Bukenya G B, Nsungwa J L, Makanga B, Salvator A
Institute of Public Health, Makerere University, Kampala, Uganda.
Ann Trop Med Parasitol. 1994 Aug;88(4):379-84. doi: 10.1080/00034983.1994.11812880.
In Eastern Uganda, paddy-rice growing, which has only become popular in recent years, seems to be associated with the emergence of schistosomiasis mansoni as a new problem in public health. To estimate the magnitude of this problem, a cross-sectional, baseline survey was carried out in six villages of the Kibimba Rice Scheme. The overall prevalence of Schistosoma mansoni infection was found to be 20%. The highest prevalences and intensities of infection were seen in those aged 5-29 years, with more males infected than females. An attempt was then made to identify the important factors in the aetiology of S. mansoni in this area. Odds ratios indicated that working regularly in the rice paddies, fishing with baskets, and being male were statistically associated with an increased risk of S. mansoni infection. It is clear that schistosomiasis mansoni which is emerging as a new health problem in the study area is closely linked to working in the rice paddies. Encouraging the rice farmers to wear knee-high, waterproof boots while in the fields may help control the disease.
在乌干达东部，近年来才开始流行的水稻种植，似乎与曼氏血吸虫病作为一个新的公共卫生问题的出现有关。为了评估这一问题的严重程度，在基宾巴水稻种植区的六个村庄开展了一项横断面基线调查。结果发现，曼氏血吸虫感染的总体患病率为20%。5至29岁人群的感染率和感染强度最高，男性感染者多于女性。随后，研究人员试图确定该地区曼氏血吸虫病病因中的重要因素。优势比表明，经常在稻田劳作、用篮子捕鱼以及男性身份在统计学上与曼氏血吸虫感染风险增加有关。显然，在研究地区作为一个新的健康问题出现的曼氏血吸虫病与在稻田劳作密切相关。鼓励稻农在田间劳作时穿齐膝的防水靴可能有助于控制该病。
