Pfluger W
Arch Inst Pasteur Madagascar. 1978;46(1):241-69.
The region of Antananarivo, where Schistosomiasis is not yet endemic, is compared to Ambositra, a well established focus of S. mansoni, with regard to climate, hydrology and snail habitats. Higher mean temperatures and a more pronounced dry season in Antananarivo contribute to sometimes less favourable hydrological conditions. Biomphalaria is found in very few and limited habitats. Population dynamics were followed up in selected habitats and showed ecological parameters comparable to those of the Ambositra-strain. Trematode infections were very scarce. Both strains of Biomphalaria are equally susceptible to infections with the malagasy strain of S. mansoni (up to 100 p. 100). Mortality rates, prepatency periods and the electrophoretic pattern of egg proteins are very similar. Foreign snail species like B. glabrata (albino strain) and B. pfeifferi (South African strain) are hardly susceptible to malagasy S. mansoni. Some cases of S. mansoni-infections are mentioned, which presumably had been contracted in non-endemic areas of the province of Antananarivo. The possibility and risk of implantation of schistosomiasis in this region and in the town is evaluated following the discussion of epidemiological details. The author concludes that in spite of some unfavourable conditions for S. mansoni the establishment of the cycle can locally not be excluded. Attention is all the more important, as control of endemic schistosomiasis would be particularly difficult under malagasy conditions of geography, climate, snail dynamics and human behaviour.
将尚未流行血吸虫病的塔那那利佛地区与曼氏血吸虫病流行已久的安布西特拉地区在气候、水文和蜗牛栖息地方面进行了比较。塔那那利佛的平均气温较高且旱季更为明显,这有时导致水文条件不太有利。双脐螺仅在极少且有限的栖息地被发现。在选定的栖息地对其种群动态进行了跟踪,结果显示其生态参数与安布西特拉菌株相当。吸虫感染非常罕见。两种双脐螺菌株对曼氏血吸虫马达加斯加菌株的感染同样易感(感染率高达100%)。死亡率、潜伏期和虫卵蛋白的电泳图谱非常相似。外来蜗牛物种,如光滑双脐螺(白化菌株)和费氏双脐螺(南非菌株)对马达加斯加曼氏血吸虫几乎不易感。文中提到了一些曼氏血吸虫感染病例,推测这些病例可能是在塔那那利佛省的非流行区感染的。在讨论了流行病学细节之后,评估了该地区和城镇血吸虫病传播的可能性和风险。作者得出结论,尽管存在一些不利于曼氏血吸虫的条件,但在当地不能排除传播循环的建立。鉴于在马达加斯加的地理、气候、蜗牛动态和人类行为条件下控制地方性血吸虫病将特别困难,因此这一点尤为重要。