安徽省猪带绦/囊虫病现状调查与疫情分析

目的摸清我省猪带绦(囊)虫病的流行和分布情况,为制定防治对策提供依据。方法按全国方案进行分层整群随机抽样,在全省共抽8个县(市)16个调查点(村)。对抽样村人群进行问卷调查、病原学检查、血清学检查;在抽样市、县医院进行囊虫病人的回顾调查。结果抽样村问卷调查16389人,食“米猪肉”史30人,其中13人有排节片史;粪便检查共4196人,猪带绦虫感染率为0%;血清学检查2500人,均为阴性。对综合及专科医院1991～2001年住院病人作囊虫病回顾性调查,共发现猪囊虫病住院病例1368例,比1980～1990年这些医院收治的病人数增长了1.46倍。结论尽管抽样点粪检和血清学调查没有发现猪带绦/囊虫人体感染,但囊虫病住院病人回顾性调查表明,我省的囊虫病疫情呈上升趋势。一定要加大对该病的防治力度。

Taeniasis and Cysticercosis in Anhui province: Investigation and Analysis of Current status

Objective To understand current status of taeniasis and cysticercosis, a survey was carried out in Anhui province of China. Methods 16 villages from 8 counties were selected as pilot areas by using stratified cluster random sampling method, and then questionnaire, stool examinations (Kato-Katz) and serological test (ELISA) were carried out in these areas. Results A total of 16 389 individuals accepted questionnaire out of 30 had history of eating raw pork , 13 with the proglottids in stool . No positive cases was found in 4196 stool samples and 2500 sera. From 1991 to 2001, a total of 1 368 Cysticercosis was reported at main center hospitals in Anhui province and increased by 1.46 times than in 1980~1990. Conclusion Though no cases was found by stool and sera examinations , a retrospective survey showed that attitude about Cysticercosis was higher. We suggested to strengthen prevention and control for taeniasis and cysticercosis.