Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia; Working Group on Zoonoses, International Society for Chemotherapy, Aberdeen, United Kingdom; Committee on Clinical Parasitology, Pan-American Association for Infectious Diseases (Asociación Panamericana de Infectología), Panama, Panama; Research Group Medical and Diagnostic Images (GRIMEID), IPS Imágenes Diagnósticas S.A., Pereira, Risaralda, Colombia; Medical School, Faculty of Health Sciences, UniFranz, Cochabamba, Bolivia; Infection and Immunity Research Group, Faculty of Health Sciences, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia.
Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia.
Travel Med Infect Dis. 2018 Mar-Apr;22:51-57. doi: 10.1016/j.tmaid.2017.12.006. Epub 2017 Dec 27.
In Colombia, taeniasis and cysticercosis have been significantly reduced over the past decades, however still reported with implications for public health and travel medicine.
An observational, retrospective study, in which the incidence of taeniasis and cysticercosis (ICD-10 codes B68s/B69s) in Colombia, 2009-2013, was estimated based on data extracted from the Individual Health Records System (Registro Individual de Prestación de Servicios, RIPS) was performed. The Geographic Information System (GIS) generated national maps showing the distribution of taeniasis and cysticercosis by department by year.
During the period, 3626 cases were reported (median 796/year), for a cumulative crude national rate of 7.7 cases/100,000pop; 58.2% corresponded to male; 57% were <40 year-old (10.2% < 9.9 year-old). Cases were 57.6% neurocysticercosis, the rest were taeniasis due to T. solium, T. saginata, ocular cysticercosis and cysticerci in other organs. Bolivar, a touristic department, had the highest cumulated incidence rate (16.17 cases/100,000pop), as also evident across the map series developed in this study.
Despite the limitations of this study, data presented provide recent estimates of national taeniasis and cysticercosis incidence in the country useful in public health and for travel medicine practitioners, as some highly touristic areas presented higher disease incidence. Improved control, particularly of taeniasis, should be an attainable goal, which among other strategies would require improved sanitation and health education to prevent transmission, but also enhanced surveillance.
在过去几十年中，哥伦比亚的带绦虫病和囊尾蚴病的发病率显著下降，但仍有报告显示其对公共卫生和旅行医学有影响。
本研究为观察性回顾性研究，基于从个体健康记录系统（Registro Individual de Prestación de Servicios，RIPS）中提取的数据，估计了 2009 年至 2013 年哥伦比亚带绦虫病和囊尾蚴病（ICD-10 编码 B68s/B69s）的发病率。地理信息系统（GIS）生成了全国性的地图，显示了按年份和地区分布的带绦虫病和囊尾蚴病的分布情况。
在此期间，共报告了 3626 例病例（中位数为 796/年），累计粗全国发病率为 7.7 例/10 万人口；58.2%为男性；57%年龄<40 岁（10.2%<9.9 岁）。病例中有 57.6%为神经囊尾蚴病，其余为猪带绦虫引起的带绦虫病、牛带绦虫、眼囊尾蚴病和其他器官的囊尾蚴病。旅游部门博利瓦尔的累积发病率最高（16.17 例/10 万人口），从本研究制作的地图系列中也可以看出这一点。
尽管本研究存在局限性，但所提供的数据对该国带绦虫病和囊尾蚴病的最新全国发病率进行了估计，这对公共卫生和旅行医学从业者有用，因为一些高度旅游地区的疾病发病率较高。除其他策略外，应通过改善卫生条件和健康教育来预防传播，加强监测来实现更好的控制，特别是带绦虫病的控制，这是一个可以实现的目标。
