福建省3次人体寄生虫病感染调查
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摘要
目的了解20年来福建省人体寄生虫感染的流行动态和影响因素,探讨今后防治对策。方法分别于1988—1991年(第1次)、2001—2003年(第2次)、2015年(第3次)三个时期,按全国统一调查方案,采用分层整群随机抽样方法,在全省范围内随机抽取调查点开展调查。结果在第1次、第2次和第3次福建省人体寄生虫的总感染率分别为84.4%、36.01%和5.77%,第3次较第2次下降83.98%,较第1次下降93.16%;检出的人体寄生虫虫种分别为36种、11种、12种;感染度由轻、中度为主降为轻度为主;第1次以多虫种混合感染为主,多重感染率67.3%,最多一人同时感染寄生虫种数为9种;第3次以单一感染为主,多重感染率为0.33%,仅2人同时感染2种虫种。重点寄生虫蛔虫、鞭虫2015年(第3次)分别仅在20%和60%的调查县检出,较第1次下降99.88%和99.34%;钩虫感染率下降84.46%,局部地区钩虫感染率还处在较高水平。目前,钩虫已成为感染优势虫种。结论福建省寄生虫感染率总体持续下降至较低水平。降低钩虫的感染率仍是今后寄生虫防治工作的重点。
Objective To understand the epidemic dynamics and influencing factors of human parasitic infections inFujian Province in recent 20 years, and to explore the prevention and control strategies in the future. Methods Investigationin the whole province were carried out by random sampling survey in 1988-1991(1st), 2001-2003(2nd), 2015(3rd), accordingto the national unified survey program, stratified cluster random sampling method. Results The total infection rates of humanparasites in Fujian Province in 1st, 2nd and 3rd investigation were 84.4%, 36.01%, 5.77% respectively; in 3rd, it was 83.98%lower than in 2nd and 93.16% lower than in 1st, and there were 36, 11 and 12 species of human parasites in 1st, 2nd and 3rdinvestigation. In 1st, mixed infection of multi-species was dominant, with multiple infection rate of 67.3%, the maximumnumber of parasites infected by one person was 9. In 3rd, single infection was the main infection, multiple infection rate was0.33%, and only 2 people infected 2 species at the same time. The key parasite Ascaris and flagellate were detected only in20% and 60% counties in 3rd, 99.88% and 99.34% lower than that in 1st; the infection rate of hookworm was 84.46% lower,and the rate of hookworm infection was still at a high level in some areas. At present, the hookworm has become a dominantspecie of infection. Conclusion The parasitic infection rate in Fujian has been declining to a relatively low level. Reducingthe infection rate of hookworm is still the focus of parasite control in the future.
Objective To understand the epidemic dynamics and influencing factors of human parasitic infections inFujian Province in recent 20 years, and to explore the prevention and control strategies in the future. Methods Investigationin the whole province were carried out by random sampling survey in 1988-1991(1st), 2001-2003(2nd), 2015(3rd), accordingto the national unified survey program, stratified cluster random sampling method. Results The total infection rates of humanparasites in Fujian Province in 1st, 2nd and 3rd investigation were 84.4%, 36.01%, 5.77% respectively; in 3rd, it was 83.98%lower than in 2nd and 93.16% lower than in 1st, and there were 36, 11 and 12 species of human parasites in 1st, 2nd and 3rdinvestigation. In 1st, mixed infection of multi-species was dominant, with multiple infection rate of 67.3%, the maximumnumber of parasites infected by one person was 9. In 3rd, single infection was the main infection, multiple infection rate was0.33%, and only 2 people infected 2 species at the same time. The key parasite Ascaris and flagellate were detected only in20% and 60% counties in 3rd, 99.88% and 99.34% lower than that in 1st; the infection rate of hookworm was 84.46% lower,and the rate of hookworm infection was still at a high level in some areas. At present, the hookworm has become a dominantspecie of infection. Conclusion The parasitic infection rate in Fujian has been declining to a relatively low level. Reducingthe infection rate of hookworm is still the focus of parasite control in the future.
引文
[1]余森海,许隆祺,蒋则孝,等.首次全国人体寄生虫分布调查的报告Ⅰ·虫种的地区分布[J].中国寄生虫学与寄生虫病杂志, 1994,12(4):241-247.
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[4]程由注,许龙善,陈宝建,等.福建省人体重要寄生虫感染调查分析[J].中国寄生虫学与寄生虫病杂志, 2005, 23(5):283-287.
[5]卓鸣莺,张芝平,朱红梅,等.南平市实施寄生虫病防治规划后肠道寄生虫病控制效果分析[J].中国血吸虫病防治杂志, 2016, 28(2):182-184.
[6]周晓农.我国寄生虫病防治形势与今后防治科研重点[J].中国血吸虫病防治杂志, 2011, 23(5):473-475.
[7]全国人体重要寄生虫病现状调査办公室,全国人体重要寄生虫病现状调查报告[J].中国寄生虫学与寄生虫病杂志,2005,23(增刊):332-339.
[8]严俊,胡桃,雷正龙.全国重点寄生虫病的防控形势与挑战[J].中国寄生虫学与寄生虫病杂志, 2015, 33(6):412-417.
[9]陈颖丹,臧炜.我国土源性线虫病监测现状及今后监测工作重点[J].中国血吸虫病防治杂志, 2015, 27(2):111-114.
[10]金伟,郭见多,刘道华,等.安徽省人体重点寄生虫病现状调查报告[J].热带病与寄生虫学, 2017, 15(1):14-18,6.
[11]何卓,唐阳,李正祥,等. 2015年湖南省人体重点寄生虫病流行现状调查[J].实用预防医学, 2017, 24(3):291-296.
[12]金行一,朱素娟,徐卫民,等.杭州市土源性线虫感染现况及防治效果评价[J].中国卫生检验杂志, 2015, 25(7):1080-1082.
[13]许汴利,张红卫,邓艳,等.河南省人体重点寄生虫病分层抽样调查结果及影响因素分析[J].中华流行病学杂志, 2018, 39(3):322-328.
[14]曾小军,李召军,姜唯声,等. 2014年江西省人体重点寄生虫感染现状[J].中国血吸虫病防治杂志, 2015, 27(6):595-599..
[15]杨成运,鲁德领,张雅兰,等.河南省燕山-太行山生态区2015年人体肠道寄生虫感染现状调查[J].中国热带医学, 2018, 18(1):84-88.
[16]陈秋云,刘苗苗,陈华政,等.阳春市人体重点寄生虫感染状况调查及影响因素分析[J].热带医学杂志, 2015, 15(5):687-689,692.
[17]何春荣,温卫珊,吴水新,等.龙岩市肠道线虫感染现状与分布特征[J].海峡预防医学杂志, 2016, 22(2):36-38.
[2]许隆棋,余森海,徐淑惠.中国人体寄生虫病分布与危害[M].北京:人民卫生出版社, 2000:3-204.
[3]林金祥,许贤让,程由注,等.福建省人体寄生虫分布及流行规律的研究[J].中国寄生虫学与寄生虫病杂志, 1994, 12(S1):270-270..
[4]程由注,许龙善,陈宝建,等.福建省人体重要寄生虫感染调查分析[J].中国寄生虫学与寄生虫病杂志, 2005, 23(5):283-287.
[5]卓鸣莺,张芝平,朱红梅,等.南平市实施寄生虫病防治规划后肠道寄生虫病控制效果分析[J].中国血吸虫病防治杂志, 2016, 28(2):182-184.
[6]周晓农.我国寄生虫病防治形势与今后防治科研重点[J].中国血吸虫病防治杂志, 2011, 23(5):473-475.
[7]全国人体重要寄生虫病现状调査办公室,全国人体重要寄生虫病现状调查报告[J].中国寄生虫学与寄生虫病杂志,2005,23(增刊):332-339.
[8]严俊,胡桃,雷正龙.全国重点寄生虫病的防控形势与挑战[J].中国寄生虫学与寄生虫病杂志, 2015, 33(6):412-417.
[9]陈颖丹,臧炜.我国土源性线虫病监测现状及今后监测工作重点[J].中国血吸虫病防治杂志, 2015, 27(2):111-114.
[10]金伟,郭见多,刘道华,等.安徽省人体重点寄生虫病现状调查报告[J].热带病与寄生虫学, 2017, 15(1):14-18,6.
[11]何卓,唐阳,李正祥,等. 2015年湖南省人体重点寄生虫病流行现状调查[J].实用预防医学, 2017, 24(3):291-296.
[12]金行一,朱素娟,徐卫民,等.杭州市土源性线虫感染现况及防治效果评价[J].中国卫生检验杂志, 2015, 25(7):1080-1082.
[13]许汴利,张红卫,邓艳,等.河南省人体重点寄生虫病分层抽样调查结果及影响因素分析[J].中华流行病学杂志, 2018, 39(3):322-328.
[14]曾小军,李召军,姜唯声,等. 2014年江西省人体重点寄生虫感染现状[J].中国血吸虫病防治杂志, 2015, 27(6):595-599..
[15]杨成运,鲁德领,张雅兰,等.河南省燕山-太行山生态区2015年人体肠道寄生虫感染现状调查[J].中国热带医学, 2018, 18(1):84-88.
[16]陈秋云,刘苗苗,陈华政,等.阳春市人体重点寄生虫感染状况调查及影响因素分析[J].热带医学杂志, 2015, 15(5):687-689,692.
[17]何春荣,温卫珊,吴水新,等.龙岩市肠道线虫感染现状与分布特征[J].海峡预防医学杂志, 2016, 22(2):36-38.