Epidemiological trend of hookworm infection in Jiangxi Province
To analyze the epidemic trend and current situation of hookworm disease in Jiangxi Province,all for providing a basis for formulating countermeasures of hookworm disease.The survey data of hookworm disease in Ji-angxi Province in three national sampling surveys of human parasitic diseases(1989,2002 and 2015)and the surveil-lance data of hookworm infection in the national monitoring sites of soil nematode disease in Jiangxi Province from 2016 to 2020 were analyzed,respectively.The Kato-katz smear method was used in the survey and surveillance to ex-amine the hookworm infection,and the test-tube filter paper culture method was used to identify hookworm species.The results showed that the infection rate of hookworm in Jiangxi were 17.63%(9 176/52 042)in 1989,7.39%(1 490/20 154)in 2002 and 4.63%(1 094/23 606)in 2015 with the downtrend as a whole(x2=3 112.64,P<0.05).The in-fection rates in female in 1989 and 2015(18.68%and 5.59%)were higher than that in male(16.60%and 3.88%)(x2=38.71,28.85,both P<0.05).As for the age distribution of infection in 3 national surveys,the infection rate in age group of 50-59 in 1989 was the highest(27.33%),and the rates in ≥ 60 age group in 2002 and 2015 were the highest accordingly(12.37%and 10.06%).The dominant species of hookworm in 1989 was Ancylostoma duodenale,while Necator americanus becoming dominant in 2002 and 2015.The infection rates of hookworm from 2016 to 2020 in Jiangxi were 1.04%(116/11 126),1.09%(122/11 203),0.63%(70/11 183),1.00%(112/11 197)and 0.62%(70/11 240),respectively and continued to decline(x2=44.85,P<0.01).In the gender distribution,the infection rate of female(0.97%,269/27 718)was still higher that of male(0.78%,221/28 231)(x2=5.98,P<0.05).In the age distribution,the infection rate in ≥ 60 age group was still the highest(1.51%,235/15 594).The analysis results indicated that the infection rate of hookworm shows a continuous decline trend,and maintains a low epidemic state in Jiangxi.Rural women and high age groups are the focus of hookworm control.
HookwormEpidemiological trendCurrent situationJiangxi Province