A SURVEY ON THE EPIDEMIOLOGICAL FACTORS OF CLONORCHIASIS IN THE POHANG INDUSTRIAL BELT ALONG THE HYUNGSAN RIVER KYONGSANGBUK-DO SOUTH KOREA
A SURVEY ON THE EPIDEMIOLOGICAL FACTORS OF CLONORCHIASIS IN THE POHANG INDUSTRIAL BELT ALONG THE HYUNGSAN RIVER KYONGSANGBUK-DO SOUTH KOREA
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DOI：
10.3347/kjp.1990.28.4.213
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发表时间：
1990-01-01
影响因子：
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通讯作者：
HONG S-T
中科院分区：
文献类型：
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作者：
KIM S S;HAN M H;HONG S-T
本文对釜山江沿着华支睾吸虫病流行的浦项工业区的职工进行了华支睾吸虫病的寄生虫学检查，并对部分感染者进行了问卷调查，以了解华支睾吸虫病的近期感染情况。该地区的中华按蚊和流行病学参数。共检测3,180例皮内接种念珠菌。中华抗原（绿色十字公司，834例（26.2%）为阳性。在阳性病例中，598例接受了粪便蠕虫卵检查。结果129例（21.6%）虫卵阳性。中华鞭虫1.7%、蛔虫0.3%、横川后殖吸虫0.2%。问卷分析显示感染组和非感染组（对照组）之间存在一些显著差异。受感染者受教育程度较低，居住在离河流较近的地区，大多数人在那里生活了20年以上。他们也喜欢吃生的淡水鱼。绝大多数检出病例曾用吡喹酮治疗，治疗后1年虫卵转阴率为85.3%。目前的数据显示，与以前的流行率相比，华支睾吸虫病的地方性明显下降，但华支睾吸虫病仍然是Hyungsan河流域的地方性疾病。应采取发现病例、治疗、宣传教育等综合措施控制华支睾吸虫病流行。
The employees at the Pohang industrial area, where Clonorchis sinensis has been known to be endemic along the Hyungsan River, were examined parasitologically for clonorchiasis and a part of the infected cases were surveyed with a questionaire to outline the recent infection status of C. sinensis and epidemiological parameters in the area. Total of 3,180 cases were tested by intradermal inoculation of C. sinensis antigen (Green Cross Co., Korea), and 834(26.2%) were found positive. Out of the positive cases, 598 were subjected to fecal examination for helminth ova. The examination revealed 129(21.6%) ova positive cases of C. sinensis, and Trichuris trichiura 1.7%, Ascaria lumbricoides 0.3%, and Metagonimus yokogawai 0.2%. The questionaire analysis showed some significant differences between the infected and noninfected(control) groups. The infected cases were less educated than the control, and they lived at the closer area to the river, and most of them lived there over 20 years. Also they preferred eating raw fresh water fish. Most of the detected cases were treated with praziquantel and found negative for the eggs in 85.3% of them 1 year after the treatment. The present data reveal markedly decreased endemicity of clonorchiasis compared with previous prevalence rates but still clonorchiasis is endemic in the Hyungsan river basin. A comprehensive measure including case detection, treatment and education for parasite control should be applied to control clonorchiasis in such endemic areas.