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[江西省信丰县华支睾吸虫病流行病学调查及防控知识知晓情况]

[Epidemiological survey on clonorchiasis and awareness of prevention and control knowledge in Xinfeng County of Jiangxi Province].

作者信息

Zhe Chen, Ting-Jun Zhu, Bin Ye, Chang-Hai Zhou, Jian-Zhong Liu, Dong Li, Ying-Dan Chen, Kun-Jiao Dai, Sai-Na Liu, Wei-Sheng Jiang, Xiao-Jun Zeng

机构信息

Jiangxi Provincial Institute of Parasitic Diseases Control, Jiangxi Province, Nanchang 330096, China.

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2018 Nov 12;30(5):508-512. doi: 10.16250/j.32.1374.2017241.

Abstract

OBJECTIVE

To understand the epidemic status of clonorchiasis and awareness of prevention and control knowledge in Xinfeng County of Jiangxi Province, so as to provide the evidences for control measures.

METHODS

The baseline survey was carried out with a clue in vestigation of raw-fish eating behavior in potential endemic areas in 2016.The residents were examined by stool tests. The metacercariae of in fish, the rediae and cercariae in freshwater mollusk were detected. The feces samples of cats, dogs and pigs were collected and examined by sedimentation technique. Meanwhile, the epidemic factors, health knowledge and behavior were also surveyed.

RESULTS

The residents in 26 villages had the habit of eating raw freshwater fish, and 19.51% of the respondents had this habit. The average infection rates of the population, , freshwater fishes and reservoir hosts were 21.56%, 0, 8.24% and 2.27%, respectively. The infection rate of the population increased with age. There was a significant positive correlation between the behavior and the infection rate of the population ( = 0.88, < 0.01). Only 11.46% of the respondents knew that eating raw-fish might cause infection, and 5.28% of them knew that was harmful to health.

CONCLUSIONS

Twenty-six villages in five townships were endemic areas of clonorchiasis in Xinfeng County. The permanent solution of prevention and control of clonorchiasis is to strengthen the health education and change the habit of raw-fish eating gradually.

摘要

目的

了解江西省信丰县华支睾吸虫病流行现状及防治知识知晓情况,为制定防治措施提供依据。

方法

2016年在潜在流行区以食生鱼行为线索调查开展基线调查。对居民进行粪便检查,检测鱼体中的华支睾吸虫囊蚴、淡水螺中的雷蚴和尾蚴。采集猫、狗、猪粪便样本,采用沉淀法检查。同时,对流行因素、健康知识和行为进行调查。

结果

26个村居民有食生淡水鱼习惯,19.51%的调查对象有此习惯。人群、鱼、淡水螺和保虫宿主平均感染率分别为21.56%、0、8.24%和2.27%。人群感染率随年龄增长而升高。食生鱼行为与人群感染率呈显著正相关(r = 0.88,P < 0.01)。仅11.46%的调查对象知道食生鱼可能导致华支睾吸虫感染,5.28%知道华支睾吸虫对健康有害。

结论

信丰县5个乡镇26个村为华支睾吸虫病流行区。防治华支睾吸虫病的治本之策是加强健康教育,逐步改变食生鱼习惯。

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