Pointier J P, Guyard A, Theron A, Dumoutier A
Ann Parasitol Hum Comp. 1984;59(6):589-95. doi: 10.1051/parasite/1984596589.
A focus of intestinal schistosomiasis was discovered in november 1981 in Martinique in the Saint-Pierre area. An analysis of its structure and of the mecanisms of the transmission of the parasite was carried out between 1981 and 1983. This focus presents the following particularities: a transmission site very small constituted by water cress beds; a small human population infected with a prevalence of 13% (positive stools) to 41,3% (positive serologies); a weak fecal contamination of the water; a non functioning sewage stabilization tank is responsible for this contamination; a rich population of the snail host Biomphalaria glabrata (40,5 to 256,3 Bg/m2) with a low prevalence of infestation (0,13 to 0,59%); low cercarial densities in the water cress bed waters; a very low contamination of the Roxelane river water in to which the water from the water cress beds flows. The epidemiological importance of this contamination has proved very low but not altogether absent. This focus appears as a particular case in Martinique because all the surveys which have been conducted in the island to date has not uncovered a similar example.
1981年11月在马提尼克岛圣皮埃尔地区发现了一个肠道血吸虫病疫点。1981年至1983年期间对其结构和寄生虫传播机制进行了分析。该疫点呈现出以下特点:由水田芥床构成的非常小的传播地点;感染的人群较少,粪便阳性率为13%,血清学阳性率为41.3%;水体粪便污染较轻;一个不起作用的污水稳定池导致了这种污染;中间宿主光滑双脐螺数量丰富(每平方米40.5至256.3只),感染率较低(0.13%至0.59%);水田芥床水域尾蚴密度较低;水田芥床水流汇入的罗克萨兰河河水污染极低。事实证明,这种污染的流行病学重要性非常低,但并非完全不存在。这个疫点在马提尼克岛是一个特殊案例,因为迄今为止在该岛进行的所有调查都没有发现类似的例子。