Saboyá-Díaz Martha Idalí, Nicholls Rubén Santiago, Castellanos Luis Gerardo, Feldmeier Hermann
Pan American Health Organization Washington, DC United States of America Pan American Health Organization, Washington, DC, United States of America.
University Medicine Berlin Berlin Germany University Medicine Berlin, Berlin, Germany.
Rev Panam Salud Publica. 2022 Aug 30;46:e124. doi: 10.26633/RPSP.2022.124. eCollection 2022.
To present the state-of-the-knowledge on the epidemiology of tungiasis in the Region of the Americas.
A search of publications on the epidemiology of tungiasis in the Americas was performed in PubMed and LILACS databases from January 2007 to June 2021. In addition, a manual literature search on articles on the epidemiology of tungiasis was performed.
A total of 83 articles were analyzed which contained relevant information on tungiasis cases and their geographical distribution, prevalence and risk factors, life cycle, sites where transmission takes place, and zoonotic aspects. The on-host and off-host life cycles have been researched in detail. In certain contexts, the whole life cycle is completed indoors enabling transmission around the whole year. Cases were reported from 10 countries; 71% of them were from Brazil. In the general population, the prevalence varied between 1.0% and 82.6% according to the settings. Age-specific prevalence indicated that children and the elderly bear the highest disease burden. Risk factor studies indicate that tungiasis is associated with severe poverty.
In the Americas, there are important gaps in information and knowledge of tungiasis. Understanding the burden, epidemiology, distribution, magnitude, related risk factors, and reservoirs, among others, is needed to develop and implement integrated control measures tailored to the context and patterns of transmission in the affected communities.
介绍美洲地区穿皮潜蚤病的流行病学知识现状。
于2007年1月至2021年6月在PubMed和LILACS数据库中检索美洲地区穿皮潜蚤病流行病学的相关出版物。此外，还对手动检索到的穿皮潜蚤病流行病学文章进行了筛选。
共分析了83篇文章，这些文章包含了有关穿皮潜蚤病病例及其地理分布、患病率和危险因素、生命周期、传播发生地点以及人畜共患病方面的相关信息。对宿主上和宿主外的生命周期进行了详细研究。在某些情况下，整个生命周期在室内完成，使得全年均可传播。有10个国家报告了相关病例；其中71%来自巴西。在一般人群中，患病率根据不同环境在1.0%至82.6%之间变化。特定年龄组的患病率表明儿童和老年人承担着最高的疾病负担。危险因素研究表明，穿皮潜蚤病与严重贫困有关。
在美洲地区，穿皮潜蚤病的信息和知识存在重大差距。需要了解其负担、流行病学、分布、规模、相关危险因素和宿主等情况，以制定和实施针对受影响社区的传播情况和模式的综合控制措施。
