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目的了解丹巴县食源性寄生虫病患病状况,为该县控制食源性寄生虫病提供依据。方法回顾调查1990-2008年的历史资料,2007-2008年采用问卷调查与酶联免疫吸附试验检测人群血清中旋毛虫和囊尾蚴的抗体。结果丹巴县少数民族地区有生食香猪腿的生活习惯,从1990-2008年暴发了3起旋毛虫病疫情,发病人数17人,无死亡;患囊尾蚴病12例。旋毛虫调查506人,旋毛虫抗体阳性111人,阳性率为21.94%,阳性中有98.20%的人群有明确的生食或半生食动物肉史,阳性者中有93.60%为农牧人群。囊尾蚴病调查905例,癫痫发病率占3.08%,排节史占4.86%。粪检665人,绦虫感染率2.56%。结论丹巴县旋毛虫病和囊尾蚴病发病均有上升趋势,必须加大宣传力度,改变不良的生活习惯,提倡食用熟食,控制食源性疾病的流行。
Objective To understand the prevalence of foodborne parasites in Danba County and provide evidence for the control of foodborne parasites in this county. Methods The historical data of 1990-2008 years were retrospectively reviewed. The antibodies against Trichinella spiralis and Cysticercus cellulosae in serum were tested by questionnaire and enzyme-linked immunosorbent assay in 2007-2008. Results Danba County, a minority nationality living habits of pig legs living habits, from 1990-2008 outbreak of three cases of Trichinosis, the number of cases of 17 people, no death; cysticercosis in 12 cases. There were 506 Trichinella spiralis and 111 Trichinella antibodies positive, the positive rate was 21.94%. 98.20% of the positives had a clear history of raw meat or meat of half-raw animals, 93.60% of them were farmers and herdsmen. Cysticercosis survey 905 cases, the incidence of epilepsy accounted for 3.08%, row history accounted for 4.86%. 665 fecal examination, tapeworm infection rate of 2.56%. Conclusions The incidence of Trichinellosis and Cysticercosis in Danba County are on the rise. Publicity must be intensified to change the bad habits and promote the consumption of cooked food to control the prevalence of foodborne diseases.