热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (3): 143-145,159.

• 论著 • 上一篇    下一篇

2016—2020 年上海市土源性线虫病和重点食源性寄生虫病调查分析

戴思敏,马晓疆,张耀光,王真瑜,朱民,张宸罡,周毅彬,潘浩,吴寰宇   

  1. 上海市疾病预防控制中心
  • 出版日期:2021-06-20 发布日期:2021-07-13
  • 通信作者: 马晓疆,E-mail:maxiaojiang@scdc.sh.cn
  • 作者简介:戴思敏,女,硕士,研究实习员,研究方向:热带病与流行病学。E-mail:simindai@sina.com
  • 基金资助:
    上海市第五轮公共卫生体系建设三年行动计划重点学科项目(GWV-10. 1-XK13)

Investigation and analysis on soil-transmitted nematode diseases and key food-borne parasitic diseases in Shanghai Municipality from 2016 to 2020

DAI Si-min,MA Xiao-jiang,ZHANG Yao-guang,WANG Zhen-yu,ZHU Min,ZHANG Chen-gang,ZHOU Yi-bin,PAN Hao,WU Huan-yu   

  1. Shanghai Municipal Center for Disease Control and Prevention
  • Online:2021-06-20 Published:2021-07-13
  • Contact: MA Xiao-jiang,E-mail:maxiaojiang@scdc.sh.cn

摘要:

目的 分析上海市2016—2020 年土源性线虫病和重点食源性寄生虫病的调查结果,为制定全市防治策略提供科学依据。方法 以分层整群抽样的方法开展土源性线虫病的固定监测和流动监测以及华支睾吸虫病的流动监测,采用改良加藤厚涂片法检查土源性线虫虫卵和华支睾吸虫虫卵;通过医院信息系统收集食源性寄生虫病住院病例信息,开展病例回顾性调查。结果 2016—2020 年华支睾吸虫流动监测点共计调查5 106 人,未发现阳性病例。2016—2020 年共开展土源性线虫监测24 843 人·次,其中2016 年调查6 240 人,发现土源性线虫感染7 人(蛔虫5 人、鞭虫2 人,钩虫及蛲虫未检出),感染率为0. 11%;其他年度均未发现感染。通过医院信息系统共收集138
例食源性寄生虫病住院病例,其中华支睾吸虫病占30. 43%(42/138),并殖吸虫病占25. 36%(35/138)。现居住地在上海的病例为57 例(41. 30%);现居住地在外省的病例81 例(58. 70%),其中浙江、安徽、江苏和江西占所有外省市病例总数的60. 50%。结论 上海市土源性线虫感染率已降到较低水平,可逐步开展传播阻断的考核,同时应加强食源性寄生虫病监测和相关食品卫生安全管理。

关键词: 食源性寄生虫病, 土源性线虫病, 监测, 上海市

Abstract:

Objective To analyze the surveillance results of soil-transmitted nematode diseases and key food-borne parasitic diseases in Shanghai between 2016 and 2020 for scientific basis to formulate prevention and control strategies on a city-level.Methods By stratified clustering sampling technique,we conducted a series of monitoring over the prevalence of soiltransmitted nematode diseases at regular and non-regular surveillance sites, clonorchiasis by moving observation in Shanghai area. Modified Kato-Katz thick smear technique was applied to detecting the eggs of soil-transmitted nematodes and Clonorchis sinensis. The surveillance results of food-borne parasitic diseases were retrospectively analyzed in this study based on the cases reported through hospital information system. Results No positive cases were found in a total of 5 106 people from the mobile surveillance sites undergone clonorchiasis screening between 2016 and 2020. Also from 2016 to 2020,a total of 24 843 people/ person-times in regular and mobile surveillance sites received detection of the soil-transmitted nematode diseases. An investigation conducted in 2016 revealed infection with soil-transmitted nematode diseases in 7 out of the 6 240 people(including roundworm in 5;whipworm in 2;no hookworm and pinworm were found). The infection rate of 2016 was 0. 11%,and no infection was found in other years.Totally,138 hospitalized cases of food-borne parasitic diseases were obtained through hospital information reporting system. Clonorchiasis and paragonimiasis infection accounted for 30. 43% (42/138) and 25. 36% (35/138),respectively. Fifty-seven cases(41. 30%) were patients currently living in Shanghai,and 81(58. 70%) were patients seeking medical treatment in Shanghai from other provinces,in which the patients from Zhejiang,Anhui,Jiangsu and Jiangxi accounted for 60. 50% of the total cases. Conclusion The infection rate of soil-transmitted nematodes in Shanghai has dropped to a relatively lower level. The following prevention and control strategies can be focused on gradual evaluation on the transmission interruption as well as strengthened surveillance over the food-borne parasitic diseasesand related food hygiene and safety management.

Key words: Food-borne parasitic diseases, Soil-transmitted nematode diseases, Surveillance, Shanghai Municipality

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