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    10 December 2016, Volume 14 Issue 4 Previous Issue    Next Issue
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    Analysis of endemic changes of schistosomiasis in Hunan Province from 2002 to 2015
    Wang Huilan, Zhou Jie, Xia Meng, Jiang Qiong, Li Guangping, Dong Rulan, Ren Guanghui
    2016, 14 (4):  189-191,200.  doi: 10.3969/j.issn.1672-2302.2016.04.002
    Abstract ( 1452 )   PDF (404KB) ( 925 )  

    Objective  To analyze the endemic changes of schistosomiasis in Hunan Province from 2002 to 2015 for following evidence in prevention and control of this prevalence. Methods  Annual data reported schistosomiasis prevention and control in Hunan province were collected from 2002 to 2015, and descriptive statistics was used to quantitatively describe the changes of endemic schistosomiasis. Results  By 2015, all regions in our province reached the criteria of transmission control, and 15 cities(including administrative districts, counties, and farms) were up to the criteria of transmission interruption. The number of estimated schistosomiasis cases and reported acute infections was decreased to 27 900 and zero in 2015 from 206 400 and 197 in 2002, with a decrease of 86.48%, and 100%, respectively. Infection in farm cattle was reduced to 285 capita in 2015 from 3 091 capita in 2002, with a fall of 92.69%. Snail ridden areas started to rebound in 2003, and to 175953.31 hm2  in 2015. Conclusion  Endemic schistosomiasis appears to significantly fall in Hunan province from 2002 through 2015. However, prevention of snail spreading and acute infection with schistosomiasis remains primary yet difficult in current and following tasks.

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    Analysis of the distribution status of and control strategies for snails in inner embankment of Hunan Province
    Tang Ling1, Lian Hua2, Zhou Jie1, Li Shenming1, Li Guangping1, Hu Benjiao1, Xia Meng1, Wang Huilan1, Ren Guanghui1
    2016, 14 (4):  192-194.  doi: 10.3969/j.issn.1672-2302.2016.04.003
    Abstract ( 1265 )   PDF (382KB) ( 1164 )  

    Objective  To understand the snail distribution trend in the inner embankment within Hunan province by descriptive analysis of the data based on the general survey of snail prevalence in the inner embankment from 2011 to 2016, in order to plan scientific measures to further reduce the snail ridden areas. Methods The data were collected from the  general survey of snail distribution in the inner embankment in Hunan province in 2011, 2014 and 2016, and statistically analyzed. Results  The areas with snails and environments with snails were fallen significantly from 2011 to 2014, yet the decrease was slow between 2014 and 2016. No areas of snail re-emergence or new emergent snail areas were found in the embankment in 2016 throughout the province, and no infected snails were found in three surveys. Snail prevalence in the inner embankment was associated with marshland and mountainous endemic areas. Conclusion  Snail habitats tend to decrease in 2016 compared to 2011 and 2014 in the inner embankment in Hunan province. Following measures and tasks should focus on continuous use of molluscicide, hardening conduits and land formation for effective reduction of snail ridden areas and complete cut-off the route of schistosome transmission.

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    Epidemiological investigation on Echinococcus granulosus infections in dogs and livestock in Xinjiang Kizilsu Kirgiz Autonomous Prefecture
    Chen Xiaoying1,Yusupjan SETIWALDI1,Shi Aihua1,Zhao Ling1,Yisilayin OSMAN2
    2016, 14 (4):  195-197.  doi: 10.3969/j.issn.1672-2302.2016.04.004
    Abstract ( 1318 )   PDF (394KB) ( 1655 )  

    Objective  To investigate the prevalence of echinococcosis in Kizilsu Kirgiz Autonomous Prefecture of Xingjiang for providing evidences in control and prevention of this disease. Methods  Stratified random sampling method was used to investigate the Echinococcus granulosus infection status in dogs and livestock in Artux area of Kizilsu Kirgiz Autonomous Prefecture(including administrative Akto County, Akqi county and Ulugqat county). Sampling was orientated in the agricultural zones and pasturing area by the east, west, south and north distribution in 27 villages/towns. 320 portions of fecal samples were collected from one dog in individual house, and additionally, viscus samples were obtained from 1000 livestock(aged over 2 years, including sheep, cattle and horse) during the slaughter season. Results A total of 2 219 portions of feces from dogs were detected with double antibody sandwich ELISA. The overall positive rate was 3.33% (74/2 219), and the positive rate varied among counties(Ulugqat, 7.50%;  Akto, 5.94%; Artux, 2.14%; Akqi, 1.25%), however, the difference was not significant(χ2=0.62, 1.06, P>0.05). Ulugqat and Akto county had higher positive rate than Artux and Akqi(χ2=23.41~10.15, P<0.05). Of the 3 796 livestock investigated, Echinococcus granulosus infection was 7.69% (291/3 796), and the infection was 3.08%, 1.92% and 1.04% for sheep, horse and yak, respectively. Echinococcus granulosus infection was absent in goats, and the infection rate was not significant between animal species (χ2=2.51; 0.28; 1.57, P>0.05), yet the sheep had higher infection rate than yak and cattle(χ2=8.85; 20.82, P<0.05). Conclusion Although Echinococcus granulosus infection seems relatively lower in dogs and livestock in Kizilsu Kirgiz Autonomous Prefecture in current stage, yet echinococcosis prevalence cannot be overlooked. Health education, strengthened management on the dogs, and improved risk awareness remain essential to the local farmers and herdsmen in reducing the echinococcosis.

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    Epidemiological investigation on echinococcosis prevalence in Jiangyou county of Mianyang City
    Shi Yinghong1, Chen Zhengyang2
    2016, 14 (4):  198-200.  doi: 10.3969/j.issn.1672-2302.2016.04.005
    Abstract ( 1198 )   PDF (458KB) ( 1058 )  

    Objective  To investigate the prevalence status of echinococcosis in Jiangyou area in Mianyang city for scientific evidences to plan control and preventive measures for this disease. Methods  Investigation was performed in the reported cases in Jiangyou county from 2005 through 2015, and ultrasound screening was carried out for the local infected subjects and population living neighborhood areas. The positive cases received further serological studies. In addition, the definitive and intermediate hosts were investigated, including detection of the hydatid cysts in the feces of dogs and dissection of the wild rodents captured. Results  A total of 8 cases of echinococcosis were investigated, in which 3 were local infections. Abnormal condition associated with liver cyst, abdominal mass and calcifications was identified in 91 of 3028 cases. Eighty-seven blood samples were obtained from subjects with abnormal ultrasound findings, and subjected to echinococcus IgG detection, which revealed positive rate of 9.20%. Detection in 503 portions of feces from dogs and 49 portions from cats showed no positive results. Ninety-one rodents were captured and dissected, and no positive infection was found. Conclusion  Local infection of echinococcosis was found in Jiangyou county. Although no new infection was reported, and pathogens were not detected, yet the transmission chain of echinococcosis must exist, suggesting that following epidemiological studies and strengthened prevention and control measures remain necessary.

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    Analysis of the malaria epidemic situation in Changshu city of Jiangsu province from 2005 to 2014     
    Shen Meijuan, Yin Anhua, Pu Yongyuan
    2016, 14 (4):  201-203.  doi: 10.3969/j.issn.1672-2302.2016.04.006
    Abstract ( 1300 )   PDF (364KB) ( 740 )  

    Objective  To analyze the malaria epidemic status and trends in Changshu city from 2005 to 2014 for evidence to plan preventive and control strategies and measures for this transmission. Methods  Data were collected from malaria surveillance station, reporting system on the infectious disease surveillance network and case reports via malaria epidemiological investigation, and then analyzed with software SPSS(version 18.0). Results  In 2005 and 2014, a total of 108 cases of malaria were reported in Changshu city, in which 6 were associated with local infection; 74, domestic transmission; 16, imported disease from Africa; and 12 unindentified infection.  All cases of falciparum malaria and Plasmodium falciparum malaria were Africa origins. After 2009, annual incidence rate was remained by one percent per 10 million population, and no local infection was reported since 2010. However, domestic and foreign imported infection tended to rise in recent years. Conclusion  Control and preventive measures on imported malaria infection can be involved in strengthened monitoring of the domestic and foreign migrants, particularly health education on the foreigners and returned workers as well as professional training of the health providers in diagnosis and treatment of malaria.

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    Retrospective investigation on the schistosomiasis status in Linli County
    Wang Yueming1,Wang Xingyao1,Su Pingchuan1,Han Yangqing2,Zhou Jie2,Li Guangping2,Ren Guanghui2,Tang Ling2
    2016, 14 (4):  204-207.  doi: 10.3969/j.issn.1672-2302.2016.04.007
    Abstract ( 1172 )   PDF (609KB) ( 1084 )  

    Objective  To analyze the dynamic changes of schistosomiasis infection and Oncomelania snails before and after the twice rebounds in history of schistosomiasis endemic in Liling county, in order to find the prevalence rules for scientific evidence in following prevention and control of schistosomiasis. Methods  Retrospective investigation was conducted through collection and review of the schistosomiasis endemic data in Liling county from 1960 to 2013. Then the database was established for analysis of the trends and rules of changes of snail status and infections in humans and cattle. Results  Twice rebounds of schistosomiasis endemic in history in Linli county were associated with rebounded snail prevalence, and positively correlated with snail density, infection rate in population and cattle(1982~1997: rhuman=0.879, P<0.01; rcattle=0.898, P<0.01; 2003-2013: rhunan=0.791, P<0.01; rcattle=0.845, P<0.01). Conclusion  Snail prevalence status can be critical indicators for estimation of epidemic situation, and effective control of snails may reduce the schistosomiasis transmission. Nevertheless, prevention and control of schistosomiasis should be long-term efforts, and monitoring and warning systems should be strengthened to prevent the endemic schistosomiasis from rebounding even the endemic remains in lower level.

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    Analysis of the surveillance results of Schistosoma japonicum-infected snail and sentinel mice in Nanjing from 1993 to 2013
    Yin Weigang, Gao Yuan, Xie Chaoyong
    2016, 14 (4):  208-210.  doi: 10.3969/j.issn.1672-2302.2016.04.008
    Abstract ( 1390 )   PDF (465KB) ( 872 )  

    Objective  To analyze the infection rate of snails and sentinel mice in Nanjing area from 1993 through 2013, and examine the relationship between the two host infection for scientific prevention and control.  Methods In annual spring season of 1993 through 2013, we conducted surveys on the snail prevalence using systematic and environmental sampling methods, and simultaneously tested the schistosome infectivity within the water body by sentinel mouse contact. Results The rate of infected snails and areas with positive snails tended to decline in general, and no infected snails were reported since 2009. The infection rate for sentinel mouse was 100% before 1998, yet dropped to zero since 2008. The infection rate of snails was positively correlated with sentinel mouse infection(rs=0.726, P=0.000). Conclusion Comprehensively enhanced measures together with control of the infectious snails shall be effective measures in following prevention of schistosomiasis in Nanjing area.

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    Retrospective analysis on the source blood infection agents from voluntarily donated blood samples in Wuhu City
    Cheng Guoming1, Zhao Ru2, Zhang Zhenghong1, Dou Zhengdong1, Fang Yanjiao1, Zhang Min1
    2016, 14 (4):  211-214.  doi: 10.3969/j.issn.1672-2302.2016.04.009
    Abstract ( 1304 )   PDF (383KB) ( 952 )  

    Objective  To investigate the HBsAg, anti-HCV, anti-TP and anti-HIV infection status in the voluntarily donated blood samples in Wuhu City, and to understand the epidemic tendency of infectious diseases in voluntary blood donors for corresponding measures to prevent and control the infections. Methods A retrospective epidemiological investigation was performed in the results of 158020 blood samples collected from 2011 to 2015 in Wuhu area. Results  The total failure rate was 2.37% for the blood donated between 2011 and 2015. The positive rate was 1.13%, 0.30%, 0.79% and 0.16% for  HBsAg, anti -HCV, anti-TP and anti-HIV, respectively, and confirmed positive rate was 0.13% by anti-HIV test. The four infective markers tended to yearly decrease since 2013, and population aged 35 or over had significantly higher positive rate of HBsAg, anti-HCV and anti-TP than those aged under 35. Male population had higher positive rate for HBsAg, and lower positive rate for anti-TP and anti-HCV than females. The difference was significant. The four infective markers were the highest in population associated with agricultural, forestry and stock raising lines as well as workers in manufacturing, drivers and equipment operators. The detected positive rate was 0.085% in voluntary donors in 2015. Conclusion  By current infective status for the blood transmitted disease in Wuhu area, we suggest that some comprehensive measures, including interview, physical examination and screening of the four infective agents before blood donation, rigid quality management system, spreading the knowledge on prevention of the blood transmitted disease and health education, should be taken to ensure safe blood supply.

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    Survey of intestinal nematode infections in Huai’an area from 2011 to 2015
    Ren Sumin, Tang Zhaowu.
    2016, 14 (4):  215-218.  doi: 10.3969/j.issn.1672-2302.2016.04.010
    Abstract ( 1114 )   PDF (399KB) ( 695 )  

    Objective  To investigate the epidemic trend of intestinal nematodiasis in Huai'an district of Huai’an city for evidences to plan scientific preventive and control measures for this infection. Methods The survey was yearly conducted in a population of 1000 aged over 2 years, randomly selected from a village under an administrative township. Children under 14 years of age accounted for ≤1/3 in the subjects surveyed. Modified Kato-Katz method was used to detect the eggs of intestinal nematode, and the total infection rate, single worm infection rate and infection degree were calculated. Results A total of 5104 subjects were surveyed from 2011 through 2015. Intestinal nematode infection ranged from 0.10% to 0.95%(average 0.61%), and hookworm infection accounted for 58.06% of the infected species. The difference was significant regarding the average infection rate by individual species (χ2=8.99, P<0.05).Mean infection degree was 1 944.00, 247.11 and 576.00 for roundworm, hookworm and whipworm, respectively. Severe infection and multiple infection were free. The infection rate was decreased by 87.34% from 0.79% in 2011 to 0.10% in 2015, and was significant between years(χ2=9.65, P<0.05), yet the single worm infection rate remained no difference (χr2=1.84, P>0.05. χh2=6.79, P>0.05. χw2=3.85, P>0.05). Infection was seen in different age groups except for subjects aged 20 years. Those aged over 50 years accounted for 70.97% of the total infected population. The infection rate was not statistically different between males and females( 0.44% vs. 0.75%; χ2=2.05, P>0.05). Infection with intestinal nematodes occurred in population with different occupations except for cadres, yet the difference was not significant between occupations (χ2=0.65, P>0.05). Conclusion Intestinal nematode infection tends to drop year by year in population in Huai'an district, and following prevention and control of the infection should target at the middle aged and the elderly farmers.

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    Investigation on the trematode Aspidogastrea infection in freshwater mussels in the Yangtze River valley in Anhui
    Cui Zixing1, Li Ning2*, Liu Kang2, Liu Dongyan2, Kong Mengjie2, Luo Ting2
    2016, 14 (4):  219-221.  doi: 10.3969/j.issn.1672-2302.2016.04.011
    Abstract ( 1229 )   PDF (550KB) ( 1301 )  

    Objective  To investigate the trematode Aspidogastrea infection status of freshwater mussels living in the Yangtze River valley within Anhui province. Methods  Freshwater mussels were harvested in the Yangtze River running through Anhui area, and labeled on site. Then the samples were dissected in laboratory and stained with conventional technique for species identification. Results  30.38%(103/339) of freshwater mussels in the Yangtze River within Anhui area. A total of 912 Aspidogastreans were detected in 103 positive mussels, with an average infection density of 8.85 capita(varying from 2 to 61) for individual calm. The flukes were identifies as Aspidogaster sp, belonging to Aspidogaster below subclass Aspidogastridae of family Aspidogastrea. Conclusion  Trematode Aspidogastreans are prevalent in the mussels living in the Yangtze River running through Anhui province.

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    Investigation on the intestinal parasite infections in dogs and cats in Tangshan city
    Zhang Miao1, Shen Jiankun1, Mao Tongyao1, Tian Xifeng2
    2016, 14 (4):  222-224.  doi: 10.3969/j.issn.1672-2302.2016.04.012
    Abstract ( 1437 )   PDF (582KB) ( 2070 )  

    Objective  To investigate the intestinal parasites infection status in dogs and cats in Tangshan area. Methods  A total of 198 stool samples were randomly collected from dogs and cats fed in houses in downtown communities(Meiyili and Beixinli) of Tangshan city as well as local pet markets and Rescue Shelter for Stray Animals. All fecal samples were microscopically observed with direct smear and saturated brine flotation technique for detecting the eggs, cysts, oocysts and trophozoites of intestinal parasites. Results  In 24 positive fecal samples from dogs and cats, six species of intestinal parasites were identified, including Toxocara canis, canine hookworms, coccidia in dogs, Isospora ,Clonorchis sinensis, Giardia lamblia. The total infection rate was 15.04% in dogs and 8.24% in cats, and individual infection rate was 8.00% for domestic dogs and cats, 3.64% for canine and feline from the pet market, and 16.95% for those from the Rescue Shelter for Stray Animals. Conclusion Intestinal parasites appear highly prevalent in dogs and cats living in Tangshan city, suggesting that risks of zoonotic parasitic disease may exist in our population.

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    PCT and hs-CRP levels and WBC count in predicting respiratory tract infections in children
    Deng Yaoming
    2016, 14 (4):  225-227,218.  doi: 10.3969/j.issn.1672-2302.2016.04.013
    Abstract ( 1333 )   PDF (408KB) ( 1621 )  

    Objective  To assess the clinical values of measuring procalcitonin(PCT) and high-sensitive-C reactive protein(hsCRP) levels and white blood cell(WBC) count for prediction of the respiratory tract infections in children. Methods  150 children with respiratory tract infections treated in our hospital were included from May 2014 to August 2015 as case group, in whom 80 were bacterial infection(Gram-positive infections in 43, Gram-negative in 37) and 70 were nonbacterial infection. Another 46 healthy children undergoing physical examination in the corresponding period were selected as control group. Levels of PCT and hs-CRP as well as WBC count were measured in both groups and compared for evaluating the values of the indicators in predicting respiratory tract infections in children. Results  Children in bacterial infection group had higher PCT and hs-CRP levels and WBC count than those in nonbacterial infection group and control group (P<0.05), yet the nonbacterial infections group and control group remained no significant difference regarding the levels of PCT and hs-CRP and WBC count (P>0.05). Of the three indicators, PCT level had higher sensitivity and specificity than hsCRP level and WBC count in predicting the respiratory tract infection, and combined measurement of the three indicators can improve the general sensitivity. Children with Gram-negative bacterial infection had significantly level than those infected with Gram-positive bacteria(P<0.05), yet hsCRP level and WBC count were not significantly different between the two groups (P>0.05). Conclusion  PCT and hs-CRP level and WBC count can be the common indicators for predicting respiratory tract infections in children, however, PCT has higher sensitivity and specificity than hsCRP measurement and WBC count. These findings may be differential role in bacterial and non-bacterial infection as well as Gram-positive or negative infection.

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