四川省棘球蚴病从流行走向基本控制的专题报道

四川省非流行县棘球蚴病报告病例分析

  • 姚人新 ,
  • 王谦 ,
  • 廖沙 ,
  • 张光葭 ,
  • 黄燕 ,
  • 喻文杰 ,
  • 何伟 ,
  • 王奇 ,
  • 李汭芮 ,
  • 杨柳
展开
  • 四川省疾病预防控制中心,成都 610041
姚人新(1990-),女,本科,初级医师,从事棘球蚴病防治研究。E-mail: 448312730@qq.com
*王谦,E-mail: 2781958232@qq.com

收稿日期: 2021-01-04

  修回日期: 2021-03-01

  网络出版日期: 2021-04-30

基金资助

四川省科技计划(2018SZ0116)(2018SZ0116)

Analysis of echinococcosis cases reported in non-endemic counties of Sichuan Province

  • Ren-xin YAO ,
  • Qian WANG ,
  • Sha LIAO ,
  • Guang-jia ZHANG ,
  • Yan HUANG ,
  • Wen-jie YU ,
  • Wei HE ,
  • Qi WANG ,
  • Rui-rui LI ,
  • Liu YANG
Expand
  • Sichuan Center for Disease Control and Prevention, Chengdu 610041, China

Received date: 2021-01-04

  Revised date: 2021-03-01

  Online published: 2021-04-30

Supported by

Sichuan Science and Technology Project(2018SZ0116)

摘要

目的 了解四川省非流行县棘球蚴病报告病例的人群分布情况及流行病学特点。 方法 收集2015—2019年四川省非流行县(市、区)常住人口中棘球蚴病报告病例的基本信息、病例类型及流行病学史,用WPS Excel 2019软件创建数据库,并对流行情况进行分析。 结果 收集2015—2019年四川省148个非流行县棘球蚴病报告病例共计165例,分布于14个市(州)的57个县(区)。2016年报告病例数最多,为40例,随后逐年减少。病例数以成都市最多,为61例(占37.0%)。来自乡(镇)的报告病例数为114例(占69.1%)。各年龄组人群均有发病,41~60岁年龄组报告病例数占比最高,为52.7%(87/165)。男性103例,女性62例,男女性别比为1.7 ∶ 1。职业分布以农民和工人报告病例数较多,分别为58例和28例,占52.1%(86/165)。报告病例中细粒棘球蚴病和多房棘球蚴病病例数分别为55例(占33.3%)和34例(占20.6%),未分型76例。在追踪到的119例病例中,62.2%(74/119)有棘球蚴病流行区到访史;其中29例到访过四川本省流行县,到访四川省外流行区最多的地区为新疆(20例)和西藏(15例)。 结论 2015—2019年四川省非流行县棘球蚴病报告病例主要来自成都市、乡(镇)、男性、41~60岁年龄组、农民等人群,大部分有新疆、西藏等棘球蚴病流行区到访史。

本文引用格式

姚人新 , 王谦 , 廖沙 , 张光葭 , 黄燕 , 喻文杰 , 何伟 , 王奇 , 李汭芮 , 杨柳 . 四川省非流行县棘球蚴病报告病例分析[J]. 中国寄生虫学与寄生虫病杂志, 2021 , 39(2) : 166 -170 . DOI: 10.12140/j.issn.1000-7423.2021.02.007

Abstract

Objective To understand the epidemic distribution and epidemiological characteristics of reported cases in non-endemic counties of Sichuan Province. Methods The basic information, disease type and epidemiological history of the reported cases in non-endemic counties (cities/districts) of Sichuan Province from 2015 to 2019 were collected. WPS Excel 2019 software was used to establish a database, and the prevalence was analyzed. Results A total of 165 cases of echinococcosis were reported from 148 non-endemic counties in Sichuan Province from 2015 to 2019, which were distributed in 57 counties (districts) of 14 cities (prefectures). The number of cases was highest in 2016 (40 cases), and decreased thereafter. The number of reported cases in Chengdu was the highest (61 cases, 37.0%). There were 114 cases (69.1%) from villages and towns. The cases were reported in all age groups, with the highest proportion(52.7%) in the 41-60 years group (87/165). There were 103 males and 62 females, with a male-to-female ratio of 1.7 ∶ 1. The occupation distribution showed that the number of cases was higher in farmers and workers (58 and 28 cases), accounting for 52.1% (86/165). The numbers of cases of cystic and alveolar echinococcosis was 55 and 34, respectively, and the type of 76 cases was not classified. Of the 119 cases traced, 62.2% (74/119) had visited endemic areas of echinococcosis. Among them, 29 cases had visited endemic counties in Sichuan Province, and the most visited endemic areas outside Sichuan Province were Xinjiang (20 cases) and Tibet (15 cases). Conclusion The cases reported in the non-endemic counties of Sichuan Province from 2015 to 2019 were mostly from Chengdu City, townships, males, age group 41-60 years, and farmers, and most of them had visited the endemic areas of echinococcosis in Xinjiang and Tibet.

参考文献

[1] Wang Q, Yang L, Wang YF, et al. Disease burden of echinococcosis in Tibetan communities: a significant public health issue in an underdeveloped region of Western China[J]. Acta Trop, 2020,203:105283.
[2] Shang JY, Zhang GJ, Yu WJ, et al. Advances in researches on the genetic diversity of Echinococcus multilocularis[J]. Chin J Parasitol Parasit Dis, 2020,38(5):637-641, 646. (in Chinese)
[2] ( 尚婧晔, 张光葭, 喻文杰, 等. 多房棘球绦虫遗传多态性研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2020,38(5):637-641, 646.)
[3] Wang Q, Chen F, Zhang GJ, et al. A study on the transmission dynamics of some echinococcosis in Sichuan, Qinghai-Tibet Plateau[J]. Chin Animal Health, 19(7):19-22. (in Chinese)
[3] ( 王谦, 陈凡, 张光葭, 等. 青藏高原四川部分包虫病传播动力学的研究[J]. 中国动物保健, 2017,19(7):19-22.)
[4] He W, Wang Q, Huang Y, et al. Analysis of the incidence of echinococcosis (hydatidosis) in areas of Sichuan Province from 2007 to 2012[J]. J Pathog Biol, 2014,9(1):68-70, 91. (in Chinese)
[4] ( 何伟, 王谦, 黄燕, 等. 2007—2012年四川省包虫病流行区网络直报疫情分析[J]. 中国病原生物学杂志, 2014,9(1):68-70, 91.)
[5] Huang Y, Wang Q, Yi DY, et al. Prevelance investigation and evaluation of human echinococcosis in Sichuan Province[J]. J Prev Med Inf, 2012,28(8):594-597. (in Chinese)
[5] ( 黄燕, 王谦, 易德友, 等. 四川省棘球蚴病患病情况调查及评估[J]. 预防医学情报杂志, 2012,28(8):594-597.)
[6] Han S, Wu WP, Xue CZ. Analysis of echinococcosis cases from non-endemic areas of China in 2017[J]. J Pathog Biol, 2019,14(8):901-904, 909. (in Chinese)
[6] ( 韩帅, 伍卫平, 薛垂召. 2017年全国棘球蚴病非流行区报告病例分析[J]. 中国病原生物学杂志, 2019,14(8):901-904, 909.)
[7] Maimaitijiang W, Adili S, Yisilayin W, et al. Epidemiological survey of echinococcosis in Xinjiang Uygur Autonomous Region in 2012[J]. Chin J Parasitol Parasit Dis, 2016,34(3):249-254. (in Chinese)
[7] ( 买买提江·吾买尔, 阿迪力·司马义, 伊斯拉音·乌斯曼, 等. 2012年新疆维吾尔自治区人群棘球蚴病流行病学调查[J]. 中国寄生虫学与寄生虫病杂志, 2016,34(3):249-254.)
[8] Bianba ZM, Li B, Chen WQ, et al. Current prevalence of echinococcosis in Shigatse City[J]. Chin J Parasitol Parasit Dis, 2018,36(1):80-86. (in Chinese)
[8] ( 边巴卓玛, 李斌, 陈伟奇, 等. 日喀则市棘球蚴病流行现状分析[J]. 中国寄生虫学与寄生虫病杂志, 2018,36(1):80-86.)
[9] Zhang JX, Ma X, Liu YF, et al. Endemic situation and distribution of echinococcosis in Qinghai Province in China[J]. Chin J Parasitol Parasit Dis, 2017,35(5):460-465. (in Chinese)
[9] ( 张静宵, 马霄, 刘玉芳, 等. 青海省棘球蚴病流行与分布情况调查[J]. 中国寄生虫学与寄生虫病杂志, 2017,35(5):460-465.)
[10] Li BF, Wu FW, Yan XL, et al. Epidemiological analysis of echinococcosis in Yunnan Province from 2012 to 2017[J]. Chin J Parasitol Parasit Dis, 2019,37(5):576-582. (in Chinese)
[10] ( 李奔福, 吴方伟, 严信留, 等. 2012—2017年云南省棘球蚴病流行病学分析[J]. 中国寄生虫学与寄生虫病杂志, 2019,37(5):576-582.)
[11] Wang Q, Qiu JM, Schantz P, et al. Investigation of risk factors for development of human hydatidosis among households raising livestock in Tibetan areas of western Sichuan Province (English)[J]. Chin J Parasitol Parasit Dis, 2001,19(2):31-34.
[11] ( 王谦, 邱加闽, Schantz P, 等. 四川省西部藏区家庭饲养牲畜人群包虫病风险因素的调查(英文)[J]. 中国寄生虫学与寄生虫病杂志, 2001,19(2):31-34.)
[12] Zhong B, Wang Q. Comprehensive prevention and treatment of echinococcosis, helping Shiqu to achieve prosperity[J]. Mod Prev Med, 2020,47(24):4417-4421. (in Chinese)
[12] ( 钟波, 王谦. 综合防治包虫病,助力石渠奔小康[J]. 现代预防医学, 2020,47(24):4417-4421.)
[13] Li RR, Yu WJ, Wang Q, et al. Dynamic observation of the ultrasonography imaging of hepatic echinococcosis patients[J]. J Prev Med Inf, 2018,34(11):1374-1383. (in Chinese)
[13] ( 李汭芮, 喻文杰, 王谦, 等. 肝包虫病患者超声影像动态观察[J]. 预防医学情报杂志, 2018,34(11):1374-1383.)
文章导航

/

〈 〉