Serra I, Araya C, Araneda J
Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1993 Mar;121(3):343-9.
The aim of this work was to analyze the possible impact of livestock echinococcosis control programs in the XI and XII regions of Chile, on the incidence of human echinococcosis. National morbidity was stable until 1984, with an abrupt and important decrease afterwards. Mortality showed a slight tendency to decrease during this period. There was an increase in lethality, that was equivalent and contemporary to the communicated decrease in morbidity after 1985. It is concluded that the national and regional decrease in the communicated cases of echinococcosis is due to a decrease in the notification of the disease. This problem was originated in administrative decisions of the Ministry of Health in 1985, whose effects persist. An instrument to correct retrospectively this low notification is proposed.
这项工作的目的是分析智利第十一和十二地区家畜棘球蚴病控制项目对人类棘球蚴病发病率可能产生的影响。直到1984年全国发病率一直稳定，之后出现了急剧且显著的下降。在此期间死亡率呈轻微下降趋势。致死率有所上升，这与1985年后通报的发病率下降相当且同步。得出的结论是，棘球蚴病通报病例数在全国和地区的减少是由于该病通报率的下降。这个问题源于1985年卫生部的行政决定，其影响一直持续。本文提出了一种追溯纠正这种低通报率的手段。
