Zavoĭkin V D, Pavlikovskaia T N, Sholokhova S E, Kravchenko V K, Romanenko A F, Zelia O P, Shapoval V F, Stepan'ko N M, Gorbenko N V
Med Parazitol (Mosk). 1993 Mar-Apr(2):5-7.
The authors assess the epidemiologic efficacy of wide-scale antiopisthorchiasis measures taken in the basin of the Dnepr River in 1984-1990. The structure of the population morbidity and the time course of this morbidity under the effect of a complex of measures taken were analyzed in low-, medium, and highly-endemic foci of the disease. Hygienic education and adequate detection and treatment of the invaded subjects were found to be the principal factors contributing to sanitation of the population. These measures are the most effective in subjects aged under 40, in whom the share of cured subjects is the highest and reinvasions are the least frequent. Health education detection and chloxyl treatment of the patients helped reduce more than twofold the disease incidence over 5 years even in highly endemic foci and permitted complete sanitation of the children.
作者评估了1984 - 1990年在第聂伯河流域采取的大规模抗 opisthorchiasis 措施的流行病学效果。在该疾病的低、中、高流行区,分析了采取一系列措施后人群发病率的结构及其随时间的变化过程。结果发现,卫生教育以及对感染者进行充分检测和治疗是促进人群卫生状况改善的主要因素。这些措施在40岁以下人群中最为有效,该年龄段治愈者比例最高,再次感染频率最低。对患者进行健康教育、检测和氯氧喹治疗,即使在高流行区,也有助于在5年内将发病率降低两倍多,并使儿童完全实现卫生达标。