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苏丹新哈尔法农业区村民血吸虫病的流行病学

Epidemiology of Schistosomiasis among Villagers of the New Halfa Agricultural Scheme, Sudan.

作者信息

Afifi Azzam, Ahmed Abdel-Aziz A, Sulieman Yassir, Pengsakul Theerakamol

机构信息

Department of Zoology, Faculty of Science and Technology, Omdurman Islamic University, Sudan.

Department of Zoology, Faculty of Science, University of Khartoum, Sudan.

出版信息

Iran J Parasitol. 2016 Jan-Mar;11(1):110-5.

Abstract

BACKGROUND

Schistosomiasis is one of the major communicable diseases of public health and socioeconomic importance in developing countries. This study assessed the situation of schistosomiasis among villagers of the New Halfa Agricultural Scheme, Sudan.

METHODS

An epidemiological survey was carried out in three randomly selected residential sites: Village 19, Village 26 and Talat shagrat Camp, from October to December 2013. Feces and urine samples were collected from 2433 individual (1195 male and 1238 female) and examined for schistosomiasis infection. The prevalence and intensity of infection were calculated according to study sites and participants' sex and age-group.

RESULTS

There was no infection with Schistosoma haematobium among the examined individuals, while the overall prevalence of S. mansoni infection was 27.4% and the mean intensity among those infected was 261.1 eggs per gram (epg). A high prevalence and intensity of infection was found among the residents of Talat shagrat Camp, followed by the other two villages. The prevalence of infection among males was 41.4%, and among females was 13.9%. On the other hand, the intensity of infection among females was 293.4 epg and among males 187.6 epg. A high prevalence of infection was found in the age-groups 11-20 years and > 50 years. High intensity of infection was present in the age-groups 31-40 years and > 50 years.

CONCLUSION

The finding of the study shows the need for an integrated control program against schistosomiasis. Mass treatment, provision of adequate clean-water supply and combating the intermediate snail host are suggested.

摘要

背景

血吸虫病是发展中国家具有公共卫生和社会经济重要性的主要传染病之一。本研究评估了苏丹新哈尔法农业区村民的血吸虫病情况。

方法

2013年10月至12月,在三个随机选取的居住点开展了一项流行病学调查,这三个点分别是19村、26村和塔拉特·沙格拉特营地。从2433名个体(1195名男性和1238名女性)采集粪便和尿液样本,检测血吸虫病感染情况。根据研究地点、参与者的性别和年龄组计算感染率和感染强度。

结果

受检个体中未发现埃及血吸虫感染,而曼氏血吸虫感染的总体患病率为27.4%,感染者的平均感染强度为每克粪便261.1个虫卵(epg)。塔拉特·沙格拉特营地居民的感染率和感染强度较高,其次是其他两个村庄。男性感染率为41.4%,女性为13.9%。另一方面,女性的感染强度为293.4 epg,男性为187.6 epg。11至20岁年龄组和50岁以上年龄组的感染率较高。31至40岁年龄组和50岁以上年龄组的感染强度较高。

结论

该研究结果表明需要实施一项综合的血吸虫病防控计划。建议进行群体治疗、提供充足的清洁水源并防治中间宿主钉螺。

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