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1988-89 年和 2018-19 年,西北西伯利亚农村土著和长期居住人群中的蠕虫病流行情况。

The prevalence of helminthiases in North-Western Siberia rural indigenous and long-term resident people in 1988-89 and 2018-19.

机构信息

International Laboratory for Social Integration Studies, National Research University Higher School of Economics, Moscow, Russian Federation.

Institute and Museum of Anthropology, Moscow State University, Moscow, Russian Federation.

出版信息

Int J Circumpolar Health. 2021 Dec;80(1):1917270. doi: 10.1080/22423982.2021.1917270.

Abstract

The aim of this work was to compare the prevalence of opisthorchiasis, diphyllobothriasis, and ascariasis among the rural indigenous and long-term resident people of Khanty-Mansi Autonomous Okrug (KMAO) in the years 1988-89 and 2018-19. Helminth infections were identified by faecal microscopic examinations conducted during health check-ups. We analysed 399 medical records for years 1988-89 and 549 records for 2018-19. There were found a decrease in the prevalence of ascariasis among the indigenous people, but the region remains a hotbed of fish-transmitted helminthiases. The spread of infestation has remained close to 5% in the indigenous adults. The number of opisthorchiasis-infected children, both indigenous and non-indigenous, has increased significantly (p < 0.05). Among the indigenous adults, opisthorchiasis in 2018-19 was at as high level as in 1988-89 (57.5% vs 54.4%). The non-indigenous adults had infestations in 2018-19 frequently than in 1988-89 (p = 0.06). The results of our study on the prevalence of helminth infection in the population of the northern Ob River basin agree with the many years average annual incidence of helminthiases in KMAO.

摘要

本研究旨在比较 1988-89 年和 2018-19 年期间,汉特-曼西斯克自治区农村土著居民和长期居民的华支睾吸虫病、并殖吸虫病和蛔虫病的流行率。通过健康检查期间进行的粪便显微镜检查来确定寄生虫感染。我们分析了 1988-89 年的 399 份病历和 2018-19 年的 549 份病历。发现土著居民的蛔虫病流行率有所下降,但该地区仍然是鱼类传播的寄生虫病的温床。感染的传播率在土著成年人中仍接近 5%。土著和非土著儿童的华支睾吸虫病感染人数均显著增加(p<0.05)。在 2018-19 年,土著成年人的华支睾吸虫病感染率与 1988-89 年一样高(57.5%比 54.4%)。非土著成年人在 2018-19 年的感染率高于 1988-89 年(p=0.06)。我们对北鄂毕河流域人群寄生虫感染流行率的研究结果与汉特-曼西斯克自治区多年来寄生虫病的年均发病率一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f4/8078932/60e2366dec37/ZICH_A_1917270_F0001_B.jpg

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