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尼日利亚阿南布拉州棘球蚴病/包虫病的流行病学

Epidemiology of echinococcosis/hydatidosis in Anambra State, Nigeria.

作者信息

Onah D N, Chiejina S N, Emehelu C O

机构信息

Faculty of Veterinary Medicine, University of Nigeria, Nusukka.

出版信息

Ann Trop Med Parasitol. 1989 Aug;83(4):387-93. doi: 10.1080/00034983.1989.11812362.

DOI:10.1080/00034983.1989.11812362
PMID:2604476
Abstract

The prevalence of hydatidosis in cattle, goats and pigs slaughtered in Anambra State, eastern Nigeria during 1973 to 1979, as determined from official meat inspection records, was 7/373,242 (0.002%), 249/476,249 (0.05%) and 1/31,005 (0.003%), respectively. Special point surveys conducted from September 1979 to February 1980 and from March 1985 to September 1987 in two of the slaughterhouses that officially recorded zero infection rates also found no infection in the 551 cattle, 3830 goats and 2126 pigs examined. Similarly, none of the 80 dogs obtained from some of the rural communities in the localities served by these slaughterhouses harboured tapeworms (Echinococcus) at necropsy. Information obtained from rural health centres and some rural and urban-located hospitals, including records of hospital admissions, revealed insufficient awareness of the nature and importance of the disease in man and no evidence even of suspected cases. The apparent absence of infection in humans was confirmed by records at the main specialist hospital in the area, which showed that only one case of human hydatid disease had ever been diagnosed by that hospital. The most important factors that might have been responsible for the virtual absence of canine and human infections include the extremely low infection rates in food animals, limited access by dogs to offal, limited contact between dogs and potential domestic intermediate hosts of hydatid, and absence of a wild-life cycle.

摘要

根据1973年至1979年期间在尼日利亚东部阿南布拉州屠宰的牛、山羊和猪的官方肉类检查记录,包虫病的患病率分别为7/373,242(0.002%)、249/476,249(0.05%)和1/31,005(0.003%)。1979年9月至1980年2月以及1985年3月至1987年9月,在两家官方记录感染率为零的屠宰场进行的专项定点调查中,对检查的551头牛、3830只山羊和2126头猪也未发现感染。同样,从这些屠宰场服务的一些农村社区获得的80只狗在尸检时也未发现有绦虫(棘球绦虫)。从农村卫生中心以及一些农村和城市医院获得的信息,包括住院记录,显示对该病在人类中的性质和重要性认识不足,甚至没有疑似病例的证据。该地区主要专科医院的记录证实了人类明显没有感染,记录显示该医院仅诊断出一例人类包虫病病例。可能导致犬类和人类几乎没有感染的最重要因素包括食用动物的感染率极低、狗接触内脏的机会有限、狗与包虫潜在的家养中间宿主接触有限以及没有野生动物传播循环。

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