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江西省钩虫感染的流行趋势

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分析江西省钩虫感染流行变化趋势和现状,为制定防治对策提供依据.收集并分析1989、2002和2015年3次全国人体寄生虫病抽样调查(以下简称寄调)中江西省钩虫病的调查数据以及2016-2020年江西省土源性线虫病国家监测点中钩虫感染的监测数据.采用改良加藤厚涂片法检查钩虫感染情况;采用试管滤纸培养法进行钩蚴培养,鉴定钩虫虫种.3次寄调结果显示,1989、2002和2015年江西省人群钩虫感染率分别为17.63%(9 176/52 042)、7.39%(1 490/20 154)和 4.63%(1 094/23 606),呈下降趋势(x2=3 112.64,P<0.05).1989 和2015 年女性感染率(18.68%和 5.59%)均高于男性(16.60%和 3.88%)(x2=38.71、28.85,均 P<0.05).1989 年50~59岁年龄组人群的感染率最高(27.33%),2002和2015年≥ 60岁年龄组最高(12.37%和10.06%).1989年江西省钩虫感染的优势虫种为十二指肠钩虫、2002和2015年为美洲钩虫.2016-2020年,江西省人群各年度钩虫感染率分别为 1.04%(116/11 126)、1.09%(122/11 203)、0.63%(70/11 183)、1.00%(112/11 197)和0.62%(70/11 240),呈下降趋势(x2=44.85,P<0.01);在性别分布上,女性钩虫感染率(0.97%,269/27 718)高于男性(0.78%,221/28 231)(x2=5.98,P<0.05);在年龄分布上,≥ 60岁年龄组居民感染率最高(1.51%,235/15 594).江西省人群钩虫感染率呈现持续下降态势,并维持低度流行状态,但部分地区钩虫感染率依然较高.女性和高年龄组人群是目前钩虫病防治工作的重点人群.
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

周月红、金志妹、邱婷婷、李鹏、兰炜明、陈喆、葛军

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浮梁县疾病预防控制中心,江西 浮梁 333400

江西省寄生虫病防治研究所,江西 南昌 330096

南丰县疾病预防控制中心,江西南丰 344500

钩虫 流行态势 综合防治 江西省

江西省重点实验室计划项目江西省卫生健康委科技计划项目

2019BCD40006202311186

2024

中国寄生虫学与寄生虫病杂志
中华预防医学会,中国疾病预防控制中心寄生虫病预防控制所

中国寄生虫学与寄生虫病杂志

CSTPCD北大核心
影响因子:1.155
ISSN:1000-7423
年,卷(期):2024.42(4)
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