Dejour Salamanca D, La Ruche G, Tarantola A, Degail M A, Jeannel D, Gastellu-Etchegorry M
Institut de Veille Sanitaire, Département International et Tropical, 12, rue du Val-d'Osne, F-94415 Saint-Maurice cedex, France.
Bull Soc Pathol Exot. 2009 Dec;102(5):285-90.
An estimation of the number of Trypanosoma cruzi infected individuals and expected number of Chagasic cardiomyopathies in France (excluding French Guyana) was conducted in June, 2009 by InVS. Different risk groups were identified: Latino-Americans (LA) from endemic area (naturalized, legal and illegal migrants, adopted children), children born from LA's mother, French Guyanese living in Metropolitan France, expatriated and travellers from endemic countries. Prevalence rates by country of origin were applied to official data on risk populations obtained from the International Adoption Agency, Tourism Direction and French ministries (Finances, Foreign Affairs and Migrations). Around 157,000 individuals were potentially exposed. It is estimated than 1,464 [895-2,619] are infected by T. cruzi, of which 63 to 555 may evolve towards a chronic cardiomyopathy. This figure is within the range of earlier estimations of InVS and Guerri-Guttenberg. Taking into account illegal immigrants, the expected number of infected individuals in France should increase greatly this estimation.
2009年6月,法国国家卫生安全署(InVS)对法国(不包括法属圭亚那)感染克氏锥虫的个体数量以及查加斯心肌病的预期病例数进行了估算。研究确定了不同的风险群体:来自流行地区的拉丁裔美国人(LA)(入籍者、合法及非法移民、领养儿童)、LA母亲所生的子女、居住在法国本土的法属圭亚那人、来自流行国家的外派人员和旅行者。将按原籍国划分的患病率应用于从国际收养机构、旅游局和法国各部委(财政部、外交部和移民部)获取的风险人群官方数据。约15.7万人可能暴露于感染风险中。据估计,有1464例[895 - 2619例]感染了克氏锥虫,其中63至555例可能会发展为慢性心肌病。这一数字在法国国家卫生安全署和Guerri - Guttenberg早期估算范围内。考虑到非法移民因素,法国感染个体的预期数量在此次估算基础上应会大幅增加。