Raccurt C P
Bull Soc Pathol Exot Filiales. 1986;79(5 Pt 2):745-54.
Wuchereria bancrofti persists in Haiti in localized foci, discontinuously distributed. The parasite, transmitted by Culex quinquefasciatus, develops in mesoendemic or hyperendemic fashion in urban and suburban areas, on the coastal plains sheltered from the prevailing winds, predominantly in the Nord department and around the gulf of La Gonave. Lymphatic filariasis is a major public health problem. Its impact is more evident in males on account of the genital repercussion of the disease. The acute lesions appear from early infancy and are related to microfilarial density. The chronic lesions begin with adolescence, and occur with high frequency in adults. Lymphatic filariasis has retreated in the countries where socioeconomic or sanitary conditions have improved: Puerto Rico, French West Indies, Cuba. In countries confronted by underdevelopment, overpopulation and uncontrolled urbanization, the disease is prevalent: Haiti, Dominican Republic, Trinidad. It is essential to carry out epidemiological investigations in order to identify the extend of the lymphatic filariasis problem in the Caribbean, particularly as population migration in both directions is becoming intensified: the native people looking for work in the industrialized countries, and tourists seeking the attractions of the tropics.
班氏吴策线虫在海地以局部病灶的形式持续存在，呈不连续分布。该寄生虫由致倦库蚊传播，在城市和郊区以中度流行或高度流行的方式发展，位于免受盛行风影响的沿海平原，主要在北部省和戈纳夫湾周边地区。淋巴丝虫病是一个主要的公共卫生问题。由于该疾病对生殖系统的影响，其在男性中的影响更为明显。急性病变从婴儿早期开始出现，与微丝蚴密度有关。慢性病变始于青春期，在成年人中高发。在社会经济或卫生条件得到改善的国家，淋巴丝虫病已经得到缓解，如波多黎各、法属西印度群岛、古巴。在面临欠发达、人口过剩和无节制城市化的国家，该病流行，如海地、多米尼加共和国、特立尼达。开展流行病学调查以确定加勒比地区淋巴丝虫病问题的范围至关重要，特别是因为双向人口迁移正在加剧：当地人在工业化国家寻找工作，而游客则前往热带地区观光。
