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尼日利亚三个拉姆萨尔湿地周边牧区泌尿生殖系统血吸虫病的流行病学对比

Contrasting epidemiology of urogenital schistosomiasis among pastoral communities surrounding three Ramsar wetland in Nigeria.

作者信息

Ajakaye O G, Dagona A G, Haladu A G, Ombugadu A, Lapang M P, Enabulele E E

机构信息

Department of Animal and Environmental Biology, Adekunle Ajasin University, Akungba Akoko, Ondo State Nigeria.

Department of Biological Science, Federal University, Gashua, Yobe State Nigeria.

出版信息

J Parasit Dis. 2022 Sep;46(3):637-642. doi: 10.1007/s12639-022-01478-2. Epub 2022 Mar 21.

Abstract

Suspected changes in the epidemiology of schistosomiasis due to several hybridization reports between human and livestock species in Africa calls for epidemiological investigations among potential high-risk groups and sites. Although the use of wetlands for pastoralism has been linked to schistosomiasis, there is limited information on the epidemiology of the disease among pastoralists in Nigeria. In this study, urine samples from 355 participants from pastoral communities settled around three Ramsar wetlands (Wetlands of International Importance) in Nigeria, (Dagona Sanctuary, Maladumba, and Pandam-Wase) were screened for the eggs of . Only participants in the Dagona Sanctuary were infected with 34.2% prevalence. Macrohematuria was however observed in some individuals at the Dagona Sanctuary wetland (2.5%) and Maladumba (2.8%). Regular praziquantel administration, functional health care facilities and awareness about schistosomiasis were contributory factors to the contrasting epidemiology of the disease among the study population. Schistosomiasis control requires the inclusion of pastoral and nomadic communities in mass drug administration of praziquantel based on a community-directed intervention strategy.

摘要

由于非洲人畜物种之间有几起杂交报告,怀疑血吸虫病的流行病学发生了变化,这就需要对潜在的高危群体和地点进行流行病学调查。虽然利用湿地进行放牧与血吸虫病有关,但尼日利亚牧民中该疾病的流行病学信息有限。在本研究中,对来自尼日利亚三个拉姆萨尔湿地(具有国际重要意义的湿地)(达戈纳保护区、马拉敦巴和潘丹-瓦塞)周边牧民社区的355名参与者的尿液样本进行了血吸虫卵筛查。只有达戈纳保护区的参与者感染,感染率为34.2%。然而,在达戈纳保护区湿地(2.5%)和马拉敦巴(2.8%)的一些人身上观察到了肉眼血尿。定期服用吡喹酮、功能健全的医疗保健设施以及对血吸虫病的认识是研究人群中该疾病流行病学情况形成反差的促成因素。血吸虫病控制需要根据社区导向干预策略,将牧民和游牧社区纳入吡喹酮群体给药。

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