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东南亚囊尾蚴病/绦虫病的流行情况:现状与控制措施

Cysticercosis/taeniasis endemicity in Southeast Asia: Current status and control measures.

作者信息

Wu Hai-Wei, Ito Akira, Ai Lin, Zhou Xiao-Nong, Acosta Luz P, Lee Willingham Arve

机构信息

Center for International Health Research, Rhode Island Hospital, Brown University Medical School, Providence, RI, USA; Department of Pediatrics, Rhode Island Hospital, Brown University Medical School, Providence, RI, USA.

Department of Parasitology and Neglected Tropical Diseases Research Laboratory, Asahikawa Medical University, Asahikawa, Japan.

出版信息

Acta Trop. 2017 Jan;165:121-132. doi: 10.1016/j.actatropica.2016.01.013. Epub 2016 Jan 21.

Abstract

The parasitic zoonoses cysticercosis/taeniasis is among the 17 major Neglected Tropical Diseases (NTDs) identified by the WHO as a focus for research and control. It is caused by a larval stage (cysticercus) infection of Taenia solium tapeworm in both humans and pigs. Cysticercosis occurs in many resource-poor countries, especially those with warm and mild climates in the regions of Latin America (LA), Asia and Sub-Saharan Africa (SSA). The prevalence of human cysticercosis is marked in those areas where individuals are traditionally keen to consume raw or insufficiently cooked pork and/or where the husbandry of pigs is improper. The worldwide burden of cysticercosis is unclear and notably, large-scale control initiatives are lacking in all regions. This review focuses on the current endemic status of cysticercosis caused by T. solium infection in both humans and pigs living in 13 Southeast Asian countries. We will also emphasize epidemiological data as well as prevention and control of human neurocysticercosis.

摘要

寄生虫人畜共患病囊尾蚴病/绦虫病是世界卫生组织确定的17种主要被忽视的热带病之一,是研究和控制的重点。它是由猪带绦虫的幼虫期(囊尾蚴)感染人和猪引起的。囊尾蚴病发生在许多资源匮乏的国家,特别是拉丁美洲(LA)、亚洲和撒哈拉以南非洲(SSA)地区气候温暖温和的国家。在那些传统上热衷于食用生的或未充分煮熟的猪肉和/或养猪方式不当的地区,人类囊尾蚴病的患病率很高。囊尾蚴病的全球负担尚不清楚,值得注意的是,所有地区都缺乏大规模的控制举措。本综述重点关注东南亚13个国家人和猪感染猪带绦虫引起的囊尾蚴病的当前流行状况。我们还将强调人类神经囊尾蚴病的流行病学数据以及预防和控制措施。

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