Background:The echinococcosis is prevalent in 10 provinces/autonomous region in western and northern China.Epidemiological survey of echinococcosis in China in 2012 showed the average prevalence of four counties in Ti...Background:The echinococcosis is prevalent in 10 provinces/autonomous region in western and northern China.Epidemiological survey of echinococcosis in China in 2012 showed the average prevalence of four counties in Tibet Autonomous Region(TAR)is 4.23%,much higher than the average prevalence in China(0.24%).It is important to understand the transmission risks and the prevalence of echinococcosis in human and animals in TAR.Methods:A stratified and proportionate sampling method was used to select samples in TAR.The selected residents were examined by B-ultrasonography diagnostic,and the faeces of dogs were tested for the canine coproantigen against Echinococcus spp.using enzyme-linked immunosorbent assay.The internal organs of slaughtered domestic animals were examined by visual examination and palpation.The awareness of the prevention and control of echinococcosis among of residents and students was investigated using questionnaire.All data were inputted using double entry in the Epi Info database,with error correction by double-entry comparison,the statistical analysis of all data was processed using SPSS 21.0,and the map was mapped using ArcGIS 10.1,the data was tested by Chi-square test and Cochran-Armitage trend test.Results:A total of 80384 people,7564 faeces of dogs,and 2103 internal organs of slaughtered domestic animals were examined.The prevalence of echinococcosis in humans in TAR was 1.66%,the positive rate in females(1.92%)was significantly higher than that in males(1.41%),(X2=30.31,P<0.01),the positive rate of echinococcosis was positively associated with age(X2trend=-423.95,P<0.01),and the occupational populations with high positive rates of echinococcosis were herdsmen(3.66%)and monks(3.48%).The average positive rate of Echinococcus coproantigen in TAR was 7.30%.The positive rate of echinococcosis in livestock for the whole region was 11.84%.The average awareness rate of echinococcosis across the region was 33.39%.Conclusions:A high prevalence of echinococcosis is found across the TAR,representing a very serious concern to human health.Efforts should be made to develop an action plan for echinococcosis prevention and control as soon as possible,so as to control the endemic of echinococcosis and reduce the medical burden on the population.展开更多
Background Echinococcosis,a zoonotic parasitic disease,is caused by larval stages of cestodes in the Echinococcus genus.Echinococcosis is highly prevalent in ten provinces/autonomous regions of western and northern Ch...Background Echinococcosis,a zoonotic parasitic disease,is caused by larval stages of cestodes in the Echinococcus genus.Echinococcosis is highly prevalent in ten provinces/autonomous regions of western and northern China.In 2016,an epidemiological survey of Tibet Autonomous Region(TAR)revealed that the prevalence of human echinococcosis was 1.66%,which was much higher than the average prevalence in China(0.24%).Therefore,to improve on the current prevention and control measures,it is important to understand the prevalence and spatial distribution characteristics of human echinococcosis at the township level in TAR.Methods Data for echinococcosis cases in 2018 were obtained from the annual report system of echinococcosis of Tibet Center for Disease Control and Prevention.Diagnosis had been performed via B-ultrasonography.The epidemic status of echinococcosis in all townships in TAR was classified according to the relevant standards of population prevalence indices as defined in the national technical plan for echinococcosis control.Spatial scan statistics were performed to establish the geographical townships that were most at risk of echinococcosis.Results In 2018,a total of 16,009 echinococcosis cases,whose prevalence was 0.53%,were recorded in 74 endemic counties in TAR.Based on the order of the epidemic degree,all the 692 townships were classified from high to low degrees.Among them,127 townships had prevalence rates≥1%.The high prevalence of human echinococcosis in TAR,which is associated with a wide geographic distribution,is a medical concern.Approximately 94.65%of the villages and towns reported echinococcosis cases.According to spatial distribution analysis,the prevalence of human echinococcosis was found to be clustered,with the specific clustering areas being identified.The cystic echinococcosis primary cluster covered 88 townships,while that of alveolar echinococcosis’s covered 38 townships.Conclusions This study shows spatial distributions of echinococcosis with different epidemic degrees in 692 townships of TAR and high-risk cluster areas at the township level.Our findings indicate that strengthening the echinococcosis prevention and control strategies in TAR should directed at townships with a high prevalence and high-risk clustering areas.展开更多
Background:Echinococcosis is highly endemic in western and northern China.Tibet Autonomous Region(TAR)is the most serious prevalent area.Linzhi is located in southeastern part ofTAR.Dogs are the primary infection sour...Background:Echinococcosis is highly endemic in western and northern China.Tibet Autonomous Region(TAR)is the most serious prevalent area.Linzhi is located in southeastern part ofTAR.Dogs are the primary infection source for the transmission of echinococcosis to humans.A control and prevention campaign based on dog management has been implemented in the past three years.This study aims to evaluate the effects of dog management on the infection rate of dogs.展开更多
What is already known about this topic?Both alveolar echinococcosis(AE)and cystic echinococcosis are endemic in China,among which alveolar echinococcosis has a very high mortality rate.What is added by this report?The...What is already known about this topic?Both alveolar echinococcosis(AE)and cystic echinococcosis are endemic in China,among which alveolar echinococcosis has a very high mortality rate.What is added by this report?The survey results showed the prevalence and scope of AE in China and identified high-risk groups including children,monks,herdsmen and illiterate people.At the same time,all the cases found in the survey(more than 90%of the patients did not go to the hospital for diagnosis and treatment before survey)were promptly diagnosed and treated.What are the implications for public health practice?This study provides information for the development of a plan for AE prevention and control and for the implementation of interventions targeted to high-risk populations.展开更多
What is already known about this topic?Existing manual deworming programs launched have made great progress in reducing the Echinococcus infection rate of domestic dogs,but significant challenges remain in scattered n...What is already known about this topic?Existing manual deworming programs launched have made great progress in reducing the Echinococcus infection rate of domestic dogs,but significant challenges remain in scattered nomadic communities inhabiting the Tibetan Plateau.The low deworming frequency and low levels of coverage were responsible for the high infection rate of Echinococcus spp.among dogs.What is added by this report?Smart deworming collars controlled by a remote management system(RMS)was found to increase the deworming frequency and coverage and subsequently reduce the canine infection rates with Echinococcus spp..What are the implications for public health practice?As an innovative tool,smart deworming collars may drive the paradigm shift from manual deworming to smart deworming and stop the transmission of echinococcosis.展开更多
基金The survey funds are from public health project of central government transfer payment of China.
文摘Background:The echinococcosis is prevalent in 10 provinces/autonomous region in western and northern China.Epidemiological survey of echinococcosis in China in 2012 showed the average prevalence of four counties in Tibet Autonomous Region(TAR)is 4.23%,much higher than the average prevalence in China(0.24%).It is important to understand the transmission risks and the prevalence of echinococcosis in human and animals in TAR.Methods:A stratified and proportionate sampling method was used to select samples in TAR.The selected residents were examined by B-ultrasonography diagnostic,and the faeces of dogs were tested for the canine coproantigen against Echinococcus spp.using enzyme-linked immunosorbent assay.The internal organs of slaughtered domestic animals were examined by visual examination and palpation.The awareness of the prevention and control of echinococcosis among of residents and students was investigated using questionnaire.All data were inputted using double entry in the Epi Info database,with error correction by double-entry comparison,the statistical analysis of all data was processed using SPSS 21.0,and the map was mapped using ArcGIS 10.1,the data was tested by Chi-square test and Cochran-Armitage trend test.Results:A total of 80384 people,7564 faeces of dogs,and 2103 internal organs of slaughtered domestic animals were examined.The prevalence of echinococcosis in humans in TAR was 1.66%,the positive rate in females(1.92%)was significantly higher than that in males(1.41%),(X2=30.31,P<0.01),the positive rate of echinococcosis was positively associated with age(X2trend=-423.95,P<0.01),and the occupational populations with high positive rates of echinococcosis were herdsmen(3.66%)and monks(3.48%).The average positive rate of Echinococcus coproantigen in TAR was 7.30%.The positive rate of echinococcosis in livestock for the whole region was 11.84%.The average awareness rate of echinococcosis across the region was 33.39%.Conclusions:A high prevalence of echinococcosis is found across the TAR,representing a very serious concern to human health.Efforts should be made to develop an action plan for echinococcosis prevention and control as soon as possible,so as to control the endemic of echinococcosis and reduce the medical burden on the population.
文摘Background Echinococcosis,a zoonotic parasitic disease,is caused by larval stages of cestodes in the Echinococcus genus.Echinococcosis is highly prevalent in ten provinces/autonomous regions of western and northern China.In 2016,an epidemiological survey of Tibet Autonomous Region(TAR)revealed that the prevalence of human echinococcosis was 1.66%,which was much higher than the average prevalence in China(0.24%).Therefore,to improve on the current prevention and control measures,it is important to understand the prevalence and spatial distribution characteristics of human echinococcosis at the township level in TAR.Methods Data for echinococcosis cases in 2018 were obtained from the annual report system of echinococcosis of Tibet Center for Disease Control and Prevention.Diagnosis had been performed via B-ultrasonography.The epidemic status of echinococcosis in all townships in TAR was classified according to the relevant standards of population prevalence indices as defined in the national technical plan for echinococcosis control.Spatial scan statistics were performed to establish the geographical townships that were most at risk of echinococcosis.Results In 2018,a total of 16,009 echinococcosis cases,whose prevalence was 0.53%,were recorded in 74 endemic counties in TAR.Based on the order of the epidemic degree,all the 692 townships were classified from high to low degrees.Among them,127 townships had prevalence rates≥1%.The high prevalence of human echinococcosis in TAR,which is associated with a wide geographic distribution,is a medical concern.Approximately 94.65%of the villages and towns reported echinococcosis cases.According to spatial distribution analysis,the prevalence of human echinococcosis was found to be clustered,with the specific clustering areas being identified.The cystic echinococcosis primary cluster covered 88 townships,while that of alveolar echinococcosis’s covered 38 townships.Conclusions This study shows spatial distributions of echinococcosis with different epidemic degrees in 692 townships of TAR and high-risk cluster areas at the township level.Our findings indicate that strengthening the echinococcosis prevention and control strategies in TAR should directed at townships with a high prevalence and high-risk clustering areas.
文摘Background:Echinococcosis is highly endemic in western and northern China.Tibet Autonomous Region(TAR)is the most serious prevalent area.Linzhi is located in southeastern part ofTAR.Dogs are the primary infection source for the transmission of echinococcosis to humans.A control and prevention campaign based on dog management has been implemented in the past three years.This study aims to evaluate the effects of dog management on the infection rate of dogs.
文摘What is already known about this topic?Both alveolar echinococcosis(AE)and cystic echinococcosis are endemic in China,among which alveolar echinococcosis has a very high mortality rate.What is added by this report?The survey results showed the prevalence and scope of AE in China and identified high-risk groups including children,monks,herdsmen and illiterate people.At the same time,all the cases found in the survey(more than 90%of the patients did not go to the hospital for diagnosis and treatment before survey)were promptly diagnosed and treated.What are the implications for public health practice?This study provides information for the development of a plan for AE prevention and control and for the implementation of interventions targeted to high-risk populations.
基金supported by the Ganzi Prefecture Workgroup Projects for Echinococcosis Prevention and Control,China CDC(2016-07,2017-06,2018-02,2019-02)the NHC Key Laboratory of Echinococcosis Prevention and Control Project(Supported by the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences,2019PT320004)the Key R&D Transformation Projects,Qinghai(2020-SF-133).
文摘What is already known about this topic?Existing manual deworming programs launched have made great progress in reducing the Echinococcus infection rate of domestic dogs,but significant challenges remain in scattered nomadic communities inhabiting the Tibetan Plateau.The low deworming frequency and low levels of coverage were responsible for the high infection rate of Echinococcus spp.among dogs.What is added by this report?Smart deworming collars controlled by a remote management system(RMS)was found to increase the deworming frequency and coverage and subsequently reduce the canine infection rates with Echinococcus spp..What are the implications for public health practice?As an innovative tool,smart deworming collars may drive the paradigm shift from manual deworming to smart deworming and stop the transmission of echinococcosis.