[2021-2023 年北京市地方内脏利什曼病流行病学特征]。

W Wu, X Wang, C Kan, D Du, H Liang, D Zhang, Z He
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引用次数: 0

摘要

目的调查 2021-2023 年北京市内脏利什曼病流行病学特征,为制定内脏利什曼病控制策略提供参考:从国家卫生信息化疾病预防控制信息系统中收集北京市2021年至2023年报告的内脏利什曼病病例流行病学数据,采用描述性流行病学方法分析当地内脏利什曼病病例的流行病学特征。2021 年 11 月和 2023 年 11 月,在利什曼病患者居住地或利什曼病感染地 100 米半径范围内自愿选取 50 至 100 名常住居民,抽取静脉血进行抗利什曼病抗体检测。在患者居住或感染利什曼病的自然村,或报告有感染利什曼病的狗的地区,从狗身上采集静脉血样本进行抗利什曼病抗体检测。此外,在2021年和2023年5月至9月期间,在患者居住或感染利什曼病的自然村用二氧化碳捕蚊器和细网捕捉沙蝇,进行沙蝇种类鉴定:结果:2021年至2023年,北京市共报告4例本地内脏利什曼病病例,年龄在2岁至77岁之间,感染利什曼病的地区分别为门头沟区(2例)、昌平区(1例)和延庆区(1例)。73 份人血样本抗利什曼病抗体检测结果均为阴性,2021 年 36 份家犬静脉血样本抗利什曼病抗体血清阳性率为 25.00%,共捕获 4 520 只中华白线蝇。2023 年,在 198 份人类血液样本和 243 份家犬静脉血样本中,抗利什曼原虫抗体的血清流行率分别为 0.51%和 13.58%,共捕获 16.10%、25.00%、17.78%和 3.在门头沟区、昌平区、延庆区和海淀区采样的家犬中血清流行率分别为13%(P=0.011),共捕获Ph.chinensis 1 712只,其中雌沙蝇1 421只(86.54%):结论:2021-2023 年期间,北京市内脏利什曼病的流行率较低,但疫点存在进一步扩散的风险。建议加强内脏利什曼病的监测和控制。
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[Epidemiological characteristics of local visceral leishmaniasis in Beijing Municipality from 2021 to 2023].

Objective: To investigate the epidemiological characteristics of local visceral leishmaniasis in Beijing Municipality from 2021 to 2023, so as to provide insights into formulation of the visceral leishmaniasis control strategy.

Methods: Epidemiological data of visceral leishmaniasis cases reported in Beijing Municipality from 2021 to 2023 were collected from the National Health Informatization Disease Prevention and Control Information System, and the epidemiological characteristics of local visceral leishmaniasis cases were analyzed using a descriptive epidemiological method. In November 2021 and 2023, 50 to 100 permanent residents were voluntarily selected within a 100 meter radius of sites where patients lived or acquired Leishmania infections, and venous blood was sampled for anti-Leishmania antibody testing. Venous blood was sampled from dogs for anti-Leishmania antibody testing in natural villages where patients lived or acquired Leishmania infections, or in districts where Leishmania infected dogs were reported. In addition, sandflies were captured with CO2 mosquito traps and fine mesh nets in natural villages where patients lived or acquired Leishmania infections from May to September, 2021 and 2023, for sandfly species identification.

Results: A total of 4 local visceral leishmaniasis cases were reported in Beijing Municipality from 2021 to 2023, with ages of 2 to 77 years, and acquiring Leishmania infections in Mentougou District (2 cases), Changping District (1 case), and Yanqing District (1 case). The anti-Leishmania antibody testing was all negative in 73 human blood samples and the sero-prevalence of anti-Leishmania antibody was 25.00% in 36 venous blood samples from domestic dogs in 2021, with a total of 4 520 Phlebotomus chinensis captured. The sero-prevalence of anti-Leishmania antibody was 0.51% in 198 human blood samples and 13.58% in 243 venous blood samples from domestic dogs in 2023, with 16.10%, 25.00%, 17.78% and 3.13% sero-prevalence in dogs sampled from Mentougou District, Changping District, Yanqing District and Haidian District, respectively (P = 0.011), while a total of 1 712 Ph. chinensis were captured, including 1 421 female sandflies (86.54%).

Conclusions: The prevalence of local visceral leishmaniasis was low in Beijing Municipality from 2021 to 2023; however, there is a risk of further spread in the epidemic foci. Intensified visceral leishmaniasis surveillance and control is recommended.

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来源期刊
中国血吸虫病防治杂志
中国血吸虫病防治杂志 Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
7021
期刊介绍: Chinese Journal of Schistosomiasis Control (ISSN: 1005-6661, CN: 32-1374/R), founded in 1989, is a technical and scientific journal under the supervision of Jiangsu Provincial Health Commission and organised by Jiangsu Institute of Schistosomiasis Control. It is a scientific and technical journal under the supervision of Jiangsu Provincial Health Commission and sponsored by Jiangsu Institute of Schistosomiasis Prevention and Control. The journal carries out the policy of prevention-oriented, control-oriented, nationwide and grassroots, adheres to the tenet of scientific research service for the prevention and treatment of schistosomiasis and other parasitic diseases, and mainly publishes academic papers reflecting the latest achievements and dynamics of prevention and treatment of schistosomiasis and other parasitic diseases, scientific research and management, etc. The main columns are Guest Contributions, Experts‘ Commentary, Experts’ Perspectives, Experts' Forums, Theses, Prevention and Treatment Research, Experimental Research, The main columns include Guest Contributions, Expert Commentaries, Expert Perspectives, Expert Forums, Treatises, Prevention and Control Studies, Experimental Studies, Clinical Studies, Prevention and Control Experiences, Prevention and Control Management, Reviews, Case Reports, and Information, etc. The journal is a useful reference material for the professional and technical personnel of schistosomiasis and parasitic disease prevention and control research, management workers, and teachers and students of medical schools.    The journal is now included in important domestic databases, such as Chinese Core List (8th edition), China Science Citation Database (Core Edition), China Science and Technology Core Journals (Statistical Source Journals), and is also included in MEDLINE/PubMed, Scopus, EBSCO, Chemical Abstract, Embase, Zoological Record, JSTChina, Ulrichsweb, Western Pacific Region Index Medicus, CABI and other international authoritative databases.
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