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Prevalence of the soil-transmitted nematode infections in the national surveillance site in Zhangzhou City from 2016 to 2020

  • XIE Xian-liang ,
  • CHEN Yun-hong ,
  • JIANG Dian-wei ,
  • GAO Lan-lin ,
  • ZHENG Dan ,
  • ZHANG Zhi-kui ,
  • WEI Mei-xian ,
  • XIE Han-guo
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  • 1. Fujian Center for Disease Control and Prevention (Priority Laboratory for Zoonoses Research of Fujian), Fuzhou 350001, China
    2. Xiangcheng District Center for Disease Control and Prevention, Zhangzhou 363005, China

Received date: 2021-08-17

  Revised date: 2021-09-30

  Online published: 2022-09-07

Supported by

National Parasite Research Bank(2019-194-30);Science and the Technology Innovation Platform Construction Project of Fujian Province(2019Y2001)

Abstract

To analyze the prevalence and epidemic trend of soil-transmitted nematode infection at a national surveillance site of Xiangcheng District in Zhangzhou City from 2016 to 2020. Tianbao Village and Dazhai Village in Tianbao Town, Punan Village and Pulin Village in Punan Town, and Gaokeng Village in Shiting Town were selected as the survey sites in Xiangcheng District. No less than 200 permanent residents aged 3-years or above were selected from each administrative village. Fecal samples were collected from the residents recruited in the study and were examined for soil-transmitted nematode eggs (two slide-reading per sample) using the modified Kato-Katz thick smear method. The cellophane tape method was used to detect the eggs of Enterobius vermicularis in children aged 3-9 years. For individuals with hookworm infection, the test-tube filter paper incubation method was used to culture hookworms and identify the species of hookworms. Five households were randomly selected from each village, and one soil sample from the field or vegetable garden was collected for each household to check for Ascaris eggs and hookworms. From 2016 to 2020, a total of 5 309 local residents were tested, and the total infection rate was 3.0% (159/5 309). The infection rates of hookworm and Trichuris trichiura were 2.9% (154/5 309) and 0.1% (5/5 309), respectively. No A. lumbricoides infection was found. Six hundred twenty-five children aged 3-9 were examined, and the E. vermicularis infection rate was 27.8% (174/625). The infection rates for males and females were 3.7% (96/2 608) and 2.3% (63/2 701), respectively. The difference was statistically significant (χ2 = 8.31, P < 0.01). The highest infection rate was 7.3% (79/1 077) in ≥ 65 years age group with a statistically significant difference between the age groups (χ2 = 123.51, P < 0.01). The infection rate was higher among farmers, with 3.6% (157/4 325) than in other occupations. The difference was statistically significant (χ2 = 32.95, P < 0.01). The highest infection rate was in illiterate and semi-literate residents 10.1% (79/781) with statistically significant difference between the educational levels (χ2 = 171.18, P < 0.01). The total infection rates of soil-derived nematodes between 2016 and 2020 were 3.9% (44/1 126), 1.0% (11/1 104), 7.6% (78/1 029), 0.9% (9/1 013) and 1.6% (17/1 037), respectively. The infection rates of E. vermicularis in children were 34.0% (33/97), 28.4% (27/95), 30.9% (30/97), 30.9% (46/149) and 20.3% (38/187), respectively. The infection rates of hookworm were 3.6% (41/1 126), 1.0% (11/1 104), 7.4% (76/1 029), 0.9% (9/1 013) and 1.6% (17/1 037), respectively. There were significant differences in the total infection rate and hookworm infection rate among different years (χ2 = 114.90, 110.32; P < 0.01). T. trichiura infections were only found in 2016 and 2018. The infection rates were 0.3% (3/1 126) and 0.2% (2/1 029), respectively. The majority of the hookworm infected cases had a mild infection, accounting for 98.1% (151/154). All T. trichiura infected cases were mild infections (5/5). From 2016 to 2020, a total of 115 soil samples were collected. The positive rate of hookworm larvae was 8.7% (10/115), and all were identified to be Necator americanus. No human Ascaris eggs were detected. The positive soils were all from vegetable gardens. From 2016 to 2019, the infection rate of soil-transmitted nematodes in the rural population in Xiangcheng District showed a significant decrease. The E. vermicularis infection in children still remains at high level, and monitoring and prevention should continue to be strengthened.

Cite this article

XIE Xian-liang , CHEN Yun-hong , JIANG Dian-wei , GAO Lan-lin , ZHENG Dan , ZHANG Zhi-kui , WEI Mei-xian , XIE Han-guo . Prevalence of the soil-transmitted nematode infections in the national surveillance site in Zhangzhou City from 2016 to 2020[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2022 , 40(4) : 545 -548 . DOI: 10.12140/j.issn.1000-7423.2022.04.020

References

[1] Wei MX, Zhang ZK, Zhou JR, et al. Analysis on surveillance of soil-transmitted nematodiasis in national surveillance site in Xiangcheng District of Zhangzhou during the period of 2006—2010[J]. Pract Prev Med, 2011, 18(8): 1433-1435. (in Chinese)
  ( 魏美, 张志魁, 周俊仁, 等. 2006—2010年漳州市芗城区土源性线虫病国家级监测点监测情况分析[J]. 实用预防医学, 2011, 18(8): 1433-1435.)
[2] Zhang ZK, Wei MX, Zhou JR, et al. Surveillance of soil-transmitted nematode infections in populations living in rural areas of Xiangcheng District in Zhangzhou City during 2011—2015[J]. Chin J Parasitol Parasit Dis, 2017, 35(5): 456-459, 465. (in Chinese)
  ( 张志魁, 魏美羡, 周俊仁, 等. 2011—2015年漳州市芗城区农村人群土源性线虫感染国家级监测点监测情况分析[J]. 中国寄生虫学与寄生虫病杂志, 2017, 35(5): 456-459, 465.)
[3] Li YM, Zhao BF, Li W. Influence factor analysis of intestinal parasite infection in population[J]. Chin Prim Health Care, 2001, 15(5): 20-21. (in Chinese)
  ( 李玉民, 赵宝福, 李文. 人群感染肠道寄生虫影响因素分析[J]. 中国初级卫生保健, 2001, 15(5): 20-21.)
[4] Zhang WP, Liu MX, Yin WH, et al. Evaluation of a long term effect on improving drinking water and lavatories in rural areas for prevention of diseases[J]. Chin J Dis Control Prev, 2000, 4(1): 76-78. (in Chinese)
  ( 张文平, 刘明欣, 尹文和, 等. 农村改水改厕远期卫生防病效果评价[J]. 中华疾病控制杂志, 2000, 4(1): 76-78.)
[5] Zhang Q, Chen YD, Xu LQ, et al. Effect of control on infections of soil-transmitted helminthes in demonstration plots of China for 3 years[J]. Chin J Schisto Control, 2011, 23(5): 476-482. (in Chinese)
  ( 张倩, 陈颖丹, 许隆祺, 等. 我国土源性线虫病综合防治示范区3年防治效果[J]. 中国血吸虫病防治杂志, 2011, 23(5): 476-482.)
[6] Zhang ZK, Wei MX, Zhou JR, et al. Hookworm disease in Punan Village of Xiangcheng District of Zhangzhou[J]. J Trop Med, 2011, 11(9): 1060-1061, 1072. (in Chinese)
  ( 张志魁, 魏美羡, 周俊仁, 等. 漳州市芗城区浦南村人群钩虫病调查[J]. 热带医学杂志, 2011, 11(9): 1060-1061, 1072.)
[7] Zhang ZK, Wei MX, Wu YJ, et al. Analysis on soil-transmitted parasites in 3 years in Xiangcheng District in Zhangzhou[J]. Strait J Prev Med, 2009, 15(6): 42-43. (in Chinese)
  ( 张志魁, 魏美羡, 吴月娇, 等. 漳州市芗城区土源性线虫监测点3年监测结果报告[J]. 海峡预防医学杂志, 2009, 15(6): 42-43.)
[8] Chen BJ, Xie HG, Zhang RY, et al. Survey of common human parasite infections in Fujian Province in 2015[J]. Chin J Parasitol Parasit Dis, 2019, 37(1): 1-6. (in Chinese)
  ( 陈宝建, 谢汉国, 张榕燕, 等. 2015年福建省人体重点寄生虫感染现状调查[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(1): 1-6.)
[9] Li LS, Chen BJ, Zhang RY, et al. Prevalent trend of the infection of soil-transmitted nematodes in Fujian Province[J]. Chin J Parasitol Parasit Dis, 2012, 30(2): 95-99. (in Chinese)
  ( 李莉莎, 陈宝建, 张榕燕, 等. 福建省土源性线虫感染流行现状分析[J]. 中国寄生虫学与寄生虫病杂志, 2012, 30(2): 95-99.)
[10] Chen BJ, Li LS, Zhang RY, et al. Surveillance on the prevalence of soil-transmitted nematode infection in Fujian in 2006—2010[J]. Chin J Parasitol Parasit Dis, 2012, 30(1): 52-55. (in Chinese)
  ( 陈宝建, 李莉莎, 张榕燕, 等. 福建省2006—2010年土源性线虫感染的监测[J]. 中国寄生虫学与寄生虫病杂志, 2012, 30(1): 52-55.)
[11] Chen BJ, Li LS, Li YR. Investigation on Enterobius vermicularis infection in children of Xiamen and Zhangzhou[J]. Int J Med Parasit Dis, 2015, 42(4): 208-210. (in Chinese)
  ( 陈宝建, 李莉莎, 李燕榕. 厦门、漳州2市11县(区)儿童蛲虫感染情况调查[J]. 国际医学寄生虫病杂志, 2015, 42(4): 208-210.)
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