菲律宾南部异形吸虫病的流行状况和空间分布。

Prevalence and spatial distribution of heterophyidiasis in Southern Philippines.

机构信息

Department of Biology, School of Science and Engineering, Ateneode Manila University, Quezon City, Manila, Philippines.

Institute of Biology, College of Science, University of the Philippines Diliman and University of the East Ramon Magsaysay Graduate School, University of the East Office of Research Coordination.

出版信息

Acta Trop. 2021 Aug;220:105940. doi: 10.1016/j.actatropica.2021.105940. Epub 2021 Apr 28.

DOI:10.1016/j.actatropica.2021.105940

PMID:33932365

Abstract

Heterophyidiasis is a fish-borne zoonotic disease that is considered to be an emerging public health problem in the Philippines. This study was carried out to determine the spatial distribution and risk factors of heterophyidiasis in five selected villages in New Corella, Davao del Norte in Southern Mindanao. Of the 1,101 individuals examined, 26 (2.36% overall prevalence rate, 95% CI 1.46-3.25) were positive for heterophyid eggs. Higher infection rate was observed in males (3.85%, 95% CI 2.27-5.43) than females (0.76%, 95% CI 0.02-1.5). Mapping of cases was done to show the spatial distribution of heterophyidiasis in New Corella. Multiple logistic regression analysis showed that gender, raw freshwater fish consumption, undercooked grilled fish consumption and proximity to rivers or creeks are the risk factors significantly associated with heterophyid infection. This study confirmed the presence of heterophyid infection in humans in the surveyed villages in New Corella in Southern Philippines.

摘要

肝片形吸虫病是一种食源性人畜共患疾病，被认为是菲律宾的一个新出现的公共卫生问题。本研究旨在确定南棉兰老岛达沃省新科雷拉五个选定村庄肝片形吸虫病的空间分布和危险因素。在检查的 1101 个人中，有 26 人（总流行率为 2.36%，95%CI 1.46-3.25）对肝片形吸虫卵呈阳性。男性的感染率（3.85%，95%CI 2.27-5.43）高于女性（0.76%，95%CI 0.02-1.5）。对病例进行了映射，以显示新科雷拉肝片形吸虫病的空间分布。多因素逻辑回归分析表明，性别、食用生淡水鱼、未煮熟的烤鱼食用以及靠近河流或小溪是与肝片形吸虫感染显著相关的危险因素。本研究证实了在菲律宾南部新科雷拉调查村庄的人类中存在肝片形吸虫感染。