播的问题和方法，重点是诊断和治疗问题、贝类学措施以及综合控制计划的重要性。在其他人类片形吸虫病流行率正在上升的国家，这些方案可能会有帮助，并且可以从古巴的方法中吸取经验教训。
