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中国基于社区的综合策略控制土源性线虫病和华支睾吸虫病的效果。

Effectiveness of a community-based integrated strategy to control soil-transmitted helminthiasis and clonorchiasis in the People's Republic of China.

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai 200025, China; Key Laboratory of Parasite and Vector Biology, Ministry of Health, WHO Collaborating Centre for Tropical Diseases, Shanghai 200025, China.

Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Acta Trop. 2021 Feb;214:105650. doi: 10.1016/j.actatropica.2020.105650. Epub 2020 Aug 14.

Abstract

Soil-transmitted helminthiases (STHs) are caused by a group of intestinal nematode infections due to poor hygiene and environments, and clonorchiasis is a food-borne trematode (FBT) infection caused by ingestion of raw freshwater fish. Both are endemic in the People's Republic of China. To explore a suitable control strategy, integrated interventions were applied between 2007 and 2009 in ten pilot counties (eight for the STHs and two for clonorchiasis). Drug administration was used for treatment and complementary efforts to improve the situation based on health education, provision of clean water and sanitation were carried out. Significant achievements were gained as reflected by a drastic decrease in prevalence these infections were demonstrated. The overall prevalence of STHs and clonorchiasis decreased from 35.9% to 7.8% and from 41.4% to 7.0%, respectively. The reduction of prevalence and high cost-effectiveness were documented supporting large-scale application of this integrated intervention in China and elsewhere.

摘要

土壤传播性蠕虫病(STHs)是由于卫生条件差和环境因素引起的一组肠道线虫感染,而华支睾吸虫病是一种食源性吸虫(FBT)感染,由摄入生淡水鱼引起。这两种疾病在中国都有流行。为了探索一种合适的控制策略,2007 年至 2009 年在十个试点县(八个用于 STHs,两个用于华支睾吸虫病)实施了综合干预措施。采用药物治疗,并结合健康教育、提供清洁水和卫生设施等措施来改善卫生状况。干预措施取得了显著成效,这些感染的患病率大幅下降。总的 STHs 和华支睾吸虫病的患病率从 35.9%降至 7.8%和从 41.4%降至 7.0%。患病率的降低和高成本效益得到了证实,支持在中国和其他地方大规模应用这种综合干预措施。

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