Jalil M Q, Mia M J, Ali S M
National Centre for control of Rheumatic Fever and Heart Diseases, Sher-e-Bangla Nagar, Dhaka.
Bangladesh Med Res Counc Bull. 1997 Apr;23(1):34-7.
A cross sectional survey was carried out to detect prevalence of cretinism in two rural areas of Bangladesh (one hyperendemic and the other non-endemic area). The size of the study population was four thousand five hundred and nine, the age ranged from 2 to 45 years. The prevalence of cretinism was 0.6% in the hyperendemic area, while there were no case of cretinism in the non-endemic zone. Of the 27 cretins, 18 (67%) were of the neurological type and 9 (33%) of mixed type. Males were more likely to be affected than females (p < 0.05). Cretinism was more prevalent in the 2-9 years age group. The hyperendemic area was deficient of iodine in food and the cretins were underweight. These observations call for a need for coordinated public health actions to control this serious problem.
在孟加拉国的两个农村地区(一个是高度流行区,另一个是非流行区)开展了一项横断面调查,以检测克汀病的患病率。研究人群规模为4509人,年龄范围在2至45岁之间。高度流行区克汀病的患病率为0.6%,而非流行区未发现克汀病病例。在27名克汀病患者中,18名(67%)为神经型,9名(33%)为混合型。男性比女性更容易受到影响(p<0.05)。克汀病在2至9岁年龄组中更为普遍。高度流行区食物缺碘,克汀病患者体重不足。这些观察结果表明需要采取协调一致的公共卫生行动来控制这一严重问题。