热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (1): 6-9,31.

• 论著 • 上一篇    下一篇

2010-2019年内蒙古自治区棘球蚴病流行特征及防治效果分析

王玉莹1,2,姜晓峰2,郝慧霞3,宋健2,郭卫东2,宋壮志2   

  1. 1.内蒙古科技大学包头医学院公共卫生学院,内蒙古包头014040;2. 内蒙古综合疾病预防控制中心;3. 内蒙古呼和浩特市第二医院
  • 出版日期:2021-02-20 发布日期:2021-02-04
  • 通信作者: 郭卫东,E-mail:gwd.com@126.com;宋壮志,E-mail:1783311486@qq.com
  • 作者简介:王玉莹,女,硕士在读,研究方向:传染病预防与控制。E-mail:wangyuying00@163.com;姜晓峰,男,硕士,副主任医师,研究方向:传染病预防与控制。E-mail:117826929@qq.com 王玉莹、姜晓峰同为第一作者
  • 基金资助:
    内蒙古自治区卫生计生委卫生计生科研计划项目(201701034);“十三五”国家科技重大专项“一带一路”重要传染病流行规律和预警应对技术研究(2018ZX10101002-001-009)

Analysis on the epidemiological characteristics and control effect of echinococcosis in Inner Mongolia Autonomous Region from 2010 to 2019#br#

WANG Yu-ying1 2 ,JIANG Xiao-feng2 ,HAO Hui-xia3 ,SONG Jian2 ,GUO Wei-dong2 ,SONG Zhuang-zhi2   

  1. 1 School of Public Health Baotou Medical College Inner Mongolia University of Science and Technology ,Baotou 014040, Inner Mongolia Autonomous Region ,China;2 Inner Mongolia Integrated Center for Disease Control and Prevention;3 No 2 Hospital of Huhhot Inner Mongolia
  • Online:2021-02-20 Published:2021-02-04

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摘要： 目的 了解2010-2019年棘球蚴病流行情况及防治效果,为今后防治工作提供参考依据。方法 对2010-2019年内蒙古自治区棘球蚴病防治监测数据进行统计分析。结果 2010-2019年,内蒙古自治区筛查661 501人,检出棘球蚴患者465例,检出率总体呈下降态势,年度变化态势差异有统计学意义(APC=-30.9%,P <0.05)。检出患者均为囊型棘球蚴病患者,病例集中在扎鲁特旗、新巴尔虎右旗和西乌珠穆沁旗。检测犬粪205 039份,检出犬粪棘球绦虫抗原阳性2 950份,总体感染率呈明显下降态势(APC=-21.2%,P <0.05),2019年较2010年下 降了89.3%。2010-2019年犬驱虫数与犬感染率呈负相关(r=-0.651,P <0.05)。检查羊158 776只,患病1 691只,整体呈现先上升后下降的态势。2015年中间宿主(羊)患病率最高达到3.28%。结论 通过开展棘球蚴病综合防治工作,内蒙古自治区棘球蚴病人群筛查阳性率、犬感染率和家畜患病率呈现出下降态势,防治取得了较好的效果,提前实现国家2020年规划目标。

关键词: 棘球蚴病, 流行特征, 防治效果, 内蒙古自治区

Abstract: Objective To understand the epidemic status and control effect of echinococcosis from 2010 to 2019,and evaluate the existing prevention and control measures for reference in following prevention and control of this parasitic disease.Methods The surveillance data of echinococcosis prevention and control in Inner Mongolia Autonomous Region were obtained and analyzed from 2010 to 2019.Results Totally,465 cases of echinococcosis were identified in the 661 501 people undergone screening between 2010 and 2019 in the Inner Mongolia Autonomous Region. The detection rate showed an overall downward trend,and the annual trend was statistically significant (APC =-30.9%,P <0.05).All detected cases were associated with cystic echinocccosis,and primarily found in Zhalute Banner,New Barag Right Banner and West Ujimqin Banner.Of the 205 039 aliquots of dog feces detected,2 950 were positive for Echinococcus faecalis antigen.The overall infection rate showed a significant downward trend (APC = - 21.2%,P <0.05),and was decreased by 89.3% in 2019 compared to 2010.Infection was found in 1 691 out of the 158 776 sheep undergone detection,which showed a trend of rising first and then falling.In 2015,prevalence of echinocccosis in intermediate host (sheep) was as high as 3.28%.Conclusion By the comprehensive prevention and control of echinococcosis,the positive rate screened in human,infection rate of dogs and the prevalence rate of domestic animals tend to decline in Inner Mongolia Autonomous Region,which suggests that we have achieved the national target in 2020 in advance,and our prevention and control measures have produced better results.

Key words: Echinococcosis, Epidemiological Characteristic, Control effect , Inner Mongolia , Autonomous Region

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