四川省丹巴县带绦虫病及猪囊虫病现患调查

Epidemic Status of Taeniasis and Cysticercosis in Danba County,Sichuan Province

目的了解四川省丹巴县人群带绦虫病和猪囊虫病现状,为控制该病提供依据。方法 2008-2014年对丹巴县6个乡30个行政村的村民进行问卷调查、血清学调查、粪便检查、猪囊虫病相关症状体征检查,并回顾性调查全县相关疫情资料。结果回顾调查显示1990-2014年全县因生食香猪腿而致3起猪囊虫病流行,确诊脑囊虫病患者14例,无死亡病例。2008-2014年对1 013人进行了粪便带绦虫卵检查,检出带绦虫卵23例,人群带绦虫感染率为2.27%;同时对1273人进行了猪囊尾蚴抗体及相关症状体征调查,查出囊虫病患者49人,人群囊虫病患病率为3.85%。不同乡镇和不同年龄组的人群猪肉绦虫病和囊虫病感染情况差异较大。结论四川省丹巴县带肉绦虫和囊虫病流行较重,应加强畜牧食品检疫,提倡生熟食具分开、粪便入厕、生猪圈养等,开展重点职业人群和重点乡镇的防治。

Objective To investigate the epidemic status of taeniasis and cysticercosis, and to provide the basis for the prevention and control of the disease. Methods The villagers in 30 villages of 6 townships in Danba county were conducted serologic survey, stool examination, examination of swine cysticercosis related symptoms and signs, besides the related epidemic data was retrospectively analyzed. Results From 1990 to 2014, the raw food pig leg caused 3 outbreaks, involving 17 people and no death case; 14 cases were diagnosed with cerebral cysticercosis. Of the 1013 people who conducted fecal examination 23 cases were detected with ova of tapeworm, with an infection rate was 2.27%. Meantime, 1273 people were examined cysticercus antibody and related symptoms and signs and 49 were detected as cysticercosis patients, with an incidence rate of 3.85%. Different towns and age of people with taeniasis and cysticercosis showed obvious discrepancy. Conclusion The epidemic of taeniasis and cysticercosis is seriously in Danba county. The livestock food quarantine should be strengthened, separation of tableware for cooked and raw, stool in toilet, livestock in pigpen is yet to be advocated. Prevention and control for key occupation groups need to be carried out.