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韩国人畜共患绦虫的公共卫生意义。

Public health significance of zoonotic tapeworms in Korea.

作者信息

Moon J R

出版信息

Int J Zoonoses. 1976 Jun;3(1):1-18.

PMID:977229
Abstract

Through an epidemiological review on the zoonotic tapeworms in Korea, the frequency and severity of the zoonoses have been recognized. Taeniasis and human cysticercosis are of importance to the public health in Korea. The frequency of taeniasis is 0.3% to 12.7% discovered by stool examination and 4.5% to 38.0% discovered by questionaire survey. Taeniasis occurs more frequently in males than in females and, especially, in both sexes in the age-group of 20 to 49. T. saginata is more common that T. solium. No case of human cysticercosis caused by T.saginata has been reported in Korea. To the contrary, human cysticercosis caused by T. solium has been reported frequently during the 1960's. The severity of human cysticercosis is a significant problem of public health in Korea. Old data on bovine cysticercosis in the 1920's and 1930's are not useful for present control measures. Systematic surveys on bovine and swine cysticercosis as well as taeniasis and human cysticercosis are needed in Korea. Cases of sparganosis have been reported frequently during the past 15 years. Most of the 34 cases of sparganosis reported involved the eating of raw snakes and frogs. Most of the cases occurred in older males. Sparganosis in snakes, frogs, chickens, and swine has been reported in Korea. Human infection of Hymenolepis nana ranged from 0.2% to 1.4% discovered by stool examination. A few cases of adult worm collections of Diphyllobothrium latum and Hymenolepis diminuta have been reported in Korea. Two cases of human hydatid disease have been reported in Korea. No study on the disease in domestic animals is available. No case of human infection with dog tapeworm has been reported, even though it is highly prevalent in the indigenous dogs in Korea. I recommend that further study on the zoonotic tapeworms be conducted epidemiologically in Korea to get basic data for the public health programming.

摘要

通过对韩国人畜共患绦虫病的流行病学回顾,已认识到这些人畜共患病的发生频率和严重程度。牛带绦虫病和人体囊尾蚴病对韩国的公共卫生具有重要意义。通过粪便检查发现牛带绦虫病的发生率为0.3%至12.7%,通过问卷调查发现的发生率为4.5%至38.0%。牛带绦虫病在男性中的发生率高于女性,尤其是在20至49岁年龄组的两性中。牛带绦虫比猪带绦虫更常见。韩国尚未报告由牛带绦虫引起的人体囊尾蚴病病例。相反,在20世纪60年代期间,经常报告由猪带绦虫引起的人体囊尾蚴病。人体囊尾蚴病的严重程度是韩国公共卫生的一个重大问题。20世纪20年代和30年代关于牛囊尾蚴病的旧数据对目前的控制措施没有用处。韩国需要对牛和猪的囊尾蚴病以及牛带绦虫病和人体囊尾蚴病进行系统调查。在过去15年中,经常报告裂头蚴病病例。报告的34例裂头蚴病病例中,大多数涉及食用生蛇和青蛙。大多数病例发生在老年男性中。韩国已报告蛇、青蛙、鸡和猪体内有裂头蚴。通过粪便检查发现人体微小膜壳绦虫感染率为0.2%至1.4%。韩国已报告少数阔节裂头绦虫和缩小膜壳绦虫成虫采集病例。韩国已报告2例人体包虫病病例。尚无关于家畜中该病的研究。尽管犬复孔绦虫在韩国本土犬中高度流行,但尚未报告人体感染病例。我建议在韩国对人畜共患绦虫病进行进一步的流行病学研究,以获取公共卫生规划的基础数据。

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