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[瓜德罗普岛肠道血吸虫病的生态学。模型研究的流行病学分析与数据(作者译)]

[Ecology of intestinal schistosomiasis in Guadeloupe. Epidemiological analysis and data for a model study (author's transl)].

作者信息

Rioux J A, Decamps H, Lanotte G, Combes C, Théron A, Pointier J F, Seytor S, Delattre P, Bougerol C

出版信息

Rev Epidemiol Sante Publique. 1978 Mar 15;25(5-6):483-519.

PMID:746195
Abstract

In Guadeloupe, during a general survey on intestinal schistosomiasis, the authors made a structural analysis of a limited focus of infection. The focus is formed by a river basin on the Carribean coast of Basse-Terre island. Sampling of the various elements of the parasitic cycle was done in spatial units defined by ecological and epidemiological criteria. The study of corresponding populations shows that: -- inside the twelve delimited sectors, only two include both hosts and parasites. They are zones with ditches and small temporary streams; -- the vector (Biomphalaria glabrata) density is always high in inhabited sectors; -- the rat, although present over the whole river basin, is only parasitized near inhabited places; -- fluorescent antibody level is an excellent indicator of the level of infection of human populations. Its variation can be detected in a time interval of less than one year; -- distance from contaminated water is one of the principal risk factors. A mathematical expression for this is given.

摘要

在瓜德罗普岛进行的一次关于肠道血吸虫病的全面调查中,作者对一个有限的感染疫源地进行了结构分析。该疫源地由巴斯特尔岛加勒比海岸的一个流域构成。在由生态和流行病学标准界定的空间单位中,对寄生虫循环的各个要素进行了采样。对相应人群的研究表明:——在划定的12个区域内,只有两个区域同时存在宿主和寄生虫。它们是有沟渠和小型临时溪流的区域;——在有人居住的区域,中间宿主(光滑双脐螺)的密度一直很高;——老鼠虽然在整个流域都有,但只在靠近有人居住的地方被寄生;——荧光抗体水平是人群感染水平的一个极佳指标。其变化可在不到一年的时间间隔内被检测到;——与受污染水的距离是主要风险因素之一。为此给出了一个数学表达式。

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