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Trematode metacercariae and adults in cyprinoid fish from Khun Thale Swamp in Surat Thani province, Thailand. 泰国素叻他尼省坤太莱沼泽鲤科鱼类中吸虫和成虫。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.23030
Kanda Kamchoo, Jong-Yil Chai

The present study aimed to determine the infection status of trematode metacercariae and adults in cyprinoid fish from the Khun Thale Swamp in Surat Thani, Southern Thailand, with epidemiologic and faunistic viewpoints. In 2020, 577 fish in 15 species were collected in the summer (February-April) and rainy (September-November) seasons. Fish were individually examined for trematode metacercariae in the whole body and adults in the gastrointestinal tract using a stereomicroscope. Three species of digenetic trematode metacercariae, i.e., Haplorchis taichui, Haplorchoides mehrai, and Centrocestus formosanus, were detected in the muscle, fin, and/or scale of fish. Two species of adult flukes, including Rohdella siamensis and Helostomatis cyprinorum, were collected in the intestines. The prevalence of overall trematode infections was 32.4% (187/577 fish), which was higher in the rainy season (41.4%; 118/285) than in the summer season (23.6%; 69/292). The metacercariae of H. taichui and H. mehrai were detected in 7 fish species each, and those of C. formosanus were found only in Rasbora toneri. The aspidogastrean trematode R. siamensis (adult) was detected in Babonymus gonionotus. A digenean species, H. cyprinorum (adult), was found in Labiobarbus siamensis and Osteochilus vittatus. The present study has first confirmed that the metacercariae of heterophyid flukes, including H. taichui, H. mehrai, and C. formosanus, and adults of R. siamensis (Aspidogastrea) and H. cyprinorum (Digenea) are infected in some species of the cyprinoid fish from the Khun Thale Swamp in Surat Thani, Thailand.

本研究旨在从流行病学和动物学的角度研究泰国南部素叻他尼坤太莱沼泽鲤科鱼类吸虫和成虫的感染状况。2020年,在夏季(2月至4月)和雨季(9月至11月)收集了15种577条鱼。用体视显微镜分别检查鱼的全身吸虫和胃肠道成虫。在鱼的肌肉、鳍和(或)鳞中检出3种遗传吸虫,分别是台湾单吸虫、梅氏单吸虫和台湾中吸虫。在肠道内采集到暹罗氏吸虫和绿口吸虫2种成年吸虫。总检出率为32.4%(187/577条),其中雨季检出率最高,为41.4%;118/285)高于夏季(23.6%;69/292)。在7种鱼类中分别检出太水棘球蚴和梅氏棘球蚴,而台湾棘球蚴仅在toneri Rasbora中检出。结果表明:在棉铃虫中检出暹罗吸虫(成虫)。在siamibobarbus siamensis和Osteochilus vittatus中发现了一种digenean种cyprinorum(成虫)。本研究首次证实了泰国素叻他尼Khun Thale沼泽部分鲤类鱼类感染了taiichui、H. mehrai和C. formosanus等异源吸虫的囊蚴,以及siamensis (Aspidogastrea)和H. cyprinorum (Digenea)的成虫。
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引用次数: 0
What was the main factor in successful control of ascariasis in Korea? 韩国成功控制蛔虫病的主要因素是什么?
Pub Date : 2023-05-01 DOI: 10.3347/PHD.22152
Seung-Yull Cho, Sung-Tae Hong

In the l950s, under the legacy of traditional agriculture, Ascaris lumbricoides, spread epidemically in the war-bitten society of Korea. Consensus on the parasite control was drafted in the Parasite Disease Prevention Act, which passed a parliamentary agreement in 1966, and established safe disposal of feces and mass chemotherapy as control strategies. Biannual stool examinations and treating infected schoolchildren were basic scheme of the control activity through which revenue could be secured for organized business. In the 27 years following 1969, a maximum of 16 million stool examinations had been done every year. Cellophane thick smear enabled the task. The infection declined remarkably in the 1970s when industrialization and green revolution proceeded. A population study of A. lumbricoides in the late 1970s helped us better understand its epidemiology. The data also settled down the understandable protest of teachers against the repeated stool examinations. In the 9 years following 1987, the target population was gradually reduced when the egg positive rate was below 0.1%. An article in the Korean Law, stipulating obligatory stool examinations, was made optional. Although the long-term Korean effort of Ascaris control was a success, the effect of mass chemotherapy was not as succinct in terms of lowering reinfection. In the period of control, Korean agricultural technology changed, and the economy grew and supplied sanitary facilities by which the vicious cycle was disconnected. Reduction of morbidity was a benefit of mass chemotherapy, which is the only control method feasible in economically difficult countries. The most important hurdle of parasite control in the 1960s was poverty of general population and limited financial resources in Korea but the society formed a consensus on the priority of intestinal helminthiasis control during the ordeal period. The national consensus in the 1960s was the critical milestone for Ascaris control in Korea. Under the social agreement, application of timely technical and research advancements in parasitology achieved the success of ascariasis elimination. The successful experience of ascariasis elimination in Korea can be a benchmark for countries where neglected tropical diseases are endemically recycled.

上世纪50年代,在传统农业的影响下,蛔虫(Ascaris lumbricoides)在饱受战争蹂躏的韩国社会流行开来。1966年,国会通过了《寄生虫病防治法》,制定了有关寄生虫防治的共识,并将安全处理粪便和大规模化疗确定为防治战略。一年两次的粪便检查和治疗受感染的学童是控制活动的基本方案,通过这些活动可以为有组织的企业获得收入。在1969年之后的27年里,每年最多进行1600万次大便检查。玻璃纸厚的涂抹使这项任务成为可能。20世纪70年代,随着工业化和绿色革命的推进,该病的发病率明显下降。20世纪70年代末对类蚓的种群研究帮助我们更好地了解了它的流行病学。这些数据也平息了教师对反复大便检查的抗议,这是可以理解的。1987年以后的9年中,当卵子阳性率低于0.1%时,目标人群逐渐减少。韩国法律中规定强制性大便检查的条款变成了可选条款。虽然韩国长期控制蛔虫的努力取得了成功,但大规模化疗在降低再感染方面的效果并不简单。在控制时期,韩国的农业技术发生了变化,经济增长,并提供了卫生设施,从而切断了恶性循环。减少发病率是大规模化疗的一个好处,这是经济困难国家唯一可行的控制方法。20世纪60年代,韩国防治寄生虫的最大障碍是国民贫困和财政资源有限,但在这一艰难时期,社会对优先防治肠道寄生虫形成了共识。20世纪60年代的国民共识是韩国控制蛔虫的关键里程碑。在社会共识下,及时应用寄生虫学技术和研究进展取得了消灭蛔虫病的成功。韩国消灭蛔虫病的成功经验可作为被忽视的热带病地方性再循环的国家的一个基准。
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引用次数: 0
Molecular epidemiology of Toxoplasma gondii in cattle in Korea. 韩国牛刚地弓形虫分子流行病学研究。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.23016
Kyoo-Tae Kim, Min-Goo Seo

Toxoplasmosis is a major public health concern, with raw or undercooked meat being the primary source of human infection. Knowledge regarding the molecular epidemiology of Toxoplasma gondii in cattle destined for human consumption in Korea is lacking. The present study aimed to genetically characterize the infectious strains of T. gondii. Overall, 455 cattle blood samples from 84 farms in the Gyeongnam-do (Province) were randomly collected in 2017. Nested PCR analysis revealed that only 3 (0.7%) samples were infected with T. gondii. The B1 gene sequence of T. gondii was observed to be similar (97.3-99.6%) to that of other T. gondii isolates. This is the first study to perform the molecular detection of T. gondii in cattle in Korea. Although the prevalence of infection was low, our findings suggest that cattle present a potential public health issue. It may be crucial to recognize the importance of T. gondii infection in cattle meat.

弓形虫病是一个主要的公共卫生问题,生肉或未煮熟的肉是人类感染的主要来源。在韩国,对用于人类消费的牛体内刚地弓形虫的分子流行病学缺乏了解。本研究旨在遗传表征弓形虫的传染性菌株。2017年,在庆南道84个农场随机采集了455头牛的血液样本。巢式PCR分析显示,仅有3份(0.7%)样本感染弓形虫。刚地弓形虫B1基因序列与其他刚地弓形虫分离株相似(97.3 ~ 99.6%)。这是国内首次对牛体内的弓形虫进行分子检测。虽然感染的流行率很低,但我们的研究结果表明,牛存在潜在的公共卫生问题。认识到牛肉中弓形虫感染的重要性可能是至关重要的。
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引用次数: 0
Molecular epidemiological survey of pathogenic trypanosomes in naturally infected cattle in northern Côte d'ivoire. Côte科特迪瓦北部自然感染牛致病性锥虫的分子流行病学调查。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.22170
Jean-Yves Ekra, Edouard K N'Goran, Leonard E G Mboera, Biégo Guillaume Gragnon, Koco Rita Nadège Assovié, Eliakunda Michael Mafie

Bovine trypanosomiasis is a significant health concern for livestock intensification in Côte d'Ivoire. This study aimed to determine the prevalence and distribution of pathogenic trypanosomes and identify the most infected cattle breed in northern Côte d'Ivoire. We examined 700 cattle and found that polymerase chain reaction (PCR) was more sensitive (12.3%) than microscopic observation (5.6%). Among the trypanosome species detected in naturally infected cattle, Trypanosoma vivax was 7.3%, Trypanosoma simiae tsavo was 6.7%, and Trypanosoma congolense was 0.4%. The overall prevalence of trypanosome infection in all cattle breeds was 12.3%, while the prevalence in individual breeds was 14.8%, 7.3%, 10.6%, and 12.3% for N'Dama, Baoule, Zebu, and Mere breed, respectively. The infected animals had low packed cell volume, influencing the prevalence. Our findings indicate that bovine trypanosomes are prevalent in Côte d'Ivoire, and their prevalence varies by region and breed. These pathogens include T. vivax, T. simiae tsavo, and T. congolense.

牛锥虫病是Côte科特迪瓦牲畜集约化的一个重大健康问题。本研究旨在确定致病性锥虫的流行和分布,并确定在Côte科特迪瓦北部感染最严重的牛品种。我们检测了700头牛,发现聚合酶链反应(PCR)比显微镜观察(5.6%)更敏感(12.3%)。在自然感染的牛中,间日锥虫占7.3%,类人猿锥虫占6.7%,刚果锥虫占0.4%。所有牛种的总流行率为12.3%,而恩达马、保乐、泽布和米尔牛种的个体流行率分别为14.8%、7.3%、10.6%和12.3%。受感染动物细胞体积小,影响流行。我们的研究结果表明,牛锥虫在Côte科特迪瓦流行,其流行程度因地区和品种而异。这些病原体包括间日疟原虫、沙沃样疟原虫和刚果热疟原虫。
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引用次数: 0
Determinant of parasite clearance and density on uncomplicated falciparum malaria infections in malaria-endemic area of Lampung Province, Indonesia. 印度尼西亚楠榜省疟疾流行区无并发症恶性疟疾感染的寄生虫清除和密度决定因素
Pub Date : 2023-05-01 DOI: 10.3347/PHD.22073
Jhons Fatriyadi Suwandi, Agnes Kurniawan, Lisawati Susanto

Lampung is a malaria-endemic region in Indonesia with an annual parasite incidence of 0.06 per 1,000 population. The socio-demographic factors, clinical conditions, and artemisinin combination therapy (ACT) types might affect parasite clearance and parasite density. This study aims to investigate factors that influence parasite clearance and parasite density in malaria patients. A retrospective analytic observational and a cross-sectional approach was used to conduct this study. A total of 66 malaria patients were examined to investigate parasite density and clearance, socio-demographic profiles, clinical conditions, and ACT types. To analyze data, univariate, bivariate, and multivariate tests were used. Age (P=0.045; r=0.238) and ACT type (P=0.021; r=0.273) were the only variables that had a significant correlation with parasite clearance. Age (P=0.003; r=0.345) had a significant correlation with parasite density. The most influential factors related to parasite clearance were the ACT type (dihydroartemisinin piperaquine) (P=0.017; odds ratio (OR) 0.109; 95.0% confidence interval (CI), 0.018-0.675) and age (P=0.030; OR 0.132; 95.0% CI, 0.021-0.823). Age (P=0.046; OR 0.320; 0.105-0.978, 95.0% CI) was the most significant variable associated with parasite density.

楠榜是印度尼西亚的疟疾流行地区,每年寄生虫发病率为每1 000人0.06例。社会人口因素、临床条件和青蒿素联合治疗(ACT)类型可能影响寄生虫清除和寄生虫密度。本研究旨在探讨影响疟疾患者体内寄生虫清除和寄生虫密度的因素。采用回顾性分析观察和横断面方法进行本研究。共对66名疟疾患者进行了检查,以调查寄生虫密度和清除情况、社会人口特征、临床情况和ACT类型。为了分析数据,使用了单因素、双因素和多因素检验。年龄(P = 0.045;r=0.238)和ACT型(P=0.021;R =0.273)是唯一与寄生虫清除率有显著相关性的变量。年龄(P = 0.003;R =0.345)与寄生虫密度呈极显著相关。对寄生虫清除率影响最大的因素是ACT型(双氢青蒿素哌喹)(P=0.017;优势比(OR) 0.109;95.0%置信区间(CI), 0.018-0.675)和年龄(P=0.030;或0.132;95.0% ci, 0.021-0.823)。年龄(P = 0.046;或0.320;0.105 ~ 0.978 (95.0% CI)是与寄生虫密度相关最显著的变量。
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引用次数: 0
Expression of cytokines and co-stimulatory molecules in the Toxoplasma gondii-infected dendritic cells of C57BL/6 and BALB/c mice. 刚地弓形虫感染C57BL/6和BALB/c小鼠树突状细胞中细胞因子和共刺激分子的表达
Pub Date : 2023-05-01 DOI: 10.3347/PHD.22150
Jae-Hyung Lee, Jae-Min Yuk, Guang-Ho Cha, Young-Ha Lee

Toxoplasma gondii is an intracellular protozoan parasite which can infect most warm-blooded animals and humans. Among the different mouse models, C57BL/6 mice are more susceptible to T. gondii infection compared to BALB/c mice, and this increased susceptibility has been attributed to various factors, including T-cell responses. Dendritic cells (DCs) are the most prominent type of antigen-presenting cells and regulate the host immune response, including the response of T-cells. However, differences in the DC responses of these mouse strains to T. gondii infection have yet to be characterized. In this study, we cultured bone marrow-derived DCs (BMDCs) from BALB/c and C57BL/6 mice. These cells were infected with T. gondii. The activation of the BMDCs was assessed based on the expression of cell surface markers and cytokines. In the BMDCs of both mouse strains, we detected significant increases in the expression of cell surface T-cell co-stimulatory molecules (major histocompatibility complex (MHC) II, CD40, CD80, and CD86) and cytokines (tumor necrosis factor (TNF)-α, interferon (IFN)-γ, interleukin (IL)-12p40, IL-1β, and IL-10) from 3 h post-T. gondii infection. The expression of MHC II, CD40, CD80, CD86, IFN-γ, IL-12p40, and IL-1β was significantly higher in the T. gondii-infected BMDCs obtained from the C57BL/6 mice than in those from the BALB/c mice. These findings indicate that differences in the activation status of the BMDCs in the BALB/c and C57BL/6 mice may account for their differential susceptibility to T. gondii.

刚地弓形虫是一种细胞内原生动物寄生虫,可感染大多数温血动物和人类。在不同的小鼠模型中,C57BL/6小鼠比BALB/c小鼠更容易感染弓形虫,这种易感性的增加归因于多种因素,包括t细胞反应。树突状细胞(dc)是最重要的抗原呈递细胞类型,并调节宿主免疫反应,包括t细胞的反应。然而,这些小鼠菌株对弓形虫感染的DC反应差异尚未被表征。在本研究中,我们培养了BALB/c和C57BL/6小鼠骨髓源性dc (bmdc)。这些细胞被弓形虫感染。根据细胞表面标记物和细胞因子的表达来评估BMDCs的激活。在这两种小鼠品系的BMDCs中,我们检测到细胞表面t细胞共刺激分子(主要组织相容性复合体(MHC) II, CD40, CD80和CD86)和细胞因子(肿瘤坏死因子(TNF)-α,干扰素(IFN)-γ,白细胞介素(IL)-12p40, IL-1β和IL-10)的表达在t后3小时显著增加。刚感染。与BALB/c小鼠相比,C57BL/6小鼠弓形虫感染的BMDCs中MHCⅱ、CD40、CD80、CD86、IFN-γ、IL-12p40和IL-1β的表达显著升高。这些发现表明,BALB/c和C57BL/6小鼠中BMDCs激活状态的差异可能解释了它们对弓形虫的不同易感性。
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引用次数: 0
Effects of histamine and antihistamine on the hard tick Haemaphysalis longicornis during blood sucking. 组胺和抗组胺对长角血蜱吸血的影响。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.22068
Mohammad Saiful Islam, Abul Fatah Shah Muhammad Talha, Myung-Jo You

At the time of host attachment, ticks are very sensitive to histamine, but during rapid blood sucking they paradoxically require histamine. Using a rabbit model, we studied the effects of histamine and antihistamine during attachment and fast-feeding in different life stages of Haemaphysalis longicorns. We examined how they responded to histamine and antihistamine by analyzing the detachment rate, histology of feeding lesions, and post-feeding behavior. A significant difference (P<0.01) was found in the detachment rate between experimental and control treatments throughout the observation period. Ticks exhibited a higher detachment rate (30.1%) at 12 h after histamine application during attachment time and on antihistamine-treated skin (25.4%) at 96 h during fast-feeding. After feeding on histamine-treated rabbits, the fully engorged body weights of larvae and nymphs were 0.7±0.36 mg and 3.5±0.65 mg, respectively. An average increase in body weight of 0.6±0.05 mg and 3.2±0.30 mg was observed for larvae and nymphs compared to the respective control weights. Nymphs and adults engorged after antihistamine treatment had an average body weight of 1.3±0.54 mg and 54±0.81 mg, respectively. An average decrease in body weight was observed in antihistamine-treated H. longicornis compared with control nymphs (3.3±0.42 mg) and adults (174±1.78 mg). Skin biopsies were collected after treatment, and differential histopathological characteristics were found between the treatment and control groups. Tick-infested skin collected from rabbits in the antihistamine-treated group lacked erythrocytes in the feeding pool, indicating that antihistamine impaired tick fast-feeding stage.

在依附宿主时,蜱对组胺非常敏感,但在快速吸血时,它们却矛盾地需要组胺。采用家兔模型,研究了长角血蜱不同生命阶段附着和快速摄食过程中组胺和抗组胺的作用。我们通过分析脱落率、进食损伤组织学和进食后行为来研究它们对组胺和抗组胺的反应。观察期间,实验组与对照组的脱落率差异有统计学意义(P<0.01)。在使用组胺后12 h和快速喂养时96 h,蜱在抗组胺处理过的皮肤上表现出较高的脱离率(30.1%)。摄食组胺处理家兔后,幼虫和若虫的全增重分别为0.7±0.36 mg和3.5±0.65 mg。与对照体重相比,幼虫和若虫平均体重分别增加了0.6±0.05 mg和3.2±0.30 mg。经抗组胺治疗后,成虫和若虫的平均体重分别为1.3±0.54 mg和54±0.81 mg。与对照组若虫(3.3±0.42 mg)和成虫(174±1.78 mg)相比,经抗组胺处理的长角天牛体重平均下降。治疗后进行皮肤活检,观察治疗组与对照组的组织病理学差异。抗组胺处理组蜱虫感染的皮肤在饲养池中缺乏红细胞,表明抗组胺损害了蜱虫的快速摄食阶段。
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引用次数: 0
Biliary ascariasis misidentified as a biliary stent in a patient undergoing liver resection. 胆道蛔虫病被误诊为胆道支架患者接受肝切除术。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.23012
Hochang Chae, Suk Won Suh, Yoo Shin Choi, Hee Ju Sohn, Seung Eun Lee, Jae Hyuk Do, Hyun Jeong Park

Ascaris lumbricoides causes one of the most common soil-transmitted helminthiases globally. The worms mostly infect the human small intestine and elicit negligible or nonspecific symptoms, but there are reports of extraintestinal ectopic ascariasis. We describe a rare case of biliary ascariasis mistaken for biliary stent in a 72-year-old female patient with a history of liver resection. She visited our outpatient clinic complaining of right upper quadrant pain and fever for the past week. She had previously undergone left lateral sectionectomy for recurrent biliary and intrahepatic duct stones 2 years ago. Besides mildly elevated gamma-glutamyl transferase levels, her liver function tests were normal. Magnetic resonance cholangiopancreatography revealed a linear filling defect closely resembling an internal stent from the common bile duct to the right intrahepatic bile duct. A live female A. lumbricoides adult worm was removed by endoscopic retrograde cholangiopancreatography (ERCP). Despite a significant decrease of the ascariasis prevalence in Korea, cases of biliary ascariasis are still occasionally reported. In this study, a additional case of biliary ascariasis, which was radiologically misdiagnosed as the biliary stent, was described in a hepatic resection patient by the worm recovery with ERCP in Korea.

类蛔虫是全球最常见的土壤传播蠕虫病之一。蛔虫大多感染人类小肠,引起可忽略的或非特异性症状,但也有肠外异位蛔虫病的报道。我们描述了一个罕见的胆道蛔虫病被误认为胆道支架在一个72岁的女性患者有肝切除术的历史。她到我们的门诊就诊,抱怨过去一周右上腹疼痛和发烧。2年前,她曾因复发性胆道和肝内胆管结石行左侧横切术。除了γ -谷氨酰转移酶水平轻度升高外,她的肝功能检查正常。磁共振胆管造影显示胆总管至右肝内胆管有一线性充盈缺损,与肝内支架相似。采用内窥镜逆行胆管胰胆管造影(ERCP)取下一条活的雌性蚓状拟南麻成虫。尽管蛔虫病的流行率在韩国显著下降,但胆道蛔虫病的病例仍偶有报道。在本研究中,另一例胆道蛔虫病被影像学误诊为胆道支架,在韩国的肝脏切除术患者中被ERCP的蠕虫恢复描述。
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引用次数: 0
A parasitological study on the possible toilet ruins of the Japanese colonial period in Korea. 日本殖民时期韩国可能的厕所遗址的寄生虫学研究。
Pub Date : 2023-05-01 DOI: 10.3347/PHD.23013
Jieun Kim, Min Seo, Hisashi Fujita, Jong Yil Chai, Jin Woo Park, Jun Won Jang, In Soo Jang, Dong Hoon Shin

In the past decade, experts have conducted parasitological research on archaeological specimens in Korea to collect historical parasite infection data. In these studies, parasitologists successfully described the infection pattern of each parasite species in history. However, in the first half of the 20th century, archaeoparasitological reports have been scant. In 2021, we conducted a parasitological examination of a toilet-like structure that emerged in the early 20th century. This structure was built by stacking 2 wooden barrels; and in the study samples, we found ancient Trichuris trichiura, Ascaris lumbricoides (unfertilized), and Taenia spp. eggs and therefore proposed a higher possibility that the barrels could have been used as a toilet at the time. To understand how the antihelminthic campaign since the 1960s helped reduce parasite infection rates in Korea, more research should focus on early-20th-century toilet ruins.

在过去的10年里,专家们对国内考古标本进行了寄生虫学研究,收集了寄生虫感染的历史数据。在这些研究中,寄生虫学家成功地描述了历史上每种寄生虫的感染模式。然而,在20世纪上半叶,关于考古寄生虫学的报道很少。2021年,我们对20世纪初出现的类似厕所的结构进行了寄生虫学检查。这个结构是由两个木桶堆叠而成;在研究样本中,我们发现了古代的Trichuris trichiura,蛔虫(未受精)和带绦虫的卵,因此提出了一个更高的可能性,即这些桶在当时可能被用作厕所。要了解自20世纪60年代以来的驱虫运动如何帮助降低了韩国的寄生虫感染率,更多的研究应该集中在20世纪初的厕所废墟上。
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引用次数: 0
Implications for selecting persistent hot spots of schistosomiasis from community- and school-based surveys in Blue Nile, North Kordofan, and Sennar States, Sudan. 从苏丹青尼罗州、北科尔多凡州和塞纳尔州社区和学校调查中选择血吸虫病持续热点的意义
Pub Date : 2023-05-01 DOI: 10.3347/PHD.23022
Hassan Ahmed Hassan Ahmed Ismail, Seungman Cha, Yan Jin, Sung-Tae Hong

In several schistosomiasis-endemic countries, the prevalence has remained high in some areas owing to reinfection despite repeated mass drug administration (MDA) interventions; these areas are referred to as persistent hot spots. Identifying hotspots is critical for interrupting transmission. This study aimed to determine an effective means of identifying persistent hot spots. First, we investigated the differences between Schistosoma haematobium and Schistosoma mansoni prevalence among school-aged children (SAC) estimated by a community-based survey, for which local key informants purposively selected communities, and a randomly sampled school-based survey. A total of 6,225 individuals residing in 60 villages in 8 districts of North Kordofan, Blue Nile, or Sennar States, Sudan participated in a community-based survey in March 2018. Additionally, the data of 3,959 students attending 71 schools in the same 8 districts were extracted from a nationwide school-based survey conducted in January 2017. The community-based survey identified 3 districts wherein the prevalence of S. haematobium or S. mansoni infection among SAC was significantly higher than that determined by the randomly sampled school survey (e.g., S. haematobium in the Sennar district: 10.8% vs. 1.1%, P<0.001). At the state level, the prevalence of schistosomiasis among SAC, as determined by the community-based survey, was consistently significantly higher than that determined by the school-based survey. Purposeful selection of villages or schools based on a history of MDA, latrine coverage, open defecation, and the prevalence of bloody urine improved the ability for identifying persistent hot spots.

在一些血吸虫病流行的国家,尽管多次进行大规模药物管理干预,但由于再感染,一些地区的流行率仍然很高;这些区域被称为持续热点。确定热点对阻断传播至关重要。本研究旨在确定一种有效的识别持久性热点的方法。首先,我们调查了血友病和曼氏血吸虫在学龄儿童(SAC)中患病率的差异,这是由社区调查估算的,当地关键信息者有目的地选择社区,以及随机抽样的基于学校的调查。2018年3月,居住在苏丹北科尔多凡州、青尼罗州和塞纳尔州8个区的60个村庄的6225人参加了一项基于社区的调查。此外,从2017年1月进行的一项全国学校调查中提取了同样8个地区71所学校的3959名学生的数据。以社区为基础的调查确定了3个地区,其中SAC的血链球菌或曼氏链球菌感染率显著高于随机抽样学校调查确定的感染率(例如,Sennar地区的血链球菌感染率:10.8%对1.1%,P<0.001)。在州一级,社区调查确定的SAC中血吸虫病的流行率始终显著高于学校调查确定的流行率。根据丙二醛感染史、厕所覆盖率、露天排便和血尿流行情况有目的地选择村庄或学校,提高了识别持续热点的能力。
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Parasites, hosts and diseases
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