Zhang Y, Wu J, Adili S, Wang S, Zhang H, Shi G, Zhao J
School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang 830000, China.
Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention, Urumqi, Xinjiang 830000, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2024 Mar 21;36(1):79-82. doi: 10.16250/j.32.1374.2023169.
To analyze the echinococcosis surveillance results in Bayingolin Mongol Autonomous Prefecture, Xinjiang Uygur Autonomous Region from 2017 to 2022, so as to provide insights into formulation of echinococcosis control measures in the prefecture.
Villagers were randomly sampled using a multistage sampling method from class I and II echinococcosis endemic counties in Bayingolin Mongolian Autonomous Prefecture from 2017 to 2022 for detection of human echinococcosis, while all patients undergoing ultrasound examinations in medical institutions in class III endemic counties received active echinococcosis screening. In addition, livestock in centralized slaughterhouses or slaughtering sites were screened for echinococcosis using the palpation and necropsy method, and fresh domestic dog feces samples were collected from randomly selected dog owners in each administrative village for detection of copro-antigen in domestic dogs. The trends in detection of human and livestock echinococcosis, detection of newly diagnosed human echinococcosis cases and detection of coproantigen in domestic dogs were analyzed in Bayingolin Mongol Autonomous Prefecture from 2017 to 2022.
The mean detection rate of human echinococcosis was 0.13% (540/407 803) in Bayingolin Mongol Autonomous Prefecture from 2017 to 2022, which appeared a tendency towards a decline over years (χ = 1 217.21, < 0.001), and the highest detection of newly diagnosed echinococcosis cases was seen in Hejing County (0.28%, 191/67 865). The detection of livestock echinococcosis appeared a tendency towards a decline over years from 2017 to 2022 (χ = 147.02, < 0.001), with the highest detection rate seen in Hejing County (3.44%, 86/2 500), and the detection of copro-antigen in domestic dogs appeared a tendency towards a decline over years from 2017 to 2022 (χ = 302.46, < 0.001), with the highest detection rate in Qiemo County (2.74%, 118/4 313).
The detection of human and livestock echinococcosis and dog feces antigens copro-antigen in domestic dogs all appeared a tendency towards a decline in Bayingolin Mongol Autonomous Prefecture, Xinjiang Uygur Autonomous Region from 2017 to 2022; however, there is still a high echinococcosis transmission risk in local areas. Sustainable integrated echinococcosis control is required in Bayingolin Mongol Autonomous Prefecture.
分析2017—2022年新疆维吾尔自治区巴音郭楞蒙古自治州棘球蚴病监测结果，为该州制定棘球蚴病防控措施提供依据。
采用多阶段抽样方法，于2017—2022年在巴音郭楞蒙古自治州棘球蚴病Ⅰ、Ⅱ类流行县随机抽取村民进行人体棘球蚴病检测，同时对Ⅲ类流行县医疗机构接受超声检查的患者进行棘球蚴病主动筛查。此外，采用触诊和剖检方法对集中屠宰场或屠宰点的牲畜进行棘球蚴病筛查，并从各行政村随机抽取养犬户采集新鲜家犬粪便样本检测家犬粪抗原。分析2017—2022年巴音郭楞蒙古自治州人体和牲畜棘球蚴病检测、新诊断人体棘球蚴病病例检测及家犬粪抗原检测情况。
2017—2022年巴音郭楞蒙古自治州人体棘球蚴病平均检出率为0.13%（540/407 803），呈逐年下降趋势（χ² = 1 217.21，P < 0.001），新诊断棘球蚴病病例检出率最高的是和静县（0.28%，191/67 865）。2017—2022年牲畜棘球蚴病检测呈逐年下降趋势（χ² = 147.02，P < 0.001），检出率最高的是和静县（3.44%，86/2 500），家犬粪抗原检测呈逐年下降趋势（χ² = 302.46，P < 0.001），检出率最高的是且末县（2.74%，118/4 313）。
2017—2022年新疆维吾尔自治区巴音郭楞蒙古自治州人体和牲畜棘球蚴病及家犬粪抗原检测均呈下降趋势，但当地棘球蚴病传播风险仍较高，巴音郭楞蒙古自治州需持续开展棘球蚴病综合防控工作。
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