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阿根廷土壤传播性蠕虫感染风险图的开发。

Risk map development for soil-transmitted helminth infections in Argentina.

机构信息

Mario Gulich Institute for Higher Space Studies, National University of Cordoba, National Commission of Space Activities (UNC_CONAE), Córdoba, Argentina.

Fundación Mundo Sano, Buenos Aires, Argentina.

出版信息

PLoS Negl Trop Dis. 2020 Feb 10;14(2):e0008000. doi: 10.1371/journal.pntd.0008000. eCollection 2020 Feb.

Abstract

BACKGROUND

Soil-transmitted helminths (STHs) comprise a group of helminth parasites that are included in the list of Neglected Tropical Diseases and require a passage through the soil to become infective. Several studies have detected that infection with STHs are associated with certain socioeconomic, environmental and soil characteristics. In Argentina, the presence of these parasites has been detected through a few point studies conducted in localities from 11 of the 23 provinces that comprise the country.

METHODS/PRINCIPAL FINDINGS: The most important characteristics previously associated with the presence of STHs were identified and ranked through the use of an expert survey and the Analytical Hierarchy Process (AHP) in order to construct a risk map of STHs specific for Argentina. Prevalence data from previous studies was used to validate the generated risk map. The map shows that half of Argentina, from the Central provinces to the North, contains localities with the characteristics necessary for the development of these parasites.

CONCLUSIONS/SIGNIFICANCE: The predicted map should serve as a useful tool for guiding the identification of survey areas for the generation of baseline data, detecting hotspots of infection, planning and prioritizing areas for control interventions, and eventually performing post-implementation surveillance activities.

摘要

背景

土壤传播性蠕虫(STHs)包括一组蠕虫寄生虫,它们被列入被忽视的热带病清单,需要经过土壤才能具有感染性。有几项研究表明,感染 STHs 与某些社会经济、环境和土壤特征有关。在阿根廷,通过在全国 23 个省份中的 11 个地区进行的少数点研究,已经发现了这些寄生虫的存在。

方法/主要发现:通过专家调查和层次分析法(AHP),确定并对先前与 STHs 存在相关的最重要特征进行了排序,以便为阿根廷构建特定的 STHs 风险图。使用先前研究的患病率数据来验证生成的风险图。该地图显示,阿根廷中部到北部的一半地区都有这些寄生虫发育所需的特征。

结论/意义:预测图应该作为一种有用的工具,用于指导调查区域的确定,以生成基线数据,发现感染热点,规划和确定控制干预措施的优先顺序,并最终进行实施后的监测活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3400/7010237/3494808ac225/pntd.0008000.g001.jpg

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