厄瓜多尔的雅司病：控制措施对埃斯梅拉达斯省该病的影响。
Yaws in Ecuador: impact of control measures on the disease in the Province of Esmeraldas.
作者信息
Anselmi M, Araujo E, Narváez A, Cooper P J, Guderian R H
机构信息
Salud Primaria Comunitaria, Vicariato Apostólico de Esmeraldas, Ecuador.
出版信息
Genitourin Med. 1995 Dec;71(6):343-6. doi: 10.1136/sti.71.6.343.
OBJECTIVES
To determine the impact of a community-based programme of yaws control in Esmeraldas province in Ecuador.
METHODS
Community health workers provided mass treatment and subsequent surveillance for the detection and treatment of new cases and their contacts over the period 1988 to 1993. Clinical and serological surveys were performed in the study area in 1988 and 1993.
RESULTS
Over the 5 year observation period, the number of communities with active infections had decreased by 75%, from 20 communities in 1988 to 5 in 1993. In 1993, 4 communities were found free of clinical infections as well as latent infections. There was a corresponding decrease of 94.6% in the prevalence of dermal lesions (from 11.2% to 0.6%), and a reduction of 97.3% in latent infections (from 93.6% to 2.5%).
CONCLUSIONS
The control of yaws using existing community-based health workers has proved very effective in Ecuador.
目的
确定厄瓜多尔埃斯梅拉达斯省一项基于社区的雅司病控制项目的影响。
方法
1988年至1993年期间，社区卫生工作者提供群体治疗以及后续监测，以发现和治疗新病例及其接触者。1988年和1993年在研究区域进行了临床和血清学调查。
结果
在5年观察期内，有活动性感染的社区数量减少了75%，从1988年的20个社区降至1993年的5个。1993年，发现4个社区既无临床感染也无潜伏感染。皮肤病变患病率相应下降了94.6%（从11.2%降至0.6%），潜伏感染减少了97.3%（从93.6%降至2.5%）。
结论
在厄瓜多尔，利用现有的社区卫生工作者控制雅司病已证明非常有效。
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