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顾弋安, 赵根明, 韦建国, 刘建翔, 林玉尊, 宁安. 洲岛型血吸虫病流行区居民疫水接触调查及再感染影响因素分析[J]. 中国公共卫生, 2001, 17(10): 914-916. DOI: 10.11847/zgggws2001-17-10-37
引用本文: 顾弋安, 赵根明, 韦建国, 刘建翔, 林玉尊, 宁安. 洲岛型血吸虫病流行区居民疫水接触调查及再感染影响因素分析[J]. 中国公共卫生, 2001, 17(10): 914-916. DOI: 10.11847/zgggws2001-17-10-37
GU Yi-an, . Investigation on Human Water Contact and Reinfection Study in an Islet Region of Schistosoma Japonicum[J]. Chinese Journal of Public Health, 2001, 17(10): 914-916. DOI: 10.11847/zgggws2001-17-10-37
Citation: GU Yi-an, . Investigation on Human Water Contact and Reinfection Study in an Islet Region of Schistosoma Japonicum[J]. Chinese Journal of Public Health, 2001, 17(10): 914-916. DOI: 10.11847/zgggws2001-17-10-37

洲岛型血吸虫病流行区居民疫水接触调查及再感染影响因素分析

Investigation on Human Water Contact and Reinfection Study in an Islet Region of Schistosoma Japonicum

  • 摘要: 目的 通过对湖沼型血吸虫病流行区居民接触疫水的定量调查及再感染影响因素的分析,确定血吸虫再感染的高危人群,为制定经济有效的防治对策提供依据.方法 选择江西省某湖沼型血吸虫病流行区作为观察试区,定量调查居民接触疫水的方式和规律及再感染发生的情况,分析各种因素与发生再感染的关系.结果 成年男性以生产性接触疫水为主;成年女性生产性接触疫水和生活性接触疫水并重;青少年主要为生活性接触疫水,且暴露水平较低;该疫区的再感染年龄分布呈双峰型曲线分布;暴露强度与再感染发生有密切关系:“易感组”平均年龄较“拮抗组”小1989岁.结论 湖沼型疫区不同人群接触疫水的特点不同,青少年可以通过积极有效的健康教育促进其行为改变,达到预防和控制血吸虫感染的目的;成人接触疫水多系生产性或生活必需的,要减少其疫水接触在现实中可能比较困难,应该加强个人防护.暴露强度是影响血吸虫再感染的重要因素,但可能存在着年龄依赖的对血吸虫再感染的获得性免疫力,因此还需考虑其他因素如免疫、遗传及生理条件等.

     

    Abstract: Objective To make sure of the role of human water contact patterns and reinfection affecting factors in the islet region and to confirm the high risk population of schistosoma reinfectoin and to develop cost-effective methods to provide guidelines for control programmes in the region.Methods A quantitative study on human water contact was carried out in an endemic region of schistosoma japonicum in Jiangxi province.And fecal tests were taken to confirm the infection condition of the test population before and after therapy.Results Agricultural product such as fishing was the major water contact pattern of males,while femles' major water contact pattern included not only agricultural product but also domestic contact such as washing clothes.Major water contact patterns in children and young adolescents included washing clothes,playing and swimming,but the water contact lever of them was much lower than that of adults.In both children and adults,exposure intensity was highly correlated with reinfection rate.The "susceptible group" was 19.89 years younger than the "antergic group".Conclusion There were different water contact patterns in different populations.For schistosomiasis control,health education may be effective in children and young adolescents.In the adult,the major patterns were agricultural and necessary domestic activities,so they should use self-preventive methods to protect themselves.Exposure intensity was the most important factor that affected reinfection rate,however,children was more susceptible than adults,other factors such as immunity,heredity and physiological conditions should also be considered.

     

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