2016-2019年江西省信丰县人群华支睾吸虫病国家监测点人群感染情况分析

doi:10.12140/j.issn.1000-7423.2020.05.006

中国寄生虫学与寄生虫病杂志 ›› 2020, Vol. 38 ›› Issue (5): 561-564.doi: 10.12140/j.issn.1000-7423.2020.05.006

• 江西省示范区专题报道 • 上一篇下一篇

2016-2019年江西省信丰县人群华支睾吸虫病国家监测点人群感染情况分析

袁长红¹(), 蓝明兴¹, 诸廷俊², 王梅¹, 陈喆³, 胡利峰⁴, 黄琪⁵, 姜唯声³^,^*()

1 江西省信丰县疾病预防控制中心,信丰 341600
2 中国疾病预防控制中心寄生虫病预防控制所,国家热带病研究中心,世界卫生组织热带病合作中心、科技部国家级热带病国际联合研究中心,国家卫生健康委员会寄生虫病原与媒介生物学重点实验室,上海 200025
3 江西省寄生虫病防治研究所,江西省血吸虫病预防与控制重点实验室,南昌 330096
4 江西省进贤县血吸虫病防治站,进贤 331799
5 赣州市疾病预防控制中心,赣州 341000

收稿日期:2020-05-12 出版日期:2020-10-30 发布日期:2020-11-12
通讯作者: 姜唯声
作者简介:袁长红（1975-）,男,大学,主治医师,从事疾病预防控制研究。E-mail:yuanchanghong0022@163.com
基金资助:
江西省重点实验室计划项目(2019BCD40006);江西省卫生健康委员会科技计划项目(20152019);江西省卫生健康委员会科技计划项目(20176027);江西省卫生健康委员会科技计划项目(20182003);江西省卫生健康委员会科技计划项目(20203868);江西省卫生健康委员会科技计划项目(20203870)

Analysis on the status of human infection in national surveillance sites for clonorchiasis in Xinfeng County during 2016-2019

YUAN Chang-hong¹(), LAN Ming-xing¹, ZHU Ting-jun², WANG Mei¹, CHEN Zhe³, HU Li-feng⁴, HUANG Qi⁵, JIANG Wei-sheng³^,^*()

1 Xinfeng County Center for Disease Control and Prevention, Xinfeng 341600, China
2 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; WHO Collaborating Center of Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China
3 Jiangxi Provincial Institute of Parasitic Diseases Control, Jiangxi Provincal Key Laboratory of Schistosomiasis Prevention and Control, Nanchang 330096, China
4 Schistosomiasis Control Station of Jinxian County, Nanchang 331799, China
5 Ganzhou City Center for Disease Control and Prevention, Ganzhou 341000, China

Received:2020-05-12 Online:2020-10-30 Published:2020-11-12
Contact: JIANG Wei-sheng
Supported by:
Jiangxi Province Key Lab Project(2019BCD40006);Science Technology Planning Project of Jiangxi Health Department(20152019);Science Technology Planning Project of Jiangxi Health Department(20176027);Science Technology Planning Project of Jiangxi Health Department(20182003);Science Technology Planning Project of Jiangxi Health Department(20203868);Science Technology Planning Project of Jiangxi Health Department(20203870)

摘要/Abstract

摘要：

目的了解江西省信丰县人群华支睾吸虫感染情况,为制订防治策略提供依据。方法在信丰县按地理方位划分东、南、西、北、中等5个片区,每个片区随机抽取1个乡镇的1个村,分别为古陂镇余村、大塘埠镇樟塘村、正平镇正坳村、西牛镇黄泥村和嘉定镇焦坑村作为人群华支睾吸虫感染情况的国家监测点。2016-2019年,每个行政村每年整群抽样3周岁以上常住居民,调查人数不少于200人。采集粪样用改良加藤厚涂片法（一粪二检）检测华支睾吸虫感染情况。在每村受检人群中随机抽查150人以上进行问卷调查,内容包括华支睾吸虫病防治知识、态度和行为。采用χ²检验比较组间率的差异。结果 2016-2019年信丰县国家监测点人群华支睾吸虫感染率分别为9.3%（96/1 027）、8.9%（89/1 005）、5.2%（52/1 000）和6.4%（64/1 002）。2016-2019年最小感染者分别为3、11、26和27岁。男性感染率均高于女性（P < 0.01）。除2016年外,学龄前儿童均无感染,其他文化程度组4年均有感染者。问卷调查结果显示,2016-2019年居民吃“鱼生”的比例分别为14.4%（22/153）、16.6%（25/151）、9.3%（14/150）和18.8%（29/154）。居民听说过华支睾吸虫病的比例,从2016年的13.7%（2/153）上升到2019年的55.8%（86/154）。结论江西省信丰县国家监测点人群华支睾吸虫感染率仍然较高,人群吃“鱼生”的比例4年间维持在一定比例。

关键词: 华支睾吸虫, 监测点, 人群感染, 分析

Abstract:

Objective To understand the prevalence of Clonorchis sinensis infection in Xinfeng County, so as provide scientific basis for formulating control strategies. Methods The Xinfeng County was divided into 5 areas according to the geographical location, and in each area one village was selected from a township to serve as the surveillance site, including Yu Village of Gubei Town, Zhangtang Village of Datangbu Township, Zhengao Village of Zhengping Township, Huangni Village of Xiniu Township, and Jiaokeng Village of Jiading Township. During 2016 to 2019, no less than 200 permanent residents aged 3 years or above were cluster sampled from each administrative village each year for fecal examination using the modified Kato-Katz thick smrar method (two slide reading/one sample) to estimate the status of Clonorchis infection. In addition, no less than 150 examinees were randomly selected for questionnaire survey on the knowledge, attitude and behavior towards clonorchiasis. Comparison of infection rate between groups was analyzed by chi-square test. Results From 2016 to 2019, the infection rate of C. sinensis was 9.3% (96/1 027), 8.9% (89/1 005), 5.2% (52/1 000) and 6.4% (64/1 002), respectively in each year, and the youngest infected people was at the age of 3, 11, 26 and 27 years, respectively. The infection rate in males was higher than that in females (P < 0.01). No infection was found in preschool children except in 2016, while the infection occurred in all other groups of different education levels in all years. The questionnaire survey indicates that from 2016 to 2019, the proportions of residents eating raw fish was 14.4% (22/153), 16.6% (25/151), 9.3% (14/150) and 18.8% (29/154), respectively. The proportion of residents having heard of clonorchiasis increased from 13.7% (2/153) in 2016 to 55.8% (86/154) in 2019. Conclusion The infection rate of C. sinensis remains high in the national surveillance site in Xinfeng County, and the proportion of residents eating raw fish keeps persistent in the four years.

Key words: Clonorchis sinensis, Surveillance site, Human infection, Analysis

中图分类号:

R532.23

袁长红, 蓝明兴, 诸廷俊, 王梅, 陈喆, 胡利峰, 黄琪, 姜唯声. 2016-2019年江西省信丰县人群华支睾吸虫病国家监测点人群感染情况分析[J]. 中国寄生虫学与寄生虫病杂志, 2020, 38(5): 561-564.

YUAN Chang-hong, LAN Ming-xing, ZHU Ting-jun, WANG Mei, CHEN Zhe, HU Li-feng, HUANG Qi, JIANG Wei-sheng. Analysis on the status of human infection in national surveillance sites for clonorchiasis in Xinfeng County during 2016-2019[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2020, 38(5): 561-564.

图/表 2

表1

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村Village	2016		2017		2018		2019
村Village	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)
樟塘Zhangtang	221	33(14.9)	202	25(12.4)	200	35(17.5)	200	26(13.0)
焦坑Jiaokeng	200	49(24.5)	200	56(28.0)	200	17(8.5)	201	33(16.4)
余村Yucun	203	1(0.5)	202	3(1.5)	200	0(0)	201	0(0)
黄泥Huangni	201	3(1.5)	200	1(0.5)	200	0(0)	200	1(0.5)
正坳Zheng’ao	202	9(4.5)	201	4(2.0)	200	0(0)	200	4(2.0)
合计Total	1 027	95(9.3)	1 005	89(8.9)	1 000	52(5.2)	1 002	64(6.4)

特征 Features	2016		2017		2018		2019
特征 Features	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)	检查人数 No. examined	阳性人数（阳性率/%） No. positive(Positive rate/%)
年龄组Age group
<10	155	7(4.5)	231	0(0)	127	0(0)	112	0(0)
10~19	102	11(10.8)	95	6(6.3)	109	0(0)	106	0(0)
20~29	72	9(12.5)	66	5(7.6)	94	2(2.1)	96	3(3.1)
30~39	86	10(11.6)	54	7(13.0)	70	4(5.7)	84	7(8.3)
40~49	174	16(9.2)	164	17(10.4)	181	8(4.4)	178	18(10.1)
50~59	198	21(10.6)	163	24(14.7)	177	17(9.6)	157	17(10.8)
60~69	142	17(12.0)	144	18(12.5)	139	15(10.8)	170	14(8.2)
70~79	98	4(4.1)	88	12(13.6)	103	6(5.8)	99	5(5.1)
性别Gender
男Male	483	58(12.0)	503	62(12.3)	488	33(6.8)	504	42(8.8)
女Female	544	37(6.8)	502	27(5.4)	512	19(3.7)	498	22(4.4)
文化程度Education
文盲Illiteracy	112	6(5.4)	148	18(12.2)	93	5(5.4)	125	4(3.2)
学龄儿童 Preschool children	69	4(5.8)	37	0(0)	19	0(0)	27	0(0)
小学 Primary school	443	27(6.1)	473	27(5.7)	455	24(5.3)	416	24(5.8)
中学 Junior high school	387	52(13.4)	328	44(13.4)	415	22(5.3)	422	34(8.1)
大学University	16	6/16	17	0/17	18	1/18	12	2/12

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2016-2019年江西省信丰县人群华支睾吸虫病国家监测点人群感染情况分析

Analysis on the status of human infection in national surveillance sites for clonorchiasis in Xinfeng County during 2016-2019

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