Geerts S
Instituut voor Tropische Geneeskunde, Antwerpen.
Verh K Acad Geneeskd Belg. 1990;52(6):537-63; discussion 563-4.
Although the official figures of the meat inspection services show that the number of Belgian slaughtering cattle, infected with cysticercosis decreased during the last 20 years from 0.3 to 0.03%, the data collected during this study, prove that the parasite is absolutely not dying out. Detailed examination of slaughtering cattle showed that 9.5% of them are infected with cysticerci of T. saginata. This discrepancy with the official figures is due i.a. to the inappropriate detection techniques used in the slaughterhouses. Contrary to Taenia solium, T. saginata in man is far from being eradicated. Based on the number of cestocidal drugs sold in Belgium since 1980, it can be assumed that T. saginata has an average annual incidence of 0.4%. In a second chapter some epidemiological features are examined, which might explain the remarkable stability of the taeniasis-cysticercosis complex in our modern society: i.a. the high biotic potential of the parasite, the efficient dissemination of T. saginata eggs in the environment and the role of the intermediate hosts. Finally it is shown that the eradication of T. saginata is not yet feasible for the moment. A series of specific control measures are proposed in order to avoid the infection of cattle with cysticerci as well as the infection of the final host with a tapeworm.
尽管肉类检验服务的官方数据显示,在过去20年里,感染囊尾蚴病的比利时屠宰牛数量从0.3%降至0.03%,但本研究收集的数据证明,这种寄生虫绝对没有灭绝。对屠宰牛的详细检查表明,其中9.5%感染了牛带绦虫囊尾蚴。与官方数据的这种差异部分归因于屠宰场使用的检测技术不当。与猪带绦虫不同,人体内的牛带绦虫远未被根除。根据自1980年以来比利时出售的杀绦虫药物数量,可以假设牛带绦虫的年平均发病率为0.4%。在第二章中,研究了一些流行病学特征,这些特征可能解释了在我们现代社会中绦虫病-囊尾蚴病复合体显著稳定的原因:部分原因是寄生虫的高生物潜能、牛带绦虫卵在环境中的有效传播以及中间宿主的作用。最后表明,目前根除牛带绦虫尚不可行。提出了一系列具体的控制措施,以避免牛感染囊尾蚴以及终宿主感染绦虫。